Case Number: 302
- Before After
Latin American descent
This was a through the belly button procedure (TUBA) performed on Los Angeles area woman in our Pasadena office. This is a great result and she can hardly feel the saline implant.
Note: as of November 2006, this surgery can be performed with a silicone implant if desired. Prior to this time, for primary breast implant procedures (the first time), surgeons could use only saline breast implants in the United States as per Food and Drug Administration (FDA) rules, unless breast reconstruction was being performed.
Here are the "pros" and "cons" of each type of implant available now. This TUBA procedure often produces no noticeable scar at all: i.e. the scar is entirely hidden within the belly button. But the new standard for a silicone implant insertion (rules for the doctor, actually, from the manufacturer) is that a 5 centimeter, or over 2 inch, incision or scar must be made in order to get the implant inside the pocket under the breast. The reason is the silicone gel inside the current implants has a shape that can be fractured or destroyed if the implant is forced through a hole that is too small. This relatively long incision can be made in the armpit, the area around the nipple, or in the crease under the breast. While we can hide scars and close them with great accuracy, they can't be avoided all together and occasionally are very obvious. One of the things Dr. Yoho offers at his Pasadena (Los Angeles area) location is micro-pigmentation, actually a simple form of tattooing of scars that turn out whiter than the pigmented skin surrounding the areola. This helps for some scars.
Silicone implants also may have a higher abnormal scar formation rate, or "capsular contraction" around the implant than saline implants. This rate may be about 10 per cent, at a very rough approximation, while the saline implant capsular contraction rate is lower. These capsular contractions generally need to be treated surgically, although there is a medical treatment that works sometimes. Occasionally the breasts form such severe scarring that implants ultimately can't be replaced. But if there are no complications, silicone implants usually feel the most natural, are softer, and often are indistinguishable from normal breast tissue. The other consideration: the extra cost of the implant itself is about $1800.00 more than saline implants. So we can now perform either surgery, depending on the patient's individual needs, breasts, and finances.