Form stable implant

There are many who do not understand what form stable implant is.
Today, I would like to share about what a form stable implant is.



Form stable implant is one that does not change its shape irregularly but stays in uniform shape.

What is form stability?

The gel has high cohesiveness and density. As the filling rate, volume of gel compared to exterior skin, approaches 100%, the exterior shape remains stable.




 
Advantages of form stable implant

1) Durability (Low possibility of collapse or leakage)
2) Low possibility of capsular contracture (Theoretically; not clinically proved)
3) Low possibility of rippling
4) Good for filling up the volume in the upper breast
5) Low possibility of breast parenchyma contraction (Need more clinical data)
6) The gel does not leak although there is damage on the exterior skin

Disadvantages of form stable implant

1) Requires high technique for surgery
2) Costly
3) Large incision for the implant
4) Patients feel that it is not as soft
5) Not good for those who want large sized implants



The important point here is that there is no absolutely form stable implant made by the manufacturers today.
Anatomical implants are said to be rather stable in form or shape in our country.
The most representative product is anatomical implant from Allerga, Style 410. There are other such as CPG (Contour profile gel) by Mentor, and anatomical implant from SiliMed.

Truform2 from Allergan Inspira is a round type implant but it has a high fill rate therefore provides high form stability but not as much as Style 410.




Implants that have weak form stability are,
Mentor round type implants (Mentor MemoryGel)
Soft touch products in Allergan anatomical implant
Polytech silicone gel products

Such variety of implants are produced by the companies and it is difficult to know each one of them.
If you feel that you need a form stable implant, you need to think and consult with your doctor on whether you want highly stabled or lowly stabled implant.

In most cases, the form stable implants are recommended for,
Sagging breasts
Tuberous breast
Constricted breast
Low volume in upper breast
Other factors such as when your original breast needs big make over

Thank you for reading. Have a good day.

Is it anatomical implant surgery? Or a breast augmentation? 

I have stated in the past that the anatomical implant breast surgery is not a breast augmentation surgery but is a cosmetic surgery.

However, when I talk to my patients, many of them do not know what the difference between the anatomical implant and the round type implant is when used for the breast surgery.

Making your breasts larger is something of old. These days, breast surgery is to make breasts that match well with your beautifully shapes body. My post today is to elaborate on this.
This is not easy to understand. However, if you read the contents slowly and carefully, you will get a hold on it.



In order to understand this, you would need to know why the word ‘cohesive’ is used for the cohesive gel.
At first, Mentor named it cohesive gel, Memory gel.
It meant that the implant remembered or memorized its original shape when manufactured.
The implant needs cohesiveness in order to maintain its original shape. The company made a silicone material with adhesiveness and density.



The reason for developing cohesive and sticky gel is to prevent spillage of internal substance in the body if the implant collapses. The idea behind how much cohesiveness is necessary, is different for each manufacturers.

Anatomical implants have high level of cohesiveness (Highly cohesive silicone gel). In oppose, the round type implant has average level of cohesiveness (Classic cohesive silicone gel).

Many people know that the type of cohesive gel implants can be divided into anatomical and round type.
But before considering whether the implant is anatomical or round, it is important to know the level of cohesiveness.



Silicone gel with high cohesiveness; Tightly closed therefore does not leak and maintain its original shape.

We looked into the following images before, but let’s refer to them again. The images are from a book written by Dr. Hammond.






The above image is one with low cohesiveness, i.e. MRI result of breast augmentation with round type implant.
The picture below is an implant with high level of cohesiveness. It is a MRI of a breast with anatomical implant.

The round type implant does not remember its original shape! The pressure from the surrounding skin and the gravity pulling the implant down make the implant rumple. We call it a round type implant but it does not remain round inside the body.
Therefore, if you use the round type implant with low level of cohesiveness, your breast becomes larger but the shape does not change.

But if you look at the bottom image, you will be able to see that the anatomical implant with very tight inner substance maintains its shape resisting the surrounding environment.
Anatomical implant maintains its shape making your original breast change its shape also. Your augmented breasts become anatomical, i.e. the shape that you want them to be.

