Choosing the Right Breast Implant—Silicone, Saline or “Structured?”

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No matter what reason spurred the decision to pursue breast augmentation, deciding on
which implant type presents one of the more difficult choices women have to make,
once they embark on the surgical route to breast vitalization. While all breast implants
are made out of an inert polymer named silicone, deciding on the contents
within—silicone gel or saline solution—has long stirred up the most internal debate. But
there is a newer, third option women should be considering as well. That is, Ideal
Implant® Structured Breast Implants that maneuver the flow of saline to better mimic
the natural feel and look of breast tissue.

Silicone Versus Saline

Silicone gel implants are favored by many women because their limited viscosity tends
to offer the most natural look and realistic feel they are seeking in their revitalized
breasts. But, while deemed safe by the FDA, a 14-year ban on their use that ended in
2006 put a stigma on them that makes some women leery of them to this day. They are
also considered problematic because their gel-like substance is not naturally absorbed
into the body, which means that ruptures and leakage may not be easily noticed.
That said, the safety profile of silicone implants—the most widely studied medical
device in history—has remained positive since their re-introduction in 2006, with the
market for silicone implants steadily improving to the point that the two currently have
roughly equal overall market share.
Saline breast implants have long held a better perceived safety profile than silicone gel,
but their aesthetic reputation is marred by the perception that they may not adequately
replicate the natural look and feel of real breasts. And, because the saline implants
have more liquidity than silicone, they are more prone to temporary misshaping such as
folding or wrinkling around the breast edges. However, the amount of saline within the
implants can be adjusted during surgery to better tailor the outcome of breast symmetry
and size.

Structured Breast Implants Provide a Newer Option

Women now have a third option to consider when deciding on which breast
augmentation implant option will best meet their needs. “Structured” breast implants
utilize internal channels and baffling to restrict the flow and potential sloshing of saline
solution through the implant to better simulate the feel of natural breast tissue. Ideal
Implant® Structured Breast Implants represent next-generation technology that provides the realistic look and natural feel of breast tissue, but with the perceived safety profile offered by saline implants. Clinically tested since 2009 and approved by the FDA in 2014, Ideal Implants® offer a unique solution to meet both the aesthetic and health-related goals of women seeking to enhance their self-image through breast augmentation.

Natural Feel is a Result of Innovative Design

Ideal Implant® Structured Breast Implants were designed specifically by a plastic
surgeon to bridge the differences between saline and silicone implants, while also
offering the best possible safety profile. The innovative “structured” design includes a
series of implant shells nested together in two different chambers holding the saline.
Depending upon implant size, the shells may also include baffles to further inhibit fluid
movement. This internal structure controls the movement of the saline solution to
prevent implant folding and wrinkling around the edges. Ideal Implants are also specially contoured to match the natural curve of the chest wall, and, due to the internal structure, are less prone to rupture and subsequent deflation. If breakage does occur, the saline is naturally absorbed by the body, though the shell will need to be surgically removed and replaced.


Dr. Gardner is one of the few qualified cosmetic surgeons offering Ideal Implants® in
the Naples, Florida area. With years of breast augmentation experience and a
reputation for cosmetic artistry, Dr. Gardner is pleased to add this innovative implant to
his practice. The doctor will discuss the Ideal Implant® option along with other implant
options in his consultation with patients. Dr. Gardner offers various breast surgical
approaches, and may recommend combining implant surgery with other breast
enhancement procedures. To learn more about Ideal Implant® Structured Breast
Implants and Dr. Gardner’s long-standing breast enhancement surgery expertise,
contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial
consultation.

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Breast Augmentation: Silicone Versus Saline Implants

Breast Implants Silicone versus Saline Naples Florida
Breast augmentation has long been among the most popular plastic surgery procedures performed in the U.S., with more than 290,000 augmentations performed in the country in 2016, according to the American Society of Plastic Surgeons. Breast augmentation surgery is generally sought by women who feel that their breasts are not in proportion with the rest of their body, and women unhappy with changes to their breasts that occur as a result of childbirth, nursing and/or aging. Breast augmentation is often combined with a breast lift to help provide women with fuller, more youthful-looking breasts.

After a decision has been made to pursue breast augmentation, a woman generally consults with her plastic surgeon to determine which procedure will lead to the best results for her body type. Along with determining breast implant size and placement (behind the breast or behind the chest muscle), a decision must be made about what type of implant to use.

