1. How does the shape of the ribs affect augmentation decisions?

The rib shape could potentially influence the final result if there is any asymmetry on the chest wall. If rib asymmetry exists, this needs to be taken into consideration when placing and selecting implants. The circumference of the chest wall alters decisions in that it helps select the most appropriate implant type which is based on volume, projection and also width.


2. What is minimally-invasive surgery?

This is where incisions or scars are kept as short as possible to place the implants for remote locations.


3. Will the veins on the breast skin become more noticeable?

The veins on the breast will typically stay the same, however, occasionally they may become more noticeable and this is usually temporary.


4. What is the difference between implants in-front-of vs behind the pectoral muscle?

Implants can either be placed underneath the chest muscle or on top of the muscles. There are many advantages and disadvantages of each. Most surgeons seem to have a favorite and will either do mostly under the muscle or mostly above. Others will leave it up to the patient to decide once the risks and benefits of each are discussed. Typically if the breast tissue is very thin in the upper part of the breast it is better to go underneath the muscle as this provides better coverage superiorly. Otherwise if coverage is sufficient going on top of the muscle is a quicker recovery and can look very natural.


5. Can you explain about textured vs smooth implants?

Once again this tends to be surgeon preference. However, in the US most implants are smooth shelled implants. Having a rough outer surface (textured) was thought to potentially cause less scar tissue however this has not really been proven.


6. What is meant by wrinkling or rippling of implants?

Implants are generally fluid or gel filled "bags." These will often wrinkle on the side or outer surface of the implant. If the skin is thin, especially in the lower outer breast location, you can feel the rippling beneath the skin. These ripples can occasionally be seen if the coverage is very thin. Newer form stable implants will have less rippling.


7. What does the term "Optimal Fill" mean?

When a saline implant is manufactured it is given an optimal fill which is essentially the desired fill volume for that particular implant size. It is better not to under fill or over fill the implant too much.