This is the core point of the anatomical breast cosmetic surgery.

If your original breasts are beautiful, but you want them just to be larger, then you can use the round type to get the result that you want. You do not need to consider anatomical type. But if your original breasts do not look beautiful and you want to make them look better with larger volume, then you need to use the anatomical type!



You will be able to understand better with the aid of these images. The photo below shows the usage of very big round type implant because the patient was greedy about the size.



375cc implant was used. You may think that there is good enough volume but I am sure that most of the patients do not want their breasts to be like that.


Anatomical implant – Before surgery, 1 week after, 2 months after the surgery (left to right)

When you use the anatomical implant, your breasts shape differently as time passes by. You will be able to overcome the initial problem and have new beautiful looking breasts. Of course, you will have larger volume as well.

Today’s keyword was ‘Cohesiveness’. Anatomical implant with high level of cohesiveness make the breasts look more natural with larger volume. Round type implant with low level of cohesiveness just makes your original breasts larger.

Therefore, there is not much difference in the result using the round type implant. The implant itself is very simple and you just need to choose the size that you want.
But anatomical implant results differently according to who you are. The implant that you choose determines the final outcome therefore the selection process becomes really important. There are so many more types of anatomical implant than the round type implants.

One needs to judge which manufacturer’s implant and the type fits best with the particular patient in order to get the best result from the breast cosmetic surgery. The role of the doctor / surgeon becomes that much more important.

This is all for today. Thanks a lot.

When can I start to exercise after the breast augmentation surgery? (Breast augmentation recovery) 

Today, I would like to share about the recovery from breast augmentation surgery, i.e. when you can start exercising after the breast augmentation.



First, the type of exercise is important.
Second, one needs to consider the difference in the outcome of the surgery for each patients.

The first week of recovery from the breast augmentation surgery is quick and active. The body reacts to the implant that is in the body all of a sudden, and the implant pocket begins to heal therefore, this period is unstable.
It is recommended that you avoid heavy activities or exercises and just do daily chores.



Strong capsule, epithelium, is formed around the implant after 3 weeks.
There can be difference in the thickness but this epithelium is formed in all bodies with silicone.

If this epithelium becomes too thick, it can be the cause of the capsular contracture, but this epithelium also helps implant to maintain its position stable within the body. There are two sides to the coin.

Therefore, you will be able to do just about any exercise after three weeks.
Normal muscle movements do no shift the implant to a different position.



You can exercise on the running machines, you can enjoy cycling, weigh training, and yoga. After a month, the epithelium becomes stronger therefore even massaging the breasts would not lead the implant to shift or move to another position.

Therefore, I tell my patients that it takes about a month to enjoy normal exercises.
But you need to be a little loose about this time period.

Your body knows what is best for you. If you want to swim after the breast augmentation, you might do a little warm up. If you feel ok, then you can swim more the next day but if you don’t feel good, then you should stop at that moment. You need to feel your body and control the pace of your recovery so that at the end, you can get back to your original condition..




I conducted breast augmentation on a professional body builder. We communicated a lot and I am aware that it took 2 months for her to do the normal body building exercises that she did before the surgery.

Professional body builders can resist the heavy weight but normal female patients cannot.
 
So it takes less time for a normal patient to get back to normal condition.
Today, we looked at the time period of exercising after the breast augmentation. I hope that this post has helped you out.

Thank you and have a great day.

How long does it take to have natural feel after breast augmentation?

Q. How long does it take to have natural feel so that my husband or boyfriend cannot know the difference?

A. This is not a comfortable question to ask but is one that many are curious about. Today, I would like to answer this question.

Let’s look at that natural feel after the breast augmentation.





Many patients just consider the feel of the silicone implant.
So they think that it is best to use soft silicone implant so that their husbands or boyfriends to not recognize the difference.
The feel after the breast augmentation comes from the original breast tissue. The implant is below it. Therefore it is like touching a bread covered up with cloths.



