For our breast augmentation patients at Liu Plastic Surgery, learning about their implant options is one of the most important aspects of the decision-making process. Our skilled plastic surgeons offer a range of implant types to custom-tailor each breast augmentation to the aesthetic desires and needs of each patient.
Since there are unique benefits to each type of implant, Dr. Jerome Liu and Dr. Tom Liu spend time to ensure that patients understand the advantages of each option.
In addition to making the choice between silicone and saline breast implants, our patients are presented with a variety of implant shapes and textures to provide options that can meet any individual’s cosmetic goals. At Liu Plastic Surgery, we offer all three major brands of breast implants: MENTOR®, Allergan, and Sientra®. Each brand offers an array of implant options, and our plastic surgeons will help guide you through the decision-making process. Dr. Jerome Liu and Dr. Tom Liu are committed to clear and open communication during one-on-one consultations, and to helping our patients make educated choices about their surgery and their overall wellbeing.
Silicone (Cohesive Gel) Versus Saline
Breast augmentation patients may choose between silicone gel or saline breast implants. Silicone gel implants have an elastic silicone shell and are filled with a cohesive silicone gel. Saline implants are made from an elastic silicone rubber shell and filled with sterile saline (saltwater).
Patients often prefer silicone gel breast implants because they can feel like, and resemble, natural breast tissue. Also, cohesive gel implants tend to have a lesser risk of rippling and are less palpable than their saline counterparts. Silicone gel implants come pre-filled from the manufacturer and usually require a 4 cm incision to place.
Saline implants are an excellent alternative to gel breast implants for patients who do not like the idea of using silicone. Although saline breast implants may sometimes be palpable, they can be placed through a slightly smaller incision (3 to 3.5 cm) because they are filled at the time of surgery.
Gummy Bear Implants (Form Stable Implants)
Officially named the Highly Cohesive Anatomically Shaped Silicone-Filled Breast Implant, the Mentor® MemoryShape™ and the Natrelle® 410 implants are the same type of implants as what’s known as “gummy bear” implants. They are silicone-filled implants that are shaped to anatomically resemble a natural breast. The teardrop shape of the Mentor® MemoryShape™ and Natrelle® 410 provides a very natural appearance to the breast. These implants are textured to help prevent the implant from shifting or rotating positions after your procedure. In addition, these innovative implants can significantly reduce the chances of post-procedural rippling, wrinkling, or ruptured. Mentor® MemoryShape™ and Natrelle® 410 implants were recently approved by the U.S. Food and Drug Administration.
Sientra Shaped Cohesive Form Stable Implant ("Gummy Bear")
The IDEAL IMPLANT®
idealimplant With benefits similar to that of a silicone gel implant, the FDA-approved IDEAL IMPLANT® is a saline implant with a unique structure. Unlike traditional saline breast implants, the IDEAL IMPLANT® has an outer shell and inner shell, each containing saline solution. Between these shells, every IDEAL IMPLANT® has multiple baffle shells to control the movement of the saline solution, ultimately creating a natural feel and appearance than traditional saline implants. This innovative design minimizes rippling and improves overall implant performance. Since the IDEAL IMPLANT® is filled with saline, in the rare event of a rupture, the saline solution is safely absorbed by the body. Additionally, the IDEAL IMPLANT® can be placed with a small incision and is able to contour to the chest wall, due to its specialized shape.
Motiva® Breast Implants: Where Science Meets Beauty
We’re thrilled to offer Motiva Implants, a cutting-edge option for patients who demand the best in breast augmentation. As the newest FDA-approved implants in the United States, Motiva embodies over two decades of Femtech excellence from Establishment Labs, with a global presence spanning 86 countries. Their forward-thinking design prioritizes safety, comfort, and natural aesthetics. Motiva Implants come in two styles, each available in three projection levels—Mini, Demi, and Full—so you can create a look that perfectly suits your body and goals.
Motiva SmoothSilk® Round
- SmoothSilk® Surface and ProgressiveGel PLUS® create soft, full upper curves
- Maintains its rounded shape in any position, delivering consistency and fullness
- Perfect for those looking for a dramatic, rounded appearance
Motiva SmoothSilk® Ergonomix®
- Features ProgressiveGel ULTIMA® for natural movement and texture
- Adapts to your body, appearing teardrop-shaped when standing and round when reclining
- Minimizes scarring with insertion through smaller incisions
These implants are celebrated for their exceptional safety, supported by 14+ years of research and impressively low complication rates. With Motiva’s customizable designs and advanced technology, you can confidently enhance your silhouette with results that look and feel entirely your own.
Smooth vs. Textured
The surface of a silicone breast implant can be either smooth or textured. As implant technology continues to advance, the differences between surface types have become less significant. However, some cases indicate that a textured silicone implant may help reduce the risk of capsular contracture, a condition where the tissues surrounding the implant harden or tighten. Additionally, all anatomically-shaped gummy bear implants are textured to minimize the risk of rotation and malposition.
Round vs. Shaped
The majority of implant options is round, and is particularly effective at enhancing the volume of the upper breast. Implants that are anatomically shaped, such as the Mentor® MemoryShape™ or Natrelle® 410, can often provide a more natural look. Most shaped implants are filled with silicone in order to achieve a more customized aesthetic.
Mentor Memory Gel Cohesive Silicone Implant Cut in Half
History of Implant Safety
Silicone gel implants were temporarily removed from the market in 1992, leaving saline breast implants the only FDA-approved option. However, an extensive review of the available evidence by the Institute of Medicine of the National Academies of Science found no evidence linking silicone breast implants to any systemic diseases. As a result, silicone gel implants returned to the market in 2006 and have been increasing in popularity since then. The report is available on the Institute of Medicine website.
Silicone gel implants are FDA-approved for primary (1st time) cosmetic augmentation in patients over the age of 22. Saline implants are FDA-approved for primary cosmetic augmentation in patients over the age of 18.
Learn more about the overall breast augmentation treatment process here.