What Are the Differences Between Saline and Silicone Implants?

While all breast implants have an outer shell made of silicone, this is the same substance used in IV tubing and other medical applications used every day. The material inside the shell, or the filler, is either a saline solution or silicone gel. The shape of the shell is designed to mimic the a woman’s breast. The filling material determines how it feels Silicone is the more viscous of the two substances and believed to more closely mimic the natural look and feel of breast tissue. Saline is essentially sterile salt water, and this type of implant was developed in the 1990s as an alternative to silicone due to a health scare linking silicone implants to a chronic autoimmune disease.

The health scare from this concern prompted the removal of silicone implants from the US except in experimental trials. Extensive clinical studies of silicone implants and years of research showed no link between silicone implants and systemic illness, and so the U.S. Food and Drug Administration approving the continued use of silicone implants.

Breast Augmentation Surgery Available in Naples, Florida

Gardner Plastic Surgery in Naples, Florida, has long offered breast augmentation and breast implants as part of its practice. As a highly regarded breast enhancement surgeon, Dr. Paul Gardner combines his vast knowledge of cosmetic breast surgery with the latest surgical techniques and an artistic eye to produce outstanding results for his patients. To learn how Dr. Gardner can help achieve the body you desire with augmentation using either silicone or saline breast implants, contact Gardner Plastic Surgery today at 239.566.2611 to schedule your initial consultation.

Why Mothers May Want to Consider a “Mommy Makeover”

Gardner Plastic Surgery in Naples, Florida provide Mommy Makeovers

“There’s a reason it’s called labor,” is a phrase all mothers are familiar with, but the extent of that labor is sometimes discounted by those who have not undergone the experience. In fact, researchers at the University of Michigan have determined that childbirth can impact a woman’s body with stress fractures and muscle tears and sprains equivalent to damages sustained by hardcore athletes. And while that potential damage is limited to an extent by the duration of the actual period of labor, a woman’s body also undergoes substantial stress during both the months preceding childbirth and during those first few months after she has given birth.

Motherhood’s Toll on a Woman’s Body

Pregnancy, childbirth and postpartum factors such as breastfeeding all result in changes to a woman’s body. The pregnancy itself can encourage the body to create new reservoirs in the waist and hips in which to store fat, while the expanding womb can stretch skin and stomach muscles to a point at which many women find it impossible to regain their previously tight abs. The bulk of pregnancy and lactation can similarly impact the breasts, with the original shape, firmness and contour of some women’s breasts not likely to return, even after nursing concludes.

Impacts of Motherhood Different for All

Just as no two babies are alike, motherhood’s impacts on the body differ significantly from mother to mother. Some women do manage to emerge from the postpartum period with bodies looking hardly any different than they did before pregnancy. Of course, such women are the exception rather than the rule, and most women are likely unsatisfied with at least one aspect of their postpartum body.

Survey Shows….

In fact, BabyCenter.com surveyed 7,000 postpartum mothers to gauge their feelings about their after-pregnancy bodies, and determined that more than half of postpartum mothers tended to be disappointed with the changes and failure to return to a pre-pregnancy figure. Among the findings were:

  • 64 percent reported having a negative body image since becoming a mother
  • One to two years after childbirth, 86 percent said their bellies had not returned to normal
  • Almost 50 percent said that their breasts are “different”
  • While about 20 percent were able to return to their pre-pregnancy weights within a year, 22 percent were struggling with 10 pounds or more of their pregnancy weight (in a similar survey in 2008 the number was 38 percent)

It’s Not Just Motherhood

Impacts caused to the body by motherhood can also be caused by age. Weight gain, sagging breasts, stretch marks and lost muscle tone similar to that caused by motherhood also inevitably impact women as they age. But a Mommy Makeover, as offered by Dr. Paul Gardner of Gardner Plastic Surgery in Naples, Florida, can be tailored to help restore the natural beauty of those impacted by the labor of love known as motherhood, as well as those impacted by the natural course of aging.

