Last month the American Society for Aesthetic Plastic Surgery (ASAPS) surveyed their member surgeons to get an idea about current trends in breast augmentation, as well as statistical analysis of trends in all procedures. Most of the answers they received are not at all surprising, with one big exception.

The preference for natural looking results continues for the vast majority of plastic surgeons and their patients. For example, the average implant size used by most of the surveyed surgeons is 300 – 400 cc. For most patients, this size will result in full C cup breasts. More than 60% of surgeons place the implants under the chest muscle rather than on top of the muscle, again aiming for a natural appearance to the slope of the chest wall.

An overwhelming majority of ASAPS plastic surgeons prefer round implants as opposed to “anatomical,” or teardrop shaped implants. The survey did not detail the reason for the preference, but the plastic surgeons we’ve spoken with say that implants occasionally rotate and shift inside the breast capsule. Obviously, anatomical implants would look unnatural upside down. Additionally, most plastic surgeons feel that round implants look very natural when the right size and position is selected, and particularly for submuscular placement.

The ASAPS survey also found that 64% of surgeons prefer an incision near the crease underneath the breast. Although there are other options, notably around the areola, an incision under the breast can give the surgeon optimal access with the least amount of visible scaring.

The big surprise, is how many plastic surgeons and patients continue to choose saline-filled implants. The ASAPS survey showed that 60% of their members are still using saline implants, with an overwhelming majority of those selecting saline implants for first time patients. Furthermore, when silicone gel was chosen over saline filling, the reason most often cited was “patient preference.”

So, it would appear that many plastic surgeons still select saline-filled breast implants quite often. The question is, “Why?” Not only has the filling been shown to be safe and unlikely to leak, it both looks and feels more like real breast tissue.

Could it be that even though silicone gel implants were re-approved by the FDA in 2006, there’s still a lack of faith in the devices? Perhaps many patients, and even some surgeons, haven’t done extensive research on the options? Maybe the choice of saline is simply a result of habit?

Whatever the case may be, the president of the ASAPS noted that good results depend more on “patent-appropriate” surgical techniques more than on the type of implant chosen. If the procedure is done correctly, only a defective implant of either type would create a probable high-risk scenario.

Breast augmentation continues to remain one of the most popular cosmetic surgery procedures in our country today. Even recent reports from the American Society of Plastic Surgeons (ASPS) reveal the breast augmentation surgery is now the most popular cosmetic surgery procedure, knocking off liposuction. However, the results of these procedures have always produced mixed reactions from the women who have or want them.

While many women feel younger, sexier, and more alive as a result of their enhanced new figure, others lament about the lack of a natural appearance provided by their breast implants.

Vaser® Hi Def Breast

This struggle to achieve a more natural result has led many cosmetic surgeons to continually improve the procedure in the search of better end results. Recently, a new advancement in augmentation procedures is providing women with breast implants that more closely resemble a natural feeling breast.

This procedure, the Vaser® Hi Def Breast, adds a new twist to the typical enlargement surgery by combining it with liposuction. This advancement has led to a greater satisfaction rate among women opting for surgery, as their new breasts have a more natural and attractive appearance.

Vaser Hi Def Breast employs ultrasonic technology to remove specific fat pockets in the breast tissue, while leaving other fat cells and neighboring nerve tissue untouched. This enables your cosmetic surgeon to more subtly sculpt your breasts, giving them a more youthful, firm, and natural look.

The Ideal Candidate for Vaser® Hi Def Breast Augmentation

This procedure is not right for all women. As with traditional implant procedures, it is important to consult with an experienced cosmetic surgeon to make sure you are a good candidate for Vaser Hi Def Breast. As part of this consultation, your doctor should talk with our about your medical history and your goals for your surgery.

Ideal candidates for Vaser Hi Def Breast are women who:

• Are in good overall health
• Are physically fit
• Have reasonable expectations for the surgery
• Have good overall self-esteem

As with any major surgery, there are risks that accompany this breast augmentation process. A good candidate needs to understand these risks and be willing to accept them. Also, candidates must recognize that this procedure isn’t meant to drastically alter your appearance to make you feel like a completely different person. It is intended to subtly alter your appearance so that you have fuller, more contoured breasts that help you feel younger and more attractive.