If you want to know exactly what that breast is, then the cloth covering it needs to be thinner.
If the cloth is very thick, then you will not be able to know what is under it.

Now comes an important point.
If your skin is very thin or you have a thin body, then a person with small breasts who used large implants cannot cover up the fact that she got a breast augmentation surgery even after a long time.
There is a high possibility that people can feel the difference.
But, if you had thick skin layer, or were a little fat than normal person, there is a high possibility that people cannot feel the difference.



Also there is no proportional relation between time of recovery and the feel of your breasts.
Your breasts might feel unnatural due to the swelling in the first 2 to 3 weeks of recovery. They will feel natural after the swelling goes down but if you use a very large implants, your skin layer gets thinner therefore, your breasts might not feel natural after 6 months to a year.
(But, there is a proportional relation between the shape of the breast and the time or recovery)




So if you need to avoid sexual life due to the recovery from the breast augmentation, it is recommended that you avoid having sex in the first two weeks. It would be very concerning to touch the breast in the first few days of the recovery.

It’s been about 2 months since I got the breast augmentation. If everything goes fine, I would not need to worry about my husband or whoever touching my breasts.
Today, I posted on the answer for how long it takes for the augmented breasts to feel natural.

Thank you for reading. Have a great day.

24 hour recovery after Breast augmentation 

Today, I would like to clear some misunderstandings and perception on the 24 hour recovery system.


It is mentioned on the same book that the 24 hour recovery system can also result in minimized side effects and revision.

This is not another type or advertising message that tries to influence the patients to get the surgery, but it is a mandatory technique that a doctor should know in order to minimize any possibilities of aftermath problems and side effects.

A 24 hour recovery system is: to recover quickly within 24 hours from the breast augmentation so that you can get back into your daily work and life without any problems.  It means that you can get the breast augmentation in the morning and go out shopping in the late afternoon. Those patients who were able to recover within 24 hours had less incidence rate of side effect than those who did not recover within 24 hours.


......24 hour recovery also deliver optimal long-term outcomes with low complication and reoperation rates. (Referred from the book)

.....such results along with the same elements that make the 24 hour recovery possible proofs that the long term result from the breast augmentation is optimized. (Referred from the book)

But, how can a patient recover in 24 hours? There needs to be much experience and know-how in order to make this possible. I conducted a survey on those patients that I had for a one year period starting Feb 2013. There were 172 patients who responded.



Hi, this is Kies-U. We introduce the “24 hour recovery system from anatomical breast augmentation” to our patients all the time. We would like to conduct a survey on those patients with breast augmentation who recovered in 24 hours. Please choose a response that best describes your experience and reply with the response number. Thank you very much. 
(1) Definitely recovered within 24 hours
(2) Recovered somewhat within 24 hours
(3) Did not recover within 24 hours

We analyzed the statistics of this question. Here is the result.



90.1% of all the respondents stated positively about the 24 hour recovery system. There were 9.9% of the respondents who answered that they did not recover in 24 hours.
 
I looked at some factors that slow down the 24 hour recovery system

Although most of the patients state that the ‘recovery was quick and there were no discomforts’, there are cases that are opposite. So I have gathered such cases to come up with the following findings.

1) If the size is too big
2) If the patient has different body shape (Abnormal bone structure / very tight skin tissue / bad case of bird chest, etc
3) If the patient was not in a good condition on the day of the surgery

There are many factors but we could sum them up as such.
If the implant is too big, then the pocket needs to be made big. In doing so, there could be much bleeding or much bothering on the pain receptors leading to long term continuous pain.
If you have a tight skin then there would be extensive force on the skin leading to much pressure. The pressure causes pain on the bones and other parts of the body.
If you are a patient who is very thin and have tight skin, you might want to make your breasts as large as possible. This greed might hinder the quick recovery that you could have.

