Cohesivity of Breast Implants - Surgeon Minute

Описание: Firm or soft breasts? Board certified plastic surgeon Dr. Brian Brzowski discusses the cohesivity, or density, of new silicone breast implants.

There are so many things to consider when choosing the perfect silicone implant for your breast augmentation: size, and shape, yes, but also the cohesivity of that implant. This refers to the density of the gel on the inside of the breast implant. Different consistencies will deliver different results, but all of this choice can also be really confusing and scary for many patients.

Dr. Brian Brzowski of Murray, UT talks about what’s new in terms of the cohesivity of breast implants as well as the pros and cons of each in order to help you make a more informed decision.

COHESIVITY OF BREAST IMPLANTS
Every silicone implant is filled with a cohesive gel. However, breast implant manufacturers have lately started seeing the benefit of adjusting the density of the cohesivity in not just their shaped implants – a requirement for that implant – but in their round implants as well. They’ve added variables to their round offerings so that there are now several levels or degrees of cohesivity, each of which delivers a different result for the patient.

The original cohesive gel implant is a bit under filled so it’s soft with a loose, gooey feeling gel on inside. From there, breast implant manufacturers leap-frogged to a round implant with a much firmer, stiffer gel filling. Now, there is the Goldilocks option: a round implant that maintains that middle ground between loose and soft and what some patients might call hard. All of these new options can be a bonanza for the plastic surgeon. It’s “definitely a very exciting time to be a breast augmentation surgeon. We have so many choices,” says Dr. Brzowski.

But this smorgasbord of choice can often be terrifying and overwhelming for the patient. How do you figure out what all of these different options mean for you? You start by seeing a board certified plastic surgeon with great experience performing breast augmentations. During your consultation, the surgeon will examine your anatomy, taking detailed measurements, while also asking in depth questions about your goals. What “look” are you trying to achieve? Then he or she will walk you through the best breast implant options for delivering that result. Cohesivity is one thing to consider.

SOFT FILL BREAST IMPLANTS
The oldest player on the cohesive gel implant team is soft. The filling resembles shampoo and is overfilled by about 95%. An earlier generation of this device was only filled to about 85%. By pumping up the implant with extra fill, breast implant manufacturers helped improve not only the rippling, but also the support in the upper part of the implant. These have long been the two main problem areas with these softer fill implants.