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

Very little, but some deformities are improved when the implant "hides" it, and others, not so much.


2. What is minimally-invasive surgery?

Usually this implies a minimal scar and the use of an endoscope. The surgery, however is the same.


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

This can happen rarely, somewhat like the effect of pregnancy.


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

Usually, saline implants MUST be under the muscle to prevent rippling and silicone can go both below and above. In general, without postoperatively adjustable implants the under muscle size is limited to about 350cc.


5. Can you explain about textured vs smooth implants?

It was initially thought that texturing would reduce the rate of fibrous capsular contracture, but such is not the case. However, textured surfaces are useful in holding the implant in position with tear drop implants or breast expanders for reconstruction. Texturing does cause more rippling, however.


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

Rippling is palpable or even visible grooves in the skin transmitted from folds in the implant, usually saline. It can be improved by exchanging for silicone.


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

This is the size (saline fill) recommended by the manufacturer for any given implant.