24 hour recovery = Low complication

The equation above is what Dr. Tebbetts tries to emphasize. I agree with it.
If there is no pain, and if you feel comfortable, then this means that there is no trauma caused from the surgery, and the skin tissue can recover quickly resulting in no capsular contracture or other complications.

Today, we looked at the 24 hour recovery system. Thank you for reading.
Have a great day.

Q. I have heard that many people suffer from pain after the breast augmentation. Is there no way that you cannot feel any pain?

A. If you do not touch any nerves, then there would be no pain.



What should one do to avoid any pain? This is an obvious answer, but one should not touch the nerves to avoid pain.

Then, what are the parts without nerves? There are no nerves on the subcutaneous fat.
How about the skin? The skin is very sensitive, more so any other part of the body. This is the first barricade that protects our body. But once you penetrate through the skin and get into the subcutaneous fat, one will not be able to feel the pain.

Before, I posted on the above the pectoralis muscle and below the muscle procedures for the breast augmentation. Above the pectoralis muscle means that the surgery is done under the subcutaneous fat. There is no pain when the incision in done here. You would not feel any pain with the sadation in the above the pectoralis muscle breast augmentation.

Then how about the bone? Does a bone have nerves?
Do you know the words “pain from carving your bones”? In oppose to this, there is no nerve in your bones.

The bone does not feel the pain, but the surrounding periosteum does. If you touch the periosteum during the incision, then there would be much pain.




If you look at the image above, you will be able to know why approach from the armpit leads to much pain.
This is approaching the periosteum that surrounds the ribs. The tools used for incision might touch the periosteum surrounding the ribs. Therefore, there is much pain when approaching from the armpit.

Of course, you can avoid pain when approaching from the armpit with the usage of the endoscope and investing much time in the surgery. However, the inframammary fold leads to least pain. There is no possibility of touch the periosteum when approaching from the inframammary fold therefore, this method is the most ideal one for a surgery without pain.

Another important point is,
That the bleeding and the pain are related to one another. The blood vessels and the nerves are usually together. So if there is much bleeding then one must have touched the nerves a lot as well. If there is no bleeding then there is no pain.




This image shows the perforator. A method that makes it easy to see these perforator is the approach from the inframammary fold. It is difficult to see these perforators with other methods. If you cannot see somethings properly then this means that there is much chance of bleeding as well.

When we approach from the inframammary fold, we are able to see the location of the blood vessels, therefore, we can avoid the bleeding and minimize the pain caused.
Now, I am sure that you will know that method leads to least pain.

1)
Inframammary fold leads to least pain as there is less chance of irritating the periosteum. The incision does not irritate the periosteum when you approach from the inframammary fold. Look at the image for better understanding.
One cannot avoid irritating the periosteum when approaching from the armpit. The curve from the ribs and the breastbone leads to high chances of touching the periosteum. When the incision is done on the areola, you can avoid irritating the periosteum however, one’s visual gets limited as you approach the inner parts, therefore this cannot be less painful than the inframammary fold incision.

2)
Whatever incision method you use, above the pectoralis muscle, i.e. below the subcutaneous fat incision leads to least or no pain. When the surgery is done through the belly button, the patient cannot feel any pain because the incision is done above the pectoralis muscle. Many say that the incision on the armpit leads to much pain, but the same on above the pectoralis muscle leads to no pain.

However, above the pectoralis muscle method should be well considered when applying for those patients who are really thin. An implant is a foreign substance to the body, therefore such foreign substance needs to be completely covered up when put into the body.

The above the pectoralis muscle means that there is not much skin covering the implant therefore the implant can be seen from outside over time.

Today, we looked at why the inframammary fold incision leads to least pain.
Another important fact is that the surgeon with much experience in inframammary fold incision needs to conduct the surgery to result in less or no pain. There can be much bleeding the pain if the surgeon is not experienced.

Take care and thank you for reading.

Why is 24 hour recovery important?

My patients tell me that they come to me because of the quick recovery from the breast augmentation.
Today, let’s look at why quick recovery time is important and how this can be achieved.

