Learn how to choose between different types of Breast Implants
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Hello! My name's Adrian Richards and today I'm going to be talking a little bit about variations of implant. We talked a little bit about the difference between teardrop shaped or round implants before, now I'm going to be talking a little bit about the actual variations in shapes within the round implants. So 20 years ago when I started doing breast implantation, there were really only three or four types of implants. Now there's over 250 sizes, different heights, different base widths, different shapes. So I'm going to talk a little bit about how do you choose what's best for you. So if first of all, we'll just look at some round implants, you can see these implants are actually all of a very similar volume. They're 310cc average volume which is a fairly average volume of breast implant. This is a moderate projection implant and you can see it's much flatter than this one which is a full height implant and this one which is an extra height implant and it's quite a different shape from the flatter one. Now how do you choose which one is best for you? Well, the basic thing is it depends on your chest dimensions. So what we do, we measure the base of your breast with our caliper. So the base of your breast would typically be 12 to 13 centimeters. We then minus your natural breast tissue using the pinch technique. So if your base is 13 centimeters, the pinch which takes in two-folds of skin remember, so you can say that's from the inner and outer aspect, it's two centimeters. So your base is 13, pinch is 2, that means you need an implant of 13 minus 2 centimeters in diameter; 11 centimeters. So we ascertain that because what we don't want to do, is we want to give you a good cleavage but we don't want you to be too wide, you start getting unanatomical and unaesthetic if the breast implant comes out too far laterally. So you need the right breast implant for you to give you the optimum result. So once we've ascertained the right base width, then we need to make a decision, do you want a very natural appearance, in which case you'll go for a medium projection, do you want a more rounded appearance, in which case you'd go for a full projection or do you want a more dramatic, which is the extra projection. So in my practice, I typically perform over 250 breast implants a year, the majority of people, probably 60% to 70% would go for the full projection. People who want to be very subtle and want a very gentle breast augmentation, tend to go for the medium projection and people who want a more dramatic look, go for the extra height. So again, just to summarize, the base width of the implant is governed by your chest diameters and then we have a discussion about the projection you would prefer. Again, it's very similar with shaped implants. Remember if they've got under two centimeters of pinch in the upper part of breast, we tend to think shaped implants because we want to create the natural appearance of the breast and again, you can either go for a low projection shaped implant, this is the top bit, flat here, shaped here, or you can go for a much higher projection, much shorter height, higher projection. So again, it's really very important, probably the most important thing about breast augmentation is number one, to decide the plane; under or over the muscle and then we spend a lot of time looking at the types of implants, shapes of implants and even within the teardrop or round sort of families, and the different projections and heights to really try to make sure that you get the best possible result. Thank you!