There are two types of breast implants available: silicone gel-filled or saline-filled. There are advantages and disadvantages to both types and our surgeons will be able to explain what is the best choice for you. Silicone gel-filled implants consist of an outer shell constructed from several layers of elastic silicone material. These are filled with silicone gel, which is a clear and cohesive material. Silicone is widely used in implantable medical devices. Saline-filed implants consist of a silicone elastomer shell which has an integrated valve. These are filled with a sterile saline solution during surgery.
Implants may be placed either beneath the breast tissue or on top of the pectoralis muscle (subglandular) or partially beneath the pectoralis major muscle (submuscular). There are advantages and disadvantages of each placement. Generally, placement of an implant beneath the muscle gives an extra layer of muscle coverage and may be the choice for patients with minimum breast tissue. Our surgeons can perform both options under Local Anaesthetic with sedation.
Breast implants can be inserted through an incision in the infra-mammary fold (crease under the breast). Depending on the implant size this incision may vary from 3-6cm in length. An implant may also be inserted through an incision around the nipple (a peri-areolar incision). This incision is hidden to some extent by the colour change at the edge of the areola. The incision in the infra-mammary fold is often hidden by the slight droop of the breast and is not seen unless an observer is looking up under the breast. Implants can also be inserted through an incision in the armpit (axilla).