Just Call for a Consultation

A Mommy Makeover is not a singular procedure, but is a series of procedures undertaken as needed to address impacts to the body caused by childbirth, motherhood and aging. Among the procedures are tummy tuck, breast lift, breast augmentation, breast reduction, and liposuction to various parts of the body. Dr. Gardner meets with each patient to discuss their aesthetic goals to create a tailor-made plan to achieve the best results possible. Call Dr. Gardner today at 239.566.2611 for your Mommy Makeover consultation!

Your Breast Implant Choices

Selecting a breast Implant for breast augmentation

Breast Implant Popularity

Breast augmentation is one of the leading cosmetic procedures in the United States and it is only growing in popularity. According to the American Society of Plastic Surgeons’ latest report, nearly 300,000 women received breast implants in 2015, collectively spending over $1 billion on this cosmetic procedure alone. Breast augmentation has flourished over the past 15 years due to improvements in surgical technology and the implants themselves, and the procedure is only predicted to become more prevalent in the future.

Why Breast Implants?

No matter the type of implant chosen, the goal of breast augmentation is to create fuller, firmer, and more symmetrical breasts. The reasons behind augmentation are as varied as the women themselves, but most choose this procedure to revitalize their self-confidence and achieve their desired feminine figure. Loss of breast shape or size due to weight loss, aging, and pregnancy are some of the most commonly cited factors for women who undergo breast augmentation.

Silicone Implants

Silicone implants are currently the most common type of implant used. The American Society of Plastic Surgeons reports that silicone implants accounted for 80% of all breast augmentation procedures in 2015. This type of implant is filled with a silicone gel and it is the most popular choice because the gel creates an effect that is similar to natural breast tissue. If a leak occurs, the gel may be contained within the implant shell or it may breach the shell and enter the breast implant pocket. Most often it is contained within a layer of scar tissue that forms around the implant. Silicone  implants are FDA approved but women with these implants will need to visit their plastic surgeon annually to check for any problems.

Saline Implants

Saline implants were used in 20% of breast augmentation surgeries in 2015. Because they are filled with sterile salt water, a leak will result in the collapse of the implant but the saline will be safely absorbed into the body. They can be filled during surgery so minor adjustments can be made during the procedure. Some women feel that saline implants feel and look unnaturally firm, so the popularity of this type of implant has decreased significantly since the introduction of the silicone option.

Gummy Bear Implants

First introduced in the U.S. market in 2012, the gummy bear implant has been gaining popularity in breast augmentation procedures. The gummy bear implant is a type of silicone implant that is made of a thicker gel which results in a firmer implant that is less susceptible to leak. This newer implant appeals to some women because of its decreased rupture rate, but it is firmer and especially useful in breast reconstruction.

Just A Call Away

Whatever your reason may be for desiring breast implants or whichever implant type you prefer, consulting an experienced plastic surgeon will get you on the right track towards your dream body. Dr. Paul Gardner of Gardner Plastic Surgery meets with each patient to discuss their goals and create a unique plan of action that will produce the best results for the individual. Call Dr. Gardner today at 239.566.2611 for your breast augmentation consultation!

Preparing for Your Breast Augmentation

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Making Your Breast Enlargement and Recovery as Comfortable as Possible

Temper Your Excitement with Preparedness

You are probably thrilled that you are about to get a breast augmentation, but you should make some preparations for the procedure as well as the recovery period. Getting breast implants from one of the best plastic surgeons in Naples, FL will change your life, but there are some things you should be aware of including a recommended few days of bed rest and limited activity with the support bra for a few weeks. Consider the following suggestions to make your procedure and recovery easier and more successful. (If you are getting a Mommy Makeover with liposuction or Tummy Tuck procedures, please discuss recovery protocols with Dr. Gardner or his staff)

Getting Ready for Plastic Surgery

Dr. Paul Gardner will, of course, provide you with a checklist to help you prepare for the actual procedure, but there are some minor recommendations that can make your surgery proceed flawlessly.

  • Do not take any blood thinning medications prior to surgery
  • Get all prescriptions filled (including a post-operative support bra if needed)
  • Confirm the type and size of implants as well as the incision point
  • Leave all piercings, jewelry and valuables at home
  • Wear loose clothing to the medical facility
  • Shower the night before and the day of the surgery
  • If you might be pregnant, take a home pregnancy test. Disclose the results to Dr. Gardner.
  • If you are using a tampon, tell Dr. Gardner

Minimizing Discomfort During the Recovery

A comfortable setting can make your post-op recovery considerably easier.  Just a few conveniences can help you while away the hours in bed and speed the healing process.  Be sure to set up your recovery room before surgery.