Here is the summary of 24 hour recovery system so that you can understand it easily.




Whatever surgery it is, a good surgery is one that least bothers your daily routine. This applies especially well for the cosmetic surgery more so than other health or physical function related surgeries.

The discomfort and pain from the surgery should be minimized and the social or economic activities of the person should not be restricted.

A surgery that does not penetrate important parts of the body and that ends quickly so that the patient can get back to daily life quickly leads to less possibility of complications also. If the night is long, then you will dream more. If the surgery takes long time and is very complicated, there is much possibility of increasing problems.



A world renowned breast augmentation specialist, Dr. John B. Tebbetts from Dallas, US, first introduced up with the 24 hour recovery system.

24 recovery needs careful analysis of the surgery, clear understanding of the patients, good preparation of the anesthesia and the surgery, and well prepared manpower that helps coordinate the surgery properly from the start to finish without any hesitation.


 
In order for 24 hour recovery to be successful,

Accurate planning before the surgery is very important
Everything needs to be decided in the first meeting with the patient.
What type of implant to use?
Is the size appropriate, what spec or profile to use?
How the symmetry should be controlled,
What is the problem that needs to be solved foremost?
Where to approach for the incision?
If the wrong decision is made in any of the question above, the surgery will be complicated and the recovery would be painful and slow to the patient. There would be higher possibility of side effects as well.



It is better to choose the inframammary fold approach for 24 hour recovery. This applies more so if the anatomical implant is used.
The inframammary fold approach leads to accurate and no fault surgery.
In oppose to this, if the approach is made far away from the breast, the surgery becomes more complicating, longer and the number of variable for the surgery increases. There would be more pain and the recovery takes longer than 24 hours.
I approach from the armpit often, and there is higher possibility of fault with this approach than the inframammary fold approach.
There is no one who wants to take risk on the surgical bed. Accuracy and certainty are very important in a surgery therefore there are many doctors around the world who choose and apply the inframammary fold approach.



A doctor’s technique is important for the 24 hour recovery. The doctor should not give any trauma to the patient and have the skills to perform the surgery quickly and accurately. The procedure should be conducted according to the surgery plan and should not be influenced by any variables caused during the course of the surgery. In fact, this is what determines the result of the surgery.

Also, other surrounding variables such as the surgery environment, tools and devices, endoscope, anesthesia and the experienced nursing staff are all important for the 24 hour recovery

There are many who are misunderstood about the 24 hour recovery system.
A quick surgery and recovery are necessary to result in a beautiful looking breast with no complications.

Quick recovery is not the ultimate goal. Quick recovery is necessary for the good outcome of beautiful looking breasts. Quick recovery means that the surgery was done without any problems or hesitations. This leads to less side effects as well.

Today’s post was for those who perceive that the breast augmentation is something that is scary and painful. The recent advances in the breast augmentation is the 24 hour recovery system.

Thank you for reading. Have a great day.

Q) I have heard that if I get dual plane breast augmentation, my breasts would end up looking anatomical so I do not need to use the anatomical implants. Is this true?

There are growing number of people who ask me the question stated above. I do not know what to do if I get asked such question, but there is the answer first. Dual plane and anatomical implant breast augmentation are completely different concepts. This is similar to saying that you can taste watermelon when you are actually eating round shaped pumpkin.



Dual plane refers to the depth of the implant put in, i.e. the location that the implant is put in to.
Anatomical implant breast augmentation refers to the anatomical implant that is used for the augmentation.

These two cannot be the same. They have different objectives and purposes.






Dual plane is applied in order to reduce the side effects and improve on the disadvantages, and anatomical implant is used for cosmetic reasons.




Today, we looked at the two concepts of dual plane and anatomical implant breast augmentation and how they are different. There are many deceiving information in breast cosmetic surgeries.

 Thank you for reading. Thanks.

Choosing the right size anatomical implant for breast augmentation

This is another frequently asked question. Today, I would like to post an answer on “How to choose the appropriate size of implant when getting a breast augmentation?”











