Types of Breast Implants

  • Saline vs. Silicone Implants
  • Smooth vs. Textured Implants
  • Shaped vs. Round

Choosing the right breast implants to achieve the look you desire is one of the most important decisions of your breast augmentation experience. Dr. Broadway wants to provide you with all of the information necessary to make a well-informed decision about your breast implants.


Saline vs. Silicone Breast Implants

Saline Breast Implants

Saline breast implants are filled with sterile salt water. These implants are available to women 18 years and older seeking breast augmentation.

Silicone Breast Implants

Silicone breast implants are pre-filled with a silicone gel. These implants are available to women 22 years and older seeking breast augmentation.

Smooth vs. Textured

Early generations of implants had smooth outer shells. Textured breast implants were developed to reduce the chance of capsular contracture. You can still choose either smooth or textured (saline or silicone) breast implants.

Textured Implants Decrease Risk of Capsular Contractures

Textured implants reduce the risk of capsular contracture by 5%-10%.

Capsular contracture is one of the most common adverse side effects of breast implants. During breast augmentation surgery, a pocket that is slightly larger than the breast implant is created. A fibrous membrane called a “capsule” forms around the implant. This pocket occasionally shrinks and squeezes the implant, resulting in various degrees of firmness.

You may have heard a woman say, “My implants got hard,” when actually, the implant itself does not become hard. If they were removed from the constricting breast capsule, they would feel quite soft.

Capsular contracture can occur in one or both breasts soon after surgery or many years after. This is not a health risk, but it can detract from the quality of your result and cause discomfort, pain or distortion of your breast contour.

Side Note: Less than .05% of Dr. Broadway’s patients experience capsular contracture.

How Do Textured Implants Do This?

The friction of the texturing, with the adjacent tissues, helps to maintain the implant’s position within the capsule, resulting in much fewer capsular contractures.

All Textured Implants Are Not Created Equal

Talk with your doctor to explore the best textured option for you.

Smooth Implants May Feel More Natural

This is a common breast implant myth. Textured implants do have a slightly (a few ten-thousandths of an inch) thicker outer shell. Thin patients may be able to feel some portion of the breast implant shell, but this would likely be the case with either a smooth or a textured breast implant.


Shaped vs. Round Implants

Anatomically ‘Shaped’ Breast Implants

Dr. Broadway was one of the first in the nation to offer Sientra High Cohesive Silicone Gel Breast Implants, and now he also offers Sientra Anatomical Shaped Breast Implants, or the “teardrop” shape.

The Sientra teardrop implant mimics the shape of natural breasts with more fullness at the base of the implants with a gradual taper off near the top of the implants.

Dr. Broadway Teaches Other Plastic Surgeons How to Use Anatomically Shaped Breast Implants

A  More Natural Breast Shape

Colored high def photo of a women who underwent a breast augmentation procedure.

Before and after image of a breast augmentation procedure (front view).

The Sientra teardrop implants mimic the shape of natural breasts with more fullness at the base of the implants with a gradual taper off near the top of the implants.

Anatomically shaped breast implants are also textured to help prevent rotation or distortion. The primary benefit of the anatomical-shaped breast implant is that they slope off the chest wall more subtly, providing a more natural look.

Profile Options

As with the smooth round style of implants, the anatomical-shaped breast implant also comes in different profiles. We all have a very different breast shape, so there has to be a variety of profiles to fit different breast measurements.

Sientra has created a number of anatomical-shaped implants that have round or oval bases, and some that offer more projection than others. Board Certified Plastic Surgeon Dr. Broadway will recommend styles and sizes that he believes will provide the result you are looking for, but you will have the opportunity to make the best and final choices concerning your breast implants.

What You Should Know

The anatomical-shaped breast implant needs to be implanted by experienced surgeons only. This implant is more difficult to implant and has to be positioned in just the right place for the patient to receive the best result, so don’t trust your body to just any plastic surgeon who says they offer the textured tear shaped implant.

The teardrop shaped breast implant is more expensive than the smooth round breast implant. These costs will be reviewed with you during your consultation, as well as all of the pros and cons of the different implants available.

Mentor vs. Sientra

MemoryGel® Silicone Breast Implants
If you are considering breast augmentation and want to make sure you get results that look and feel as natural as possible, Mentor’s MemoryGel® breast implants may be the right choice for you.

MemoryGel breast implants are filled with Mentor’s proprietary cohesive silicone gel and are initially more expensive than their saline counterparts. Yet, the improved cosmetic results, enduring good results and outstanding warranty make these safe, FDA-approved breast implants the best choice for women whose primary concern is the quality of their results from breast augmentation.
Our Vectra 3-D Breast Imaging machine helps women decide what size implant will be best for them.

MemoryGel® Breast Implants

For women looking for natural-looking breast augmentation results, Mentor’s MemoryGel® silicone breast implants have many key advantages:

  • They look and feel more like natural breast tissue (compared to saline breast implants).
  • You’re less likely to experience rippling or implant edge visibility.
  • They’re less likely to rupture than saline breast implants.
  • They’re covered by the outstanding Mentor Breast Implant Warranty.

These advantages make Mentor’s MemoryGel® breast implants the best choice for women who are looking for long-term quality breast augmentation results. In particular, MemoryGel® breast implants are recommended for women who:

  • Are considering subglandular (over-the-muscle) placement
  • Have little natural breast tissue

If long-lasting results that look and feel natural are your primary concern, then MemoryGel® breast implants are recommended.

MemoryGel Breast Implant vs. Porsche

Disadvantages of MemoryGel® Breast Implants

Although they are a good, safe breast implant alternative, MemoryGel® breast implants are not for everyone. They do have some disadvantages which include the following:

  • They’re initially more expensive.
  • They require a longer incision (approximately 1.5 inches compared to 1 inch for saline breast implants).
  • They cannot be inserted with an transaxillary breast augmentation incision.

Breast Implant Decision Goals:

  • Safety
  • Longevity
  • Tailored
  • Meets Desired Goals

Saline vs. Silicone Rupture

Saline Rupture

A ruptured saline breast implant will deflate quickly, affecting the breast size and shape immediately.

Leaked saline poses no health risk and will be absorbed into your body. You will need a”remove and replacement” procedure to restore your breast to its original shape (before the rupture).

Silicone Rupture

A ruptured silicone breast implant will maintain its shape and may go undetected for some time.

Any loose silicone tends to remain in the fibrous capsule that forms around the implant. These are referred to as ‘”silent ruptures.”

Should you choose high cohesive silicone gel breast implants, Dr. Broadway offers Sientra Breast Implants, which come with a lifetime breast implant replacement warranty.