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RECAP: New Year, New You: Everything to Know about Breast Implants & Augmentation

On Saturday morning, January 8th, I hosted New Year, New You: Everything to Know about Breast Implants & Augmentation. The special was broadcasted across the internet through Facebook Live, available to patients and virtually anyone who ever wanted to know about Breast Augmentation and Implants.

The broadcast was a sixteen-minute special that allowed us to bring our experience and share our insights with not only our community but the world.

I often see a lot of people coming to the office thinking that Breast Augmentation might just do the trick, but it is important to make sure that the patients goals, unique anatomic and tissue characteristics are all factored in to achieve the optimal result. There are different ways to augment the breast and not every method is ideal for each patient. Breast augmentation primarily increases the volume of the breast but does not significantly lift or elevate the position of the nipple.

As a result of this, some people will require more than a breast augmentation. A breast lift alone or in combination with an augmentation is required to ensure that the nipple is positioned appropriately and breast tissue drapes nicely over the implant for the most aesthetic result.

With so many implant options, I took the time to show the viewers online the various forms of implants and how each one can benefit a patient, depending on her own, individual needs.

“We choose implants based on your goals. But other big deciding factors are your actual body habitus and tissue characteristics. The implant we pick for you has to fit your frame, and that is very important since we want to give you a natural result.”

Now, saline implants have a silicone shell, where silicone implants tend to have internal material that is made entirely out of silicone. An advantage of silicone implants is that they have more shape, profile and gel consistency options. The more cohesive/firmer silicone gel or ‘gummy bear’ have ‘teardrop’ models providing patients with a more natural shape with a slightly firmer consistency.

This implant is more textured so that it maintains its position. Even though it gives you a more natural contour, it is not as mobile as your smooth round gel implant.

In comparison, smooth round soft gel implants provide women with more mobility. A smooth, round gel implant moves around in the pocket. The advantage of this is if women want more cleavage, you can scoop it up into a bra and give yourself more cleavage.”

We then went on to take a silicone implant and dissect it during the broadcast, in order to allow viewers online to understand what they are made of and their effects once placed inside the body.

A lot of people think that if there is an implant rupture, the silicone is going to leak all over your bloodstream. Silicone does not poison the blood. Even if the implant is ruptured, the gel maintains its shape. It’s not liquid. It does not flow anywhere.

Keller Funnel is a tool that enhances implant delivery performance.


The discussion also gave an opportunity to express her thoughts on topics such as implant rupture and the optimum time to consider undergoing an implant replacement.

The FDA actually recommends that within 10-15 to consider having your implant exchanged. The chance of the implant being ruptured is very, very small. It is recommended that you have an MRI after three years to make sure the implant is not ruptured.

My personal highlight of the morning has to be the introduction of the Keller Funnel. This is a simple tool that we not only use but also encourage to others in our field. This simple tool has allowed us to not only provide patients with clean and sterile implants but ensures that recovery time is faster.

Recovery time should not be very long. Will you be totally pain-free? No. But you should be able to function and go back to work in a few days.

Over the course of New Year, New You, we were able to reach a global audience of 3,437 users across Facebook. It was a lot of fun and an incredible success. If you enjoyed it, you’re in luck because we have similar events and broadcast planned for the year ahead.

I close this with another quote: “A big part of Breast Augmentation isn’t just the procedure and getting implants, it is the education you get before the procedure and how you manage your post-operative course.”

About the Author

Ergun Kocak

Dr. Ergun Kocak, MD, MS, is a board-certified plastic surgeon who specializes in plastic and reconstructive surgery of the breast using DIEP, SIEA GAP, TUG, PAP, and direct-to-implant, in Columbus and Cincinnati, OH.
Follow Dr. Kocak on Twitter & Google+!

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Copyright 2014 Midwest Breast & Aesthetic Surgery. Dr. Ergun Kocak*, Dr. Pankaj Tiwari*, Dr. Ayaz Shaikh*, Dr. Shunsuke Yoshida. All Rights Reserved. | Disclaimer
*All doctors are certified by the ASPS, ABPS & ASRM.
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