When are Polyurethane Teardrop Implants Helpful?

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Hi! I am Dr Michael Szalay and today I am going to talk about polyurethane teardrop implants.

Before talking about polyurethane teardrop implants, I would like to mention some situations when a teardrop implant can be helpful.

  • The first situation I find teardrops very helpful is when patients have a tight fold (a short distance from their nipple to the fold where their breast joins their chest). In this situation, a round implant can sometimes be more likely to cause a “double bubble” appearance. This is when your old  breast fold doesn’t blend in with the new fold made by your new implant.

double bubble

To make this easy to understand, I have included an image from the internet. A good way to avoid this risk is to use a teardrop which is wider than it is tall, so it is shaped to fit into the breasts of patients with tight folds.

  • Another situation where this type of teardrop is very helpful is when there is a large distance between your nipples. If a round implant is used in this situation, it can result in a wide gap between your breasts. To Illustrate this, please see this image from the internet where a round implant was used in a patient with a large distance between her nipples and this has resulted in a wide gap between her breasts.

wide gap between breasts

A wide teardrop implant reduces the gap between the breasts in these types of patients, improving the cleavage.

  • When you are very lightly built with minimal breast tissue (“a blank canvas”), using a teardrop implant can provide a more natural look and avoid the appearance of the implant being “stuck on” Please see the image of a patient at my practice with whom I used a polyurethane teardrop implant, 470cc.

470cc Brazilian Natural Teardrop Extra High Profile Below Muscle

  • A number of patients simply prefer the shape of teardrop implants over round implants.

What is the Advantage of Polyurethane Teardrop Implants?
In addition to reducing the risk of capsular contracture and bottoming out, polyurethane teardrops don’t rotate. Rotation is when a teardrop implant spins on itself so that the breast looks abnormal. Please see the image of a rotated non-polyurethane teardrop implant that was on the internet.

rotated teardrop implant
Non polyurethane teardrop implants can rotate in up to 10% of patients. The reason that polyurethane teardrops don’t rotate is that their polyurethane coating binds to your tissue, holding it in place.
Polytech provide a 10 year warranty against rotation of foam teardrops.The manufacturers of standard smooth and textured implants do not offer this warranty.

Results can vary among individuals. Any procedure has risks and it is wise to seek a second opinion. For more information visit www.precisioncosmetic.com.au

What are other advantages of Polyurethane Breast Implants?

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Hi! I am Dr Michael Szalay and today I am going to talk about Polyurethane breast implants.

Before moving on to another advantage of polyurethane implants, it is important to consider 3 other possible complications of breast implants-implant dropping, implant stretching of the breast tissue and implant flipping.

WHAT IS IMPLANT DROPPING/BOTTOMING OUT?
Implant dropping is when the implant slides down the chest so that it drops below the incision site. As this happens, the incision scar rides up higher on to the breast and the nipple also rides up higher on the breast. Eventually,it is possible for the nipple to be so high that it pokes out of the top of the bra. Here is an image of bottoming out from the Internet.


WHAT IS BREAST STRETCHING?
This is when the weight of the implant can stretch the breast tissue, which can result in some sagging of the breast.

WHAT IS IMPLANT FLIPPING?
This is when a round implant actually turns completely on itself so that the flat undersurface faces forwards (instead of the round curved surface). This usually occurs as a result of the implant stretching the breast tissue with time and creating loosening of the pocket which contains the implant. As a result of the implant flipping, the breast changes shape and looks abnormal. Whilst both smooth and textured implants can flip, it is rare with polyurethane implants.

Before moving on to how these risks can be minimized with polyurethane implants, it is important to remind all patients with breast implants that the best way to reduce the chance of these problems occurring is to wear a bra. Gravity wants to take those implants downwards and a bra can help stop that. A bra, or other support is especially important in the first 6 weeks after surgery but my recommendation is to always support your implants to keep them looking good.

POLYURETHANE IMPLANTS REDUCE IMPLANT DROPPING, BREAST STRETCHING AND FLIPPING
In my experience even though polyurethane implants can sometimes drop, they hold their position better than textured or smooth implants and due to this, the risk of both bottoming out and stretching of breast tissue is reduced. The risk of a polyurethane implant flipping is also much less than a smooth or textured implant. POLYTECH, the manufacturers of polyurethane implants provide a 10 year warranty against these implants dropping or flipping. The manufacturers of standard smooth or textured implants do not offer this warranty. Because they hold their position better than the other implants, I have found that many polyurethane implants can be placed above muscle. Here is a patient in whom I used 390cc moderate profile round polyurethane implants, above muscle. More photos can be found here. Advantages of polyurethane teardrop implants can be found here.

Breast 11 Brazilian 390cc Round Medium Profile Above Muscle

Results can vary among individuals. Any procedure has risks and it is wise to seek a second opinion. For more information visit www.precisioncosmetic.com.au

Polyurethane Breast Implants

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Hi! I am Dr Michael Szalay. I have performed about 1500 pairs of breast implants and about equal numbers of smooth, textured and polyurethane implants).
I have found that when I first meet a patient for a breast implant consultation, they are often unsure about the differences between the various implants so I will start by explaining the basics.
Most implants today are made of cohesive silicone gel which is contained within a soft outer silicone sac. The difference between the implants is simply the covering or surface coating of the sac.
Smooth implants have a smooth surface with no extra covering on the outside, so they feel smooth.Textured implants have fine micro-particles bonded to the outside, giving a rough feel to the surface of the implant. Polyurethane implants have a polyurethane coating bonded to the outside, giving their cover a fine, fur-like feel.
Having performed roughly equal numbers of the different types of implants, I feel that I am in a good position to explain their pros and cons and the different situations where I would recommend one over the other.
Before doing this, I think it is a good idea to explain why the implant manufacturers developed these different types of implants. The main reason they did this was to try to reduce the most common complication after breast implants, that is, capsular contracture.

capsular contracture

WHAT IS CAPSULAR CONTRACTURE?
When a breast implant is inserted into your breast, the breast forms a membrane or capsule around the implant. Capsular contracture is when the capsule becomes overgrown and hard. This makes the breast feel hard and possibly painful. The breast shifts upwards into an unusually high position and might become an abnormal shape (Please see the image from the internet of capsular contracture). If this occurs, the only way to fix the problem is to operate and remove the capsule.
In a study I conducted at my practice the rate was about 4% after 3 years. It is possible this rate would have been higher if the study had been over a longer period of time as a study by Allergan (the worlds largest breast manufacturer) puts the rate at 19% after 10 years.

POLYURETHANE IMPLANTS
Polyurethane implants are the only implant proven to be able to minimize the risk of capsular contracture.
Studies show that the risk of capsular contracture with polyurethane implants is about 1%.
POLYTECH, the manufacturers of polyurethane implants offer a lifetime warranty against rupture and a 10 year warranty against capsular contracture. Other advantages of polyurethane implants can be found here.