Ideal Implant for Breast Augmentation:
Dr. Brenner is one of a select few investigators in Los Angeles approved to use the Ideal Implant. Watch Dr. Brenner perform this operation on the CBS show “The Doctors.” Ideal Implant Incorporated was founded January 2006 to develop an ideal breast implant that would combine the best of both current implants: the natural result of silicone gel and the safety of saline. Silicone gel implants are extremely popular today. These devices appeal to many women, however there still exists a distinct risk of a silent rupture. Oftentimes, silicone implant rupture is only detectable with an MRI examination. Many patients have expressed their wish for a technologically, and clinically better saline-filled breast implant. A better saline device would have a natural appearance as well as atissue-like feel similar to the silicone gel implant. Further, the device would not suffer from the wrinkling, bouncing and globular look that often occurs with the current saline implants.. Years of research, testing and input from women and plastic surgeons led to the design of the investigational IDEAL IMPLANT® Saline-filled Breast Implant. On the outside, it looks like a standard saline implant, except that the edges have been lowered so it may contour better to the chest wall. On the inside, it simply contains a series of additional implant shells that are nested together. This internal structure was designed for control of saline movement to reduce bouncing, and for support of the implant edges to minimize wrinkling and prevent collapse of the upper portion of the implant. Because the IDEAL IMPLANT was designed to combine the best features of both, the natural result of silicone gel and the safety of saline, some women and plastic surgeons call it the “Hybrid™” breast implant. Click on a logo below to view more videos about The Ideal Implant.
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The IDEAL IMPLANT is an improved saline implant that uses the exact same structural materials that are currently used in saline implant shells. The device is made from only saline implant shells, valves and patches. Only sterile saline is used to fill the implant. IDEAL IMPLANT is currently manufactured in Irvine, California. IDEAL IMPLANT DESIGN: multiple saline implant shells, nested within each other. There is an inner shell defining an inner saline compartment and an outer shell defining an outer saline compartment; between these shells are several other distinct perforated shells. This internal structure helps to control any motion of the saline that fills the device. The goal is to reduce the bouncing. This design also lends a natural, breast tissue-like feel that is associated with silicone gel implants. IDEAL IMPLANT SUPPORT:The device structure provides an internal support. When the device is held in an upright position, the upper portion of the implant does not collapse. This helps it to maintain its shape. This design also provides support to the edge of the outer shell to minimize wrinkles and folds. Since shell folds are thought to lead to implant deflation, support of the edge to reduce folds MAY result in a lower deflation rate when compared to a standard saline device. IDEAL IMPLANT GEOMETRY: IDEAL IMPLANT is designed to have a geometry that is similar to the silicone gel implant. Its inner surface is convex in shape, allowing it to conform to a convex surface, such as the chest wall. As a result, the implant edge lies lower than most other devices. This low position of the edge has the potential to minimize wrinkling on the sides, as is the case with the silicone gel implant.
The reason that most patients chose to have standard silicone gel-filled implants placed during breast augmentation to that they feels very similar to real breast tissue. Compared to a standard saline implant, silicone implants collapse less when placed into the upright position. They also show less wrinkling on the sides once placed inside the breast tissue. Even though the Federal Drug Administration approved the use of standard silicone gel implants in 2006, many women still remain concerned about safety issues. These include things like difficulty detecting a rupture, possibility of requiring an MRI scan, diffusion of small silicone compounds into the surrounding tissues, as well as the possible long-term effects that silicone might cause.
2006 FDA Approval of Silicone Implants: A number of safety issues of concern are listed in the FDA mandated Patient Information Brochure that women must read and sign prior to receiving a silicone gel implant. One of these is the explanation that ruptures of the implant are often undetectable by physical examination. Detection of implant rupture requires an MRI scan of the breasts. The importance of monitoring a silicone gel implant for silent rupture, and removal if rupture is detected is emphasized.
The FDA monitoring recommendations to women and surgeons suggest that an MRI scan be done at 3 years post-operatively and then every 2 years for life. In addition, an MRI scan is indicated when there are signs of possible rupture such as pain, a lump and capsular contracture.
The standard saline-filled implant is akin to a silicone shell that is filled with sterile salt water solution. These implants do not have the same natural feel of breast tissue, that is seen with silicone implants. Placing saline implants requires a relatively small incision. Since saline implant have no internal structure, the upper portion of the device tends to collapse when placed upright. The shell geometry of a regular saline-filled implant does not conform well to a convex surface (i.e.the chest wall). As you can see in the photo above, the implant edge is raised above the convex surface. The visibility of the implant edge can and is often made worse by over-filling the device in an attempt to reduce wrinkling. This elevated implant edge, may result in the rippling of the sides of the device that is often seen with a standard saline implant. Much like a water balloon, if a saline implant ruptures the implant deflates and the saline is absorbed by the body over the course of a few days. Rupture of a saline device is usually quite obvious. Replacement can be done while under local anesthetic in many cases.
To learn even more information and download literature about using the ideal implant for your breast augmentation surgery please visit the Ideal Implant website.