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We specialise in breast implants with a more natural result and faster recovery.

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Achieve natural-looking breast implants

Benefits of breast implant surgery in Melbourne with Dr David:

• surgeon who has successfully performed over a thousand of these operations

• safest, most natural-looking and feeling implants available

• rapid recovery technique: out of the house and driving next day

• all-inclusive, premium surgical and recovery package of $12,900

• finance options available

Women are faced with a number of what seem to be confusing choices when it comes to deciding what kind of implant to get. This article aims to clarify some of the myths around breast implants.

Dr David Topchian performs breast implant surgery in Melbourne at two locations: St Kilda and Berwick.

 

*For Breast Implant Revision, please visit this page for more detailed information.

 

There are four main ways in which breast implants differ: the filling, the shape, the size and the covering.

1. The Filling: Saline vs Silicone Gel

Saline implants: These contain salty water, and don’t feel as natural as silicone implants. They are also more likely to ripple (look wavy on the skin) and require replacement due to failure and leakage.

Silicone gel implants: These have a soft, jelly-like filling that feels similar to natural breast tissue. They are not a liquid, unlike previous generations of silicone implants for breasts. If the implants do leak over time, the gel should stay together and is not dangerous or harmful to the woman’s health. Most patients in Australia (and around the world) choose silicone gel implants.

2. The Shape: Round vs Teardrop

Breast Implants are available in many different shapes to provide a range of possible options and the best outcomes for patients.

Round Implants: Previously, round implants (implants that appear symmetrical when viewed from the side) were the most popular type. Although round implants are still appropriate for some women, they do produce slightly more fullness in the upper part of the breast. This results in a ’rounder’ look that some women prefer to avoid.

Teardrop Implants: Teardrop implants aren’t actually teardrop in shape, but they are a more natural breast shape when viewed from the side, with less fullness at the top part of the implant. Sometimes they are called anatomical implants, because they look more like a natural breast.

This type of implant can be of benefit to women who have some degree of sag or have a difficult breast shape to begin with. A further benefit of using teardrop implants is that the width of the implant can be different to the height of the implant. This enables a closer match to the base of the existing breast, with an improvement in cleavage or reduction in upper breast bulging.

Round (left) and teardrop (right) implant

3. The Size: Weight vs Cup Size

Cup Size: There is no internationally-standardised bra sizing system, which means that there is no direct correlation between the weight (or volume) of an implant and the cup size that it will produce. Patients often say they can be three different cup sizes depending on the manufacturer, so cup size is not a reliable or consistent indicator for sizing.

Weight: The most common sizes for Australian women are implants between about 200 and 400 grams (equivalent to cc or mL). Implants larger than this can be used if the woman has a suitable existing breast shape and accepts the higher risks that come with larger implants.

Tip: If you wish to try a home sizing, seal rice in a zip-lock bag or a stocking and then place in a soft, sports-style bra. The weight of the rice, in grams, will be approximately equal to the weight of implants of the same size, and should give you an idea of proportions achievable. Note that this method will not be an indicator of breast shape, but merely of the approximate size.

Choosing Your size: It is worth considering that women who get breast implants often say that they wish they had gone bigger. There are several reasons for this:

  • In the first month after the operation there is swelling, which you can easily get used to. However, when the swelling resolves, the breasts do look a little smaller.
  • The novelty of larger breasts wears off and the patient becomes accustomed to her new body shape.
  • Implants may look slightly smaller when placed inside the tissue when compared to testing out the sizing in a sports bra before the procedure.

4. The Covering: Silicone vs Polyurethane-Foam (P-URE)

Silicone Covering: Standard implants have a silicon filling and covering. This can either be smooth or slightly roughened and textured. The covering type determines the risk of hardening, otherwise known as encapsulation. The smooth and textured implants tend to encapsulate in about 1 in 5 women over 10 years. Placement behind the muscle does not alter this rate. (reference: Allergan Core Study, FDA)

Polyurethane Covering: Polyurethane foam-covered implants have 1-2mm of foam bonded to the outside shell. These are known to have a lower complication rate because of the way the body’s own tissues grow into the foam layer. This reduces the risk of hardening and also integrates the implant with the surrounding tissues. As a result, complications such as synmastia (‘mono-boob’) and malposition (‘slipping down’) will not occur.

Using polyurethane covered implants has been shown to reduce capsule formation rates to only 1 in 100 women at the 18 year point. (reference: Vazquez)

Smooth implants (left), textured implants (middle), and polyurethane implants (right).

Polyurethane covered implants. Your own tissue grows into the spaces in the foam.

See My Case Studies

Breast Augmentation-melbourne

See Dr David Topchian’s before and after breast augmentation case studies.

Consultations

If you are considering breast augmentation, you can book in for a Complimentary Consultation with Dr David Topchian. During your consultation, you’ll be able to get your questions answered, have a thorough professional examination to assess suitability, as well as more information to read at your leisure.