Breast implant shapes

Shaped vs. Round Breast Implants

What are shaped breast implants? Shaped breast implants, also known as anatomic or tear-drop implants, have an asymmetric shape with a round base that tapers to a thin top (Figure 1). They are designed to mimic the natural downward slope of the upper breast while providing sufficient volume in their lower portion to enlarge it.

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These two patients are typical of long term results with saline implants.  Saline and silicone look the same but feel different. The potential for visible ripples is the most common criticism of saline implants but this is a rare occurrence in young patients who typically have tight skin.  As stated, these devices are not for everyone but those who are candidates benefit from their durability and reduced potential for long term shape change commonly seen with silicone.

#breast #implant #saline #silicone

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If you went to the best training program that had the biggest stars in every area back in the day (NYU), you learned how to be good at everything.  Super sub-specializing constricts the overall development of your aesthetic sense. Also, like cross-training, using different “muscles”enhances your overall performance.  Finally, one only has to look at Michelangelo, the best painter and sculptor ever, to be convinced it’s not only possible to be good at more than one thing but to be able to excel in multiple areas. 

#art #plasticsurgery #excellence

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There are many variables in breast augmentation: implant volume, shape, manufacturer, and filler substance; incision location; over or under the muscle; patient specific anatomy; and both the surgeon’s and patient’s aesthetic sense. Achieving the best result takes all of these factors into account and, as shown here, there is often more than one way to do it.  Remember, it’s not one and done.  Implants require periodic replacement life long. Fat grafts, as an alternative, do not work. 
#implant #anatomy #muscle

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Patient’s often ask, which method is better, SMAS or deep plane?  If there was a clear superiority, all surgeons would be using the same technique. Put another way, as our nurse Meghan says, “it’s not the racquet, it’s the player”. True here too. 

SMAS is an acronym for  a medical term: Superficial MusculoAponeurotic System. Structurally it is a sheet of fibrous and fatty tissue that can be tightened to recreate a more youthful facial shape. 

#face #lift #young

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