Breast augmentation, commonly referred to as a “boob job,” is a cosmetic surgical procedure designed to enhance the size, shape, or symmetry of the breasts. It is one of the most popular cosmetic surgeries worldwide and is sought after by women for various reasons, including to improve body image, restore breast volume lost after pregnancy or weight loss, or to correct asymmetry. There are different types of boob job, each tailored to meet specific needs and goals. The types of boob job largely depend on the type of implants and type of technique.

Types of Breast Implants

Breast augmentation or boo jobs can be broadly categorized based on the type of implant or filler material employed. The main types include:

1. Saline Implants
2. Silicone Implants
3. Gummy Bear Implants
4. Fat Transfer Breast Augmentation
5. Composite Breast Augmentation

1. Saline Implants

Saline implants are filled with sterile salt water (saline solution). These implants are typically inserted empty and then filled once they are placed in the breast pocket. The main advantage of saline implants is that in the event of a rupture, the saline solution is harmlessly absorbed by the body. Additionally, the volume of the implant can be adjusted during surgery, allowing for a customized fit.

However, saline implants may feel less natural compared to silicone implants. They can also be more prone to rippling, which can be noticeable, particularly in women with thinner breast tissue. Saline implants are a popular choice in the USA due to their safety profile and the ability to adjust the size during surgery. In the UK, saline implants are not commonly used.

2. Silicone Implants

Silicone implants are filled with a silicone gel that mimics the feel of natural breast tissue. These implants are pre-filled before insertion, requiring a slightly larger incision compared to saline implants. Silicone implants are widely favoured because they provide a more natural look and feel, which is often indistinguishable from natural breast tissue.

In the event of a rupture, the silicone gel may remain within the implant shell or leak into the breast pocket, potentially leading to complications. Regular monitoring through MRI or ultrasound is recommended to ensure the integrity of the implants. Despite this, silicone implants are among the most popular choices for breast augmentation due to their natural appearance and texture.

3. Gummy Bear Implants

Gummy bear implants, also known as form-stable implants, are a type of silicone implant that retains its shape even when the shell is broken. These implants are made from a cohesive silicone gel, which is thicker than the gel used in standard silicone implants. The cohesive nature of the gel allows the implant to maintain its shape, reducing the risk of rippling and providing a firmer feel.

Gummy bear implants are often teardrop-shaped, which can provide a more natural slope to the breast. They are also available in a round shape. However, their firmer consistency may not be as natural-feeling as traditional silicone implants. Additionally, because these implants are pre-shaped, they require a more precise placement, and any rotation of the implant after surgery can result in an unnatural appearance. Despite these considerations, gummy bear implants are praised for their durability and long-lasting results. The gummy bear or cohesive gel implants are the most commonly used implants in the UK.

4. Fat Transfer Breast Augmentation

Fat transfer breast augmentation, also known as autologous fat grafting, involves using the patient’s fat to enhance the breasts. This procedure entails liposuction from areas such as the abdomen, thighs, or flanks, followed by the purification and injection of the fat into the breasts.

One of the primary advantages of fat transfer is that it provides a natural look and feel without the need for implants. Additionally, the procedure offers the added benefit of body contouring from liposuction. However, fat transfer is generally best suited for those looking for a modest increase in breast size, as the amount of fat that can be transferred is limited. Furthermore, not all the transferred fat will survive, meaning that additional procedures may be required to achieve the desired result.

5. Composite Breast Augmentation

Composite breast augmentation, also known as hybrid breast augmentation, combines the use of implants with fat grafting. This technique allows for the benefits of both methods: the volume and projection provided by implants, and the natural contours achieved through fat transfer.

In this approach, an implant is placed to provide the desired size and shape, and then fat is injected around the implant to soften the edges and enhance the overall natural appearance. This combination can also address issues like rippling or visible implant edges, which are more common in women with thinner tissue. Composite breast augmentation is ideal for those looking for a more natural look with the added benefits of liposuction and fat grafting.

Types of Surgical Technique

The type of breast augmentation chosen is not the only consideration; the surgical technique or approach is also essential in determining the outcome. The three main types of incisions used in breast augmentation surgery are:

1. Inframammary Incision
2. Periareolar Incision
3. Transaxillary Incision

Inframammary Incision

The inframammary incision is made in the crease under the breast, known as the inframammary fold. This approach is the most common and is preferred by many surgeons because it provides direct access to the breast tissue, allowing for precise implant placement. The scar is usually well-concealed under the breast, and this method is compatible with all types of implants.

Periareolar Incision

The periareolar incision is made around the lower edge of the areola (the pigmented area surrounding the nipple). This approach can result in a well-hidden scar, blending with the natural border of the areola. It is often chosen for patients who are concerned about visible scarring. However, this incision may have a higher risk of affecting nipple sensation, and there is a small risk of breastfeeding difficulties post-surgery. There may also be higher risk of capsular contracture when working close to the breast ducts.

Transaxillary Incision

The transaxillary incision is made in the natural fold of the armpit, allowing the surgeon to insert the implant through a tunnel created to the breast. This approach leaves no visible scars on the breasts themselves, which is a significant advantage for some patients. However, it can be technically challenging, and not all surgeons offer this method. Additionally, this approach is usually used for saline implants since they are inserted empty and filled later, making the process more manageable through a smaller incision. This is the approach being used for the Mia Femtouch implant which is new to the market.

Choosing the Right Type of Boob Job

Choosing the right type of breast augmentation involves several considerations, including the patient’s anatomy, desired outcome, and lifestyle. The choice of implant type and surgical approach will depend on factors such as:

• Breast Size and Shape: Different implants and techniques can produce varying results in terms of size and shape. For example, teardrop-shaped implants are often chosen for a more natural contour, while round implants may provide more fullness at the top of the breast. A natural enhancement may be achieved using the MiniAug technique.
• Skin Elasticity: The elasticity of the skin can influence the choice of implant and the surgical technique. For instance, women with less elastic skin may benefit from a composite approach to avoid visible implant edges.
• Desired Volume Increase: Patients seeking a significant increase in breast size may prefer silicone or gummy bear implants, while those looking for a subtle enhancement may opt for fat transfer.
• Scarring Considerations: The location of scars is an important consideration for many patients. Some may prefer a periareolar or transaxillary approach to minimize visible scarring on the breast.
• Future Breastfeeding Plans: Women who plan to breastfeed in the future should discuss this with their surgeon, as certain incision sites, such as periareolar, may pose a higher risk of affecting breastfeeding.
• Surgeon’s Expertise: The expertise and experience of the surgeon are crucial in achieving the desired outcome. It is important to choose a surgeon who is skilled in the specific technique and implant type being considered.

Conclusion

Breast augmentation is a highly customizable procedure with various options to meet individual needs and preferences. Whether a patient desires a significant increase in size, a subtle enhancement, or a more natural look, there is a type of breast augmentation that can help achieve their goals. Understanding the differences between saline, silicone, gummy bear implants, fat transfer, and composite techniques, as well as the available surgical approaches, is essential for making an informed decision.

Book a consultation with Mr Nassab to find out more about all options and types of boob job. Every woman’s body and expectations are unique, and a tailored treatment plan can help achieve the best possible outcome while ensuring safety and satisfaction.