  • Delegate responsibilities—stress is a well-known inhibitor of proper healing, so do your best to complete work projects, get child care and square away any personal responsibilities prior to surgery. You should also have someone with you for the first 24 hours after surgery in case of medical complications.
  • Put necessities within easy reach—you may be surprised how many things you will want an arm’s length away following breast enhancement.
    • Pain medications
    • Lots of liquids
    • TV/stereo remote
    • Phone
    • Tissues
    • Extra pillows
    • Moisturizer
    • Vitamins
    • Laxatives
  • Herbal supplements can mitigate swelling—one of the most effective herbal supplements for bruising and swelling is Arnica Montana, but ask Dr. Gardner if it is right for you.
  • Prepare a week’s worth of meals—there is likely to be a period of some discomfort immediately following the surgery, during which you are likely to take pain medications. These drugs may dull your hunger, so drink plenty of fluids and stock light foods like Jell-O or yogurt.  Your appetite will return, so have some ready-to-eat meals prepared.
  • Try on your new bra—one of the great joys of getting a breast augmentation is trying a new bra that accommodates your enhanced physique. Get your doctor’s permission first.

Call For Plastic Surgery in Naples, FL

Call 239.566.2611 or EMAIL US to schedule a private consultation with Dr. Paul Gardner

What You Need to Know About Breastfeeding with Implants

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In America, over 300,000 women a year get some form of breast augmentation. Many women however, have questions about breastfeeding following breast augmentation. Expectant mothers or women contemplating pregnancy often ask: “Will I be able to breastfeed with my implants?” If you are a mother and already have breast implants or are considering breast enhancement prior to childbirth you should consider the following.

Breastfeeding with Implants

Many women with implants are able to breastfeed their babies without difficulty, while others may experience problems. The ability to breastfeed with augmented breasts depends on a few factors:

  • Incisions – If your incisions are across the nipples or areolas, it is possible that your nerves and milk ducts were severed, making breastfeeding difficult or impossible. However, most modern plastic surgeons will make incisions under the breast or in the arm pit area to hide scars and preserve your nerves and milk ducts.
  • Implant Location – The location of your implants can play a role in milk production. Your implants can be inserted either under the chest muscles, or between the breast tissue and above the chest muscle. Opting for implants beneath the chest muscles is less likely to damage the nerves and glands involved in milk production.
  • Nipple Sensation – If you retain sensation or feeling in your nipples, it means your nerves have not been compromised, and you are probably able to breast feed. If you have limited or no sensation in your nipples and your breast augmentation was recent, it is possible that full feeling has not returned yet but your ability to produce milk is unaffected.. If this lack of sensation remains for an extended period of time, consult with your cosmetic surgeon.
  • Reason for Implants – If you elected for breast implants for aesthetic reasons, it is unlikely you will experience difficulty while breastfeeding. However, if you received implants to remediate undeveloped breast tissue, it is possible that your milk producing glands are also underdeveloped which can inhibit milk production.

Lactation

It may not always be apparent when you are not lactating properly. If your infant is losing body weight, is especially cranky, or has short feedings (less than five minutes), you should consult with your physician or a lactation specialist as soon as possible. These may signs may indicate that you are not producing enough milk to satisfy your child. It may be wise to switch to bottle feeding until you receive expert advice.

Healing and Restoring

Even after breast augmentation surgery, it is likely that your glands and milk ducts will remain functional. In fact, there are processes called recanalization (for the ducts), and reinnervation (for the nerves) in which they can heal, reconnect and restore function.

See a Board-Certified Surgeon

Studies have shown that 90% of women have the ability to breastfeed following breast implant surgery. If your surgery is performed by a board-certified plastic surgeon, your breast augmentation should not affect your ability to produce milk.

Considering Breast Augmentation?

Dr. Gardner of Gardner Plastic Surgery has extensive knowledge and expertise performing breast augmentation. If you have questions, concerns, or wish to consult with him about your ability to produce milk following a breast augmentation surgery, don’t hesitate to call us at (239) 566-2611, visiting our office location at 1250 Pine Ridge Road, Suite 101C, Naples, Florida 34108 or using our online contact form.