I think that you would be able to catch the point after seeing the image above.
You might also wonder how a large sized anatomical implant is put into a body of a patient who is very thin.

What happens when an implant that is larger in width compared to the breast diameter is used? If you have a narrow thorax, you might be able to feel the implant from the outside. If you are one with funnel chest, the implants on both sides might come and stick together in the middle. This is a high possibility for skinny and thin patients.

If you have more flesh, your skin would be thick, therefore you might not feel the implant although it is larger than the diameter size of your breast. However, in such case, the implant inside your breast might be folded or squashed.

Implant being squashed means that the outer layers are folded. This would lead to implant collapse.

This is why I mentioned an example of parking spot earlier. A car is limited in terms of width, but not in height or length.






The image below shows a very thin woman with 320cc cohesive gel anatomical implant.
Being skinny is one problem, but having a tight skin is another factor that makes it difficult to use large sized implant. A round type implant at about 320cc would need a diameter that is longer than 12.5cm. But an anatomical implant that is long and thick, for example, Optimom from Polytech, a company in Germany, has 320cc in diameter of 11cm.






The patient is very thin, therefore, the breast does not look big although a 320cc implant has been used. This is breast augmentation. For some patients, 200cc might be large enough. For others, 400cc might be small.

But in order for an implant to be put into the pocket size, it is more advantageous to use an anatomical implant that is designed 3 dimensionally and has more variety of choices. It is also better in using a large volume implant.

Today, we looked at the factors in deciding the anatomical implant size for breast augmentation. Have a nice weekend.

Thank you very much.

Q. Is it alright to have sedation or intercostal nerve block (ICNB) for breast surgery? (Anesthesia methods for breast surgery)

A. Yes it is. But the most secure anesthesia is the general anesthesia.



General anesthesia that we talk about in breast surgery mostly refers to inhalational anesthesia.
General anesthesia means intravenous anesthesia and,
ICNB refers to block anesthesia.

If we divide the anesthesia methods into two;

 - General anesthesia; no pain or irritation on the body
 (Anesthesia can be administered through inhalation and intravenous) 
 One loses conscious and goes blurry in this case.



 - Topical anesthesia; No pain or irritation on a particular part of your body
 (Anesthesia can be administered through topical infiltration method and blocking method)
One is conscious in this case.

We can apply any of the methods mentioned above for breast surgeries.
But the most common one is the inhalation, i.e. general anesthesia.
It is because the patient does not feel any pain, therefore the surgery procedure is secure and convenient as there is less reaction from the thorax or muscle when operating.

The sedation that we normally talk about (intravenous anesthesia), is done through propofol. The level of conscious is rather less secure compared to the inhalation types therefore, the body might move during the operation.

 
If the body moves and if the muscles contracts often, the surgery becomes difficult therefore leading to more usage of propofol. Too much usage can lead to the buildup of the anesthesia inside the blood and cause the respiratory center of the central nervous system to lose any senses, resulting in death or brain-death.

Blocking anesthesia such as ICNB cannot be used as a topical one without the drug that reacts on the central nervous system. The drug from sedation is put in with the blocking anesthesia simultaneously.




ICNB cannot be 100% reliable that it will work until the very end of the surgery therefore, one needs to add propofol or midazolam that may lead to similar outcome.



If inhalation anesthesia is used, one does not need to additionally use propofol or midazolam what remains in the body for a long time. Also, although the patient is in a deep physical decline, she will breathe through the respiratory tube therefore, she has the lowest possibility of suffering medical accidents such as death or brain-death.


Everybody wants to ‘wake up and feel nothing’ after a surgery.
When this is achieved, one can say that the most successful anesthesia / surgery has been completed.

But in order to achieve this ‘wake up and feel nothing’, one should not promote or advertise that the anesthesia is simple.

Simple anesthesia leads to more accidents in reality.

