1. What prevents bacteria from getting into implants?

We use sterile implants filled with sterile silicone gel or sterile saline so there should be no organisms present inside the implants when it is placed in the body. Also, I can' t think of any organisms that can survive without air, nutrients, and/or light which are the conditions inside of an implant. Finally, most plastic surgeons use antibiotics when using implants to further lower the risk of infection or contamination.


2. What about mammograms after breast augmentation?

Most mammographers have been dealing with implants for close to 50 years now. They perform mammograms slightly differently in women with implants than they do with women without implants but they feel like they can see everything adequately. Studies have shown that implants do not impede the visualization of breast masses when these techniques are used.


3. What is a "Spectrum" implant and why would someone want one?

A "Spectrum" implant is an implant that can have the volume adjusted for up to six months following surgery by adding or subtracting saline through an attached fill tube. Personally, I have never used one of these implants as I feel that the amount of saline that can be added/subtracted is fairly limited, plus a second procedure is necessary later to remove the fill tube.


4. What are the specifications for the different implants?

Implants come in two basic shapes - round and anatomically (tear-drop) shaped implants. The anatomically-shaped implants are designed to approximate the natural tear-drop shape of a breast but must be very precisely placed. Round implants come in three shapes - moderate profile which are flatter but have a wider diameter; high profile which have a narrower base but project more; and an intermediate type called the moderate profile plus implants. The correct style of implant for each patient differs and should be discussed with the plastic surgeon.


5. Can implants cause breast cancer?

No. Implants have NOT been shown to cause breast cancer.


6. How do I keep my breast augmentation private?

The decision to share the information about breast augmentation is a private decision. Most women today are much more open to sharing information about cosmetic surgery, however, the decision to do so rests with them. Doctors are prohibited from discussing a patient' s medical information without the patient' s consent.


7. How can a woman decide what size implants she wants?

The correct size and style of implant to be used is an individual decision which should be reached in consultation with the plastic surgeon. This is not like putting bumpers on Chevrolets! It is NOT "one size fits all." Each patient is different with regard to height, weight, starting cup size, and desired cup size. Each patient has a different goal that they wish to achieve which is why the consultation is so important.