Breast Implant Science: Everything you need to know about the gel, filler and sheath of your implants

For many patients, knowing what procedure you want is the easiest part of your journey through plastic surgery. Do you want to get rid of a bulge on your nose? Choose rhinoplasty. Do you have excess skin in the middle? A tummy tuck is likely for you.

This means that some plastic surgery options require much more research than just knowing the specific procedure you want, and breast augmentation with implants is one of these operations.

So if you want to change the shape of your breasts with implants, but you don’t know the details, don’t despair. Here’s a map of everything you need to know about breast implant components, from available materials to implant safety, so you can feel empowered with the information before making a final implant decision with your plastic surgeon.

First, what are the three main components of breast implants?

Before we get into the rough different types of implants, it is important to understand their three main components: gel, coating and filling.

Gels are used in silicone implants (more on that later!), And each silicone gel fills the implant and comes in a variety of types, usually labeled according to their cohesion. Corte Madera, a plastic surgeon from California and a consultant for Mentor, Khashayar Mohebali, MD says that the higher the cohesiveness, the more the implants hold their shape, provide additional fullness and provide a slightly firmer feel.

Mentor, one of the leading manufacturers of breast implants in the United States, has a choice of three different gel options for patients: MemoryGel®MemoryGel® Xtra and MemoryGel BOOST ™. MemoryGel simply provides the soft, natural feel that many usually desire; MemoryGel Xtra offers the same natural feel, but with increased projection, strength and fullness; and MemoryGel BOOST offers a “BOOST” effect without losing the desired soft and natural feel.

“The shell indicates the outer barrier of the implant [that] keeps the material inside, ”explains Dr. Mohebali. “All implants are made with a silicone cover.” This shell comes in both smooth and textured variants, with smooth implants that have no roughness around the shell, allowing it to move more freely in the body (although this may make this variant more prone to rotation). Textured implants have a rougher outer surface, which may look less natural, but are thought to be less prone to rotation.

Finally, the implant filling refers to the amount of gel that is placed in it. “Newer, optimally filled implants create a more cohesive gel, but retain a soft feel,” says Dr. Mohebali. Obviously, the more gel is filled inside the implant, the larger it will be.

What is the difference between silicone and physiological breast implants?

When deciding on your ideal implant, first divide the selection of breast implants into two categories: silicone and saline. “Physical solution is just highly concentrated salt water,” explains Dr. Mohebali. “Silicone actually comes in a variety of patterns, with some implants filled with a more fluid consistency, while others have a more cohesive gel. Each type gives a different look and feel. ”

According to Dr. Mohebali’s advantages in silicone implants are that they are softer to the touch, come in a variety of gel formulations for more options to achieve the desired look, and generally produce a result that is more in line with natural breasts. Disadvantage? They require more thorough examination over the years after surgery, usually with ultrasound or MRI, to confirm if the implant has ruptured. They also have a slightly higher price than physiological implants.

Saline implants, on the other hand, can be either pre-filled or pre-filled after are located in the body. When they fill up after they are in the body, it is possible that the incisions and scars will be smaller. Saline implants may appear slightly less natural than silicone implants, and if they rupture, they look immediately discharged.

And what about implant safety?

Mentor, part of the Johnson and Johnson family, is proud of the safety of its implants. First and foremost, the brand focuses exclusively on the production of breast implants, which sets it apart from other brands and allows it to focus on innovations that are later confirmed by clinical trials and FDA approval.

“The mentor also offers a guarantee that should give patients peace of mind,” explains Dr. Mohebali. “The policies you are automatically enrolled in cover a lifetime replacement of the product in the event of any rupture of the implant, including the contralateral side.”

During the first 10 years, Mentor also added $ 3,500 in financial assistance to surgical costs, and the policy also covers capsular contracting for the first 10 years with product exchange and financial support.


Finally, it is important to discuss all of these aspects of breast implants with an experienced and certified plastic surgeon when you decide to undergo this procedure. Only you and your provider can help you decide which Mentor breast implant is right for you and your aesthetic goals. And when breast implants are in the right hands, they can be a wonderful life-changing experience. So choose your surgeon (and implants!) Carefully.

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