Far too often, in the world of breast augmentation, much attention and emphasis is placed on the size of the breast implant and not its location. This issue is one that has profound yet differing long-term affects for the patient, so it is important that it is addressed.

Patients typically have two choices when it comes to implant placement: subglandular and submuscular. Subglandular implants are placed underneath the breast tissue, yet above the chest wall muscles, whereas submuscular implants are placed below the chest (pectoral) muscles. Occasionally, a third procedure option is available that allows a patient to have the implant placed partially under the muscle wall.

Frequently, when it comes to implant placement, most surgeons and patients opt for subglandular for a variety of reasons, including the relative ease (compared to submuscular placement) of the procedure on both doctor and patient. Many women are happy and are more than eligible to have their breast augmentation done in such a way.

However, submuscular implant placement presents many benefits to the patient, including:

• Lower occurrence of capsular contracture
• Lower chance of rippling
• Less interference with future mammograms
• Less visible Implant
• More natural appearance and feel to the breast
• Better results for women with small breasts

Capsular contracture is a condition where a “capsule” of scar tissue forms around the breast implants and constricts the implant in an unnatural fashion. This creates a hardened look to the breasts and is potentially painful for the patient. Treating capsular contracture requires that the implants and scar tissue be removed and the implants replaced. Capsular contracture occurs far less frequently with submuscular implants.

The other primary benefit to submuscular implantation is that more of the implant is covered by more muscle tissue, reducing the likelihood of visible implant rippling. This creates a much more natural look to a patient’s implants.

Additionally, submuscular implantation creates less interference with mammography. Because the implants are placed below the breast’s glandular tissue and muscle, and the glandular tissue is what is being examined during a mammogram, imaging is more accurate.

As always, even though submuscular breast implants have many advantages, only you and your plastic surgeon will know what is the best technique for you. Many factors, such as age, body type, implant type and intended results factor into which technique will be best for you. Always be sure to thoroughly discuss your breast augmentation with your plastic surgeon.

Recently, we’ve posted a story on Christina Applegate’s double masectomy and breast reconstruction and now that the story has developed a little further, we’d like to bring readers up to speed.

Previously, it was unknown if Applegate was going to opt for breast reconstruction from her own tissue or breast implants, but we’ve learned she’s had tissue expanders inserted temporariy to help expand the skin for saline breast implants.

While saline breast implants have been on the market consistently longer and are widely regarded as the “safest” of all breast implants, there are still risks associated with this implant type.

While lesser than silicone gel breast implants, saline breast implants still pose the risk of auto-immune disorders, fatigue, and the possiblilty of mold and bacteria growing on or in the implant.

However, this doesn’t necessarily mean that silicone breast implants are safer either. Fact is all breast implants have some risks and side effects associated with them and a plastic surgeon will know exactly what option is best for a patient.

According to new reports from the American Society for Aesthetic Plastic Surgery, almost 400,000 breast augmentations were performed in 2007 — an increase from previous numbers since silicone breast implants were approved by the FDA in 2006. Still, many women are still choosing saline breast implants, known as the “workhorse” of breast enlargement surgery.

One of the many benefits of saline breast implants for breast augmentation is the many different saline profiles and shapes available, which allows your doctor to achieve a better match to your individual body frame.

Saline breast implants also have a flexible fill volume, and are not prefilled. This provides more options for incision placement, as well as a smaller incision necessary for the breast enhancement surgery.Because saline implants are filled after insertion, their final volume can be adjusted making it easier for the surgeon to correct for existing breast asymmetry.

Saline breast implants are widely endorsed by plastic surgeons for women who need correction for asymmetry, or that have reservations about silicone breast implants. Each patient is different however, and you should always consider the option that is best suited for your body type.The best way to be certain is to consult your plastic surgeon (or 2, or even 3) and find out which breast implants will work best for your breast augmentation.