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Women undergoing breast augmentation surgery have a multitude of choices today. After choosing a plastic surgeon to perform your procedure, selecting the right implants is the one of the most important decisions impacting your results. There are many factors to consider in choosing breast implants. For success, select the appropriate implants for your frame.

What are your options in choosing breast implants?

Today, you have more options than whether to go with saline or silicone implants. Not only are new types of implants available, but you also have choices as to:

  • Implant shape
  • Implant size
  • Implant profile (projection)
  • Implant texture (smooth or textured)

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Why choose Dr. Darren Smith?

Dr. Smith is a board-certified cosmetic plastic surgeon with a level of training that sets him apart from other surgeons in the area. He has completed a fellowship in aesthetic surgery and a fellowship in craniofacial surgery.

His background has given him the experience to assess patients from a unique perspective, resulting in exceptional outcomes. He can help you choose the right breast implants and tailor a surgical plan to suit your needs.

Dr. Smith and his team provide the highest level of service and an outstanding patient experience, including a comfortable, friendly environment, advanced safety protocols, personalized aftercare, and exceptional results.

What are the different types of breast implants?

Types of breast implants available today include:

Saline implants: These consist of a silicone shell filled with sterile saline solution. They can be filled after they are placed in the breast and therefore require smaller incisions than other types of implants. If a saline implant ruptures, it becomes evident almost immediately, and the saline solution can be safely absorbed by the body. Saline implants have a firmer, less
natural, feel than silicone implants.

Gummy bear implants: Form-stable implants are also called gummy bear implants because their thicker consistency resembles gummy bear candy. These implants are firmer than traditional silicone gel implants and maintain their shape even when the shell is ruptured. Shaped gummy bear implants have more projection at the bottom and are tapered toward the top, like a
natural breast. Gummy bear implants require a slightly longer incision. If the implant rotates after it is placed in the breast, it may require revision surgery.

Structured saline implants: Like regular saline implants, these are filled with sterile salt water. They also contain an inner structure to give the implant a more natural feel.

Silicone implants: In this type of implant, the silicone shell is filled with silicone gel, which feels more like natural breast tissue than saline. If an implant leaks, it will not
collapse, and the rupture will not be obvious. The gel may leak out into the breast implant pocket. MRI screening is recommended to detect leaks.

What implant shape is best for you?

Round is the traditional breast implant shape. In some cases, not as much fullness is needed in the upper pole (top) of the breast as in the lower pole (bottom). In these instances, the option to choose a teardrop shape implant (“anatomical” implant) which more closely mimics a natural breast shape is available. Round implants generally look fuller at the top than anatomical implants, but this is also dependent upon your surgeon’s technique.

How to choose the right implant size

Size is an important factor in choosing breast implants, and bigger is not always better. Implants that are too large for your body could look unnatural and even cause complications that may have to be surgically corrected. Implants are measured in cubic centimeters (“cc’s”). Dr. Smith will work with you to determine the ideal size for your anatomy and the look you are hoping to achieve. If your breasts are asymmetrical, he may recommend two different implant sizes.


  • Darren M. Smith MD
  • Darren M. Smith MD
  • Darren M. Smith MD
  • Darren M. Smith MD

All photos are of models except before and after images.

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