There was a known story about a middle school girl who suffered brain-death after the eye and nose cosmetic surgery. After this event, the number of advertisement about the sedation used for breast augmentation has been reduced. Breast surgery with general anesthesia and inhalation anesthesia leads to quick surgery time, and most comfortable state for the patient after the surgery to get back to her daily life.

Has this content helped you out? Thank you. Have a great day.

Breast Implant Size to Achieve Medium C Cup?

Today, I would like to talk about the one question that most of my patients ask. In simple words, the question is,
"Can I have a C cup breast (or a full B cup)?”
 
Two problems arise if a very thin, weak lady with narrow shoulders us large sized implants for breast augmentation. The first problem is that one can feel the edge of the implant when you touch the breast. Another is that you can make out the shape of the implant.

We call this first side effect, palpability (it is also related to refilling), and the second is called upper fullness.

Anatomical implant was developed for the safety and the secureness of the implant, and not to solve the upper fullness problem. However, the patients in our country who have very thin body but want large breasts use this anatomical implants and also avoid the problem of upper fullness.

There are many who say that one’s bust need to look good. There is a Y line that connects the collarbone and the midpoint of the breasts.

Y-line that shows the breast line

This Y-line is formed better with the help and secureness of the anatomical implant as well.
If you wear a short top or swimsuit, and draw a line that connects the collarbones to the nipples, this connected line would represent a meaningful purpose of breast augmentation. This line would determine how one looks good when wearing a particular clothes and also show where the breast starts.

If the breast is large and round, similarly shapes like a bowl, then there would not be a smooth line but a line that projects out. This line has to be smooth and natural to make the breasts look glamorous.



This is a popular model, Keeley Hazell from Britain. Where does her breast start? The line from her collarbone to the nipple looks astonishing and makes her body look captivating.


 

The width of the implant should not be larger than the width of the breast
The height of the implant can be extended in order to make the volume greater (although the width is small)

If you want to make your breasts look more beautiful and fitting with any type of clothes that you wear, then those in Far East who have narrow shoulders and narrow width breasts should use the anatomical implants that are long in height.
Let’s look at one anatomical implant, Optimam from Polytech, Germany, and compare it with others.
If the width (W) of the breast is measured at about 11cm, then the width of the implant should not exceed 11 cm.
Here are the implants with width of 11 cm.

Mentor Round	W 10.9cm	225cc
Natrelle Round	W 11 cm	222cc
Polytech Round	W 11 cm	255cc
Natrelle Anatomical FM	H 11.5  W 11	235cc
Polytech Anatomical (Round)	W 11 cm	220cc
Polytech Anatomical  (Oval)	H 12.8 W 11	260cc

As you can see above, a round type implant would have a volume of 225cc, but if you choose a oval type anatomical implant, then you would have an implant with a volume of 260cc.
Let’s look at implants with width (W) of 12cm.

Mentor Round	W 12 cm	300cc
Natrelle Round	W 12 cm	290cc
Polytech Round	W 12 cm	320cc
Natrelle Anatomical FM	H 12.5 W 12	310cc
Polytech Anatomical (Round)	W 12 cm	280cc
Polytech Anatomical  (Oval)	H 13.9 W 12	330cc

The same applies for this case as well. The implant with 290cc could be replaced with one that has the volume of 330cc. This is an advantage of oval shaped anatomical implants.

Of course, one cannot just measure the width in order to determine what size implant to use. We need to consider skin elasticity, pinch test, etc and there are also many with asymmetrical breasts therefore we need to use the sizer during the procedure.

However, it is a good thing that one can have a wide variety of implants to choose from in order to achieve that C-cup goal.
 

Before and after Breast augmentation

About 5 years ago here in Korea, it was difficult to find other types of implants, other than the saline bag type. But now, there are wide variety of implants available, and there would be even more variety to choose from in the future.
But, if there are too many choices, it becomes difficult to choose one.
If you have read all the articles in this blog, then you have been open to the most updated news in the industry, therefore you can say that you are aware about the most recent information.

This is all for today. Thank you very much.