Breast Augmentation with Fat | Fat Grafting to Breasts

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Naficy Plastic Surgery leads the nation in breast augmentation and cosmetic injections

According to Allergan, the #1 manufacturer of breast implants, Botox, and fillers in the nation, Naficy Plastic Surgery is in the top 10 centers among 36,000 clinics in their database.


Shaped Implants have arrived!

See the newly available shaped implants by Allergan (Style 410) for a more natural look and greater longevity.


Questions about Breast Lifts?

Visit our website dedicated to information on Breast Lift Surgery . Find more information about different types of breast lift surgery.

Types of Breast Implants

At this point in time, there are two types of breast implants available: saline filled implants and silicone gel filled implants. Both implants have a silicone 'shell' that can either be smooth or texturized. In the US market, both Mentor and Allergan manufacture breast implants and have FDA approval for use in breast augmentation patients. Silicone gel filled implants are by far the most natural in consistency and feel and have less 'wrinkling' or 'rippling' than saline filled implants. We encourage you to hold and feel both types of implants in your hands before making a decision.

Silicone gel implant (left) and Saline implant (right)

Saline Breast Implants

The saline implant has been on the market for many years, and is an excellent implant device. Its advantages include a proven track record for implant safety, since it has been used in the USA for over 10 years. Saline implants tend to be less expensive than silicone implants. When a saline implant is placed in a patient, the implant is 'empty', and therefore the saline implant can be placed through very small incisions beneath the breast, armpit or areola. If the implant leaks, the saline (salt water) is absorbed by the body. The fact that the implant has leaked is obvious (the breast looks deflated), and the implant can be replaced. For most patients, the saline implant appears to perform better and last longer when it is placed behind the pectoral muscle. The consistency of a saline implant is less 'breast like' when compared to the silicone alternative. Saline implants are slightly heavier than silicone implants.

Silicone Breast Implants

Silicone breast implants are safe. The current generation of cohesive gel implants (we use both Allergan Natrelle and Mentor MemoryGel breast implants) was approved by the FDA in November 2006. The current generation of silicone breast implants are the most carefully scrutinized medical devices in recent history. There was an extensive study conducted by the FDA that established the safety of silicone breast implants. Years prior to this study, the safety of silicone shell/ silicone filled implants was clearly established by rigorous Institute of Medicine studies that did not demonstrate a link between silicone breast implants and systemic health issues in patients.

The cohesive silicone breast implant has been on the market since November 2006, and it is an excellent implant device. Its advantages include a more 'breast like' consistency compared to saline implants. Because of the thicker silicone implant shell and cohesive silicone implant material, there is less visible wrinkling of the silicone implants, especially when placed behind the pectoral muscles. Due to the cohesive nature of the silicone gel, if the implant shell were to fail, the silicone inside would not flow out of the implant shell into the breast tissue. By volume, the silicone implants are slightly lighter in weight than saline implants. In our experience, that most patients prefer silicone implants for their breast augmentation. When silicone implants are placed, they require a slightly longer incision (4-4.5 cm in length) to place. This is because silicone implants are pre-filled to a particular volume and a larger incision is needed to place them.

Shaped Gel (Style 410) breast implants

There is a new generation of form-stable cohesive silicone breast implants that was FDA-approved in 2013. These new form-stable implants have a defined shape, with increased volume in the lower pole of the implant. The implant has a stable shape and surface texturization, and transmits its shape to the breast tissues. What is exciting about these new implants is their 69% low rate of capsular contracture (scarring around the implant) compared to round silicone-filled breast implants. Capsular contracture is the #1 reason for re-operation after breast implants. These shaped implants have been used in Europe for many years, and have an excellent safety record. Shaped gel implants will be especially useful in patients with constricted lower breast pole and tuberous breast issues.

Shaped Style 410 silicone gel implants provide a more natural gradually tapered slope to the upper breast compared to the round silicone gel implants

Implant type and position

Saline and silicone implants can be placed under or over the chest muscles (pectoralis muscle) depending on your breast anatomy and the 'look' that you are interested in achieving. The vast majority of women in our practice have implants placed below the muscle. We believe implants perform better over a longer period of time in this deeper and padded location.

Muscle and implant relationship - the implant can be placed over the muscle (left) or under the muscle (right)

Implant Replacement

Many women who have had previous breast augmentation procedures using older style implants are interested in implant replacement with one of the new type of breast implants. This procedure is referred to as an implant exchange. The old implant is removed along with any adjacent breast scar. The new implant is put in its place. The procedure can be combined with a breast lift to correct any of the natural breast sagging that has occurred over time.

Breast Augmentation Photo Gallery

This photo gallery contains representative before and after photos of breast implant procedures. Click on any of the thumbnails to enter the slide show. The text accompanying the photos describes the details of the procedures performed, including the size and style of implant.

Click on thumbnail to begin viewing slide show.

I am interested! What do I do next?

If you are considering this procedure we encourage you to schedule a consultation with Dr. Burnett. During this visit she will listen to your concerns and discuss your options. She will tell you whether you are a suitable candidate for a breast augmentation procedure and inform you of the potential risks of the procedure. There is a great variety in breast shapes and features and each breast implant procedure must be custom tailored for the patient to get the best possible result. You will also have a chance to view before and after photo albums of her patients who have undergone procedures similar to what you are considering.

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Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880