Welcome to Rau Plastic Surgery located in Redlands, CA., stay with us as our surgeon, Dr. Todd Rau answers frequently asked questions on the different types of breast implants. If you are considering breast implant augmentation read on for insights into breast implant types, sizes, and placement. The following guide was created to help patients ask themselves and their surgeons the right questions to achieve a satisfying outcome.  

What Are the Main Types of Breast implants, and How Do They differ? 

 The main types of implants are liquid saline breast implants, silicone gel breast implants, and form-stable silicone gel or “Gummy Bear implants”. Saline implants are filled with sterile salt water after placement and offer adjustable volume. Silicone implants are pre-filled with liquid silicone gel for more natural movement and feel and are available in different shapes. Gummy Bear implants have a thicker, form-stable silicone gel, resembling the consistency of gummy bear candy. 

How Do I Determine What Type of Breast Implant is Right for Me? 

Choosing the right breast implant is a highly personal decision that depends on a variety of factors, and it begins with understanding your priorities and preferences. When determining what breast implant is right for you, it’s essential to consider your goals, concerns, and desired outcomes. These priorities can include factors such as material (silicone or saline), size, appearance, feel, and placement of the implant. 

For example, if your main goal is to achieve a very natural look and feel, you might lean towards silicone implants, known for their realistic texture. A crucial aspect of this decision-making process is consulting with a qualified and experienced plastic surgeon. Your surgeon will consider your preferences and translate them into a recommendation that aligns with your body’s unique characteristics. Factors such as age, skin density, and breast anatomy are pivotal factors in making the right choice. 

 An illustrative example would be a patient desiring an underarm incision. In such a case, this approach may limit the suitability of using the maximum size of a pre-filled silicone gel implant due to space constraints through the incision site. Ultimately, the key is to have open and thorough discussions with your surgeon to ensure that your chosen breast implant meets your aesthetic goals while also considering your anatomical features and preferences.

Does the Choice of Breast Implant or Placement Affect the Likelihood of Rippling? 

Yes, the choice of breast implant type and placement can influence the likelihood of rippling. Saline implants are more prone to visible rippling, particularly in patients with thinner breast tissue when compared to Silicone or Gummy Bear implants. Submuscular placement (under the chest muscle) tends to reduce the appearance of rippling, as the muscle provides additional coverage. 

What Are the Incision Options for Breast  Augmentation, and Do They Affect the Type of Implant That Can Be Used? 

The choice of incision method for breast implant placement depends on various factors, the primary factors among them of course are the patient’s personal preference, the order of priority of their specific outcome goals, and the type of breast implant. Discussion to help patients identify and prioritize their goals is a vital part of the consultation process and will determine a surgical approach from the following:

  • Trans-axillary approach, where an incision is made through the armpit. 
  • Infra-mammary approach, where an incision is made in the natural crease under the breast. 
  • Peri-areolar approach, where the incision is made at the juncture between the areola (dark skin around the nipple) and the natural skin. 


Contact Our Office for More Information 

 Thank you for visiting our practice today, we invite you to schedule a consultation to learn more about breast implant options and surgical breast procedures. At Rau Plastic Surgery we are dedicated to making every aspect of our patient’s pursuit of their aesthetic goals comfortable, worry-free, and fully transparent, including the cost 

 Our practice offers several financing options and we can meet the medical needs and preferences of all patients by offering surgical procedures at both Redlands Community Hospital and a choice of accredited ambulatory surgical centers. Contact Rau Plastic Surgery in Redlands, CA. today to request an appointment.