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09 June 2009 @ 03:12 pm
IMPLANTS  (09 June 2009)
So how did I pick my implants??   I didn't want to get into this too early in my journal but I have known what kind of implant I am going to have since almost the very beginning.

First, I should say there is one BASIC choice when choosing permanent implants.  Saline or Silicone.  Within both saline and silicone categories there are MANY different shapes, sizes and consistencies.

Here is a quick run-down of the two:

Saline.  Many people chose saline implants because they are afraid of using silicone.  I want to mention here that even saline implants have a shell made of silicone.  A real benefit of using saline implants is that if ever they rupture (leak) it is completely harmless;  your implant will deflate and the saline (salt water solution) will be absorbed by your body.  Obviously it is very easy to tell if a saline implant has ruptured.  The flip side of the saline implant is that they can be hard (especially when compared to a silicone implant), also they come in a variety of sizes and their shape is generally round.   Also, the incision to place the saline implant can be quite small because the Dr can "place" it when it is empty and then FILL it once it's in the pocket.

Silicone.  People still fear silicone implants due to the experiences with them back in the 80/90's and rumours that they caused different auto-immune diseases.  As far that goes, 'they' say there is no proof to link the two.  Either way - it really isn't an issue for me today.  The silicone used back then and today's silicone are completely different.  Ruptures can occur with silicone implants as well and in years past that would mean a slow 'seeping' out of silicone, people would have migrating lumps of silicone in their body.  Often seen on their chest and arms.  That does not happen anymore.  Even in the case of a rupture, the 'new' silicone what they call 'highly cohesive silicone' does not migrate, in fact it doesn't move at all.  The fact that the 'gel' does not shift will also help prevent 'rippling' which can happen with saline or some less cohesive silicone.
The two big breast implant companies carry this new silicone; Allergan (Inamed-formerly McGhan) calls them the "Style 410."  Mentor calls theirs the "Contour Profile Gel or CPG." www.mentorcorp.com/global/breast-augmentation/contour-profile-gel.htm  The style 410 and the CPG are widely known as 'Gummy Bear' implants (I'll go into that in a bit).  Currently the Gummy Bear implants are only available in the US through Clinical Trials but are widely available in Canada, Europe and other Countries as well.

The implants I will be getting are by Allergan Style 410. Their official name is Natrelle Highly Cohesive Silicone-Filled Breast Implant (Highly Cohisive Shaped).  Allergan's breast implant is made by Natrelle.  They make different 'kinds' or styles of implants, the 410 is just one option available: www.natrelle.ca/options.asp  For a complete list and size of Allergan products (including these implants) check out their catalog: www.allergan.com/assets/pdf/natrelle_catalog.pdf

The 410s (as I will refer to them) were developed with the industry’s highest level of cohesivity.  When it comes to Silicone Implants.... it all comes down to how cohesive they are.  This is how any silicone implants are different.  Cohesive is a word used to describe how well the silicone 'sticks' together.  This style (the 410 as well as the Mentor CPG) is also being called the 'gummy bear' implant.  When you have a gummy bear and you cut it in two... does it leak?  No.  Such is the case with these implants.  They are so cohesive that when the are cut there is no movement or leaking of the silicone gel.
These are a couple of pictures to show the difference...


As you can see the first photo 410 vs. standard round gel - both look fine lying on their sides.  The second photo: 410 vs. standard round gel - cohesitivity is about maintenance of shape and freedom from folds.


As you can see, even when the implant is cut... the 'semi-solid' gel goes nowhere.

 (20 June 2009)

The 410 implants that I am getting sometimes get bad reviews, people do not seem to like the way the LOOK when they have them; a common complaint is that they look flatter or smaller than other implants or even our expanders.  This is because of the SHAPE of them.  

First you must understand how an implant is sized or measured: All implants have 3 sets of measurements which determine the size of the implant.  Height (that is the bottom of the implant to the top - vertical); Width (from one side to the other - horizontal) and Projection (back to front - how far it sticks OUT from the chest wall).

A combination of these measurements determines the size.   For example: my expanders are
14 cm WIDE,
8.5 cm HIGH and
This expander holds 350cc's of saline solution.  Imagine if they were round?  That would mean the HIGHT would be 14 cm too... Do you think that with 350cc/s of saline it would have the same projection?  Of course not.

The same goes for implants.  If my implant is 14 cm WIDE and someone else's is 12 cm wide, the same 'amount' of fill will lead to VERY different results.  I am a fairly large person; a 12cm WIDE implant would look tiny on me.  Our chest size (diameter really determines what size we can fit)

The plan is to change my current expander to an implant that measures
14.5 cm wide (that means a little wider than I have now - I will ask her to place them a bit closer together)
13.2 cm high (that will fill the 'dent' that I have now) and
6.7 cm projection. 
That will be 550cc/s of silicone.

The REASON the 410 have developed the reputation of being 'flat or smaller is because their PROJECTION is at a different spot on the implant.  I have created a drawing to demonstrate what I mean. 

We will assume first of all that BOTH of these implants are
14 cm wide,
13 cm high and
6.0 cm projection. 

Can you see how DIFFERENT they will look?  Their sizing is the SAME and yet will look very different.  Their PROJECTION happens/occurs in very different places.

I have to realise that my implant will be slopped and as such may give the impression of being 'flat'.  I am aware they will look different and I am ready for that.

(11 Sept 2009)

These are the ones I had placed.  The 550g size.  At the time of surgery Dr T said she ordered several different sizes, I asked her to place the largest one she could.  I would rather end up "too big" than feel too small.  As it turns out the implants I have are .5cm wider than my expanders.

I think it worked out quite well.