David B. Reath, MD
Knoxville, TN (865) 450-9253

Silicone Breast Implants

Over 98% of the women we see in our Knoxville office decide to use silicone implants rather than saline. We recommend Natrelle Inspira silicone breast implants from Allergan.

Are Silicone Breast Implants Safe?

In the early 1990s, silicone breast implants were removed from the market due to safety concerns but the data that has been gathered since that time has proven these implants to be safe. This data was gathered over 14 years through an adjunct study that allowed the use of silicone implants for only very select patients. Dr. Reath was one of the plastic surgeons who participated in this study and has been using silicone cohesive gel breast implants ever since.

We can offer silicone breast implants to our breast augmentation patients, who visit from in and around Knoxville, as well as Johnson City, Cookeville, Cleveland, and beyond, as long as they are over the age of 22. (The reason for this is that the FDA feels that in some women breast development may not be complete until age 22.) Silicone implants can also be used in women of any age seeking breast reconstruction, or the correction of developmental abnormalities, including breast asymmetry.

Four Advantages of Silicone Breast Implants

  •     They are softer and have a more natural feel.
  •     They have a slightly lower deflation rate.
  •     They don’t ripple.
  •     They are more easily used above the muscle (subglandular).

The Downside of Silicone Breast Implants

  •     It is harder to detect when they rupture.
  •     They require a longer incision.
  •     They cost more.
  •     The filler could be considered “less physiologic”.

Do Gummy Bear Breast Implants Feel Real?

Highly cohesive silicone gel implants, often called gummy bear breast implants, feel firmer than regular cohesive silicone gel implants. For most breast augmentation patients, Dr. Reath prefers regular cohesive gel silicone implants because they are more natural feeling and less expensive.

Video Demonstration

The best way to illustrate the properties of a silicone cohesive gel implant is by watching this brief video. In it, Dr. Reath and Mandi cut a Natrelle cohesive gel silicone implant in half so you can see what’s inside the outer shell. (Not easy to do, by the way. Thank goodness they got it done in one take.)

You can see how the silicone gel material holds together uniformly (no leaking) while still retaining the natural give of breast tissue.

Now available: “SoftTouch” silicone implants

All of the silicone implants plastic surgeons work with are cohesive gel implants, but some are more cohesive than others. Breast implant manufacturers have been using cross-linking technology to create more implant options that may work well in different circumstances.

Recently, Allergan has introduced round implants with greater cohesivity. Dr. Reath’s favorite of these are the SoftTouch implants. The advantage of this increased cohesivity is to have greater fullness in the upper breast (referred to in medicalese as “upper pole fullness.”)

Soft touch implants

In breast lift patients, maintaining this upper pole fullness is always a challenge depending upon the amount of natural breast tissue present. These newer implants may well help with this desired fullness, which is why he has started using them in most breast lift patients.

Have you read our free ebook?

“A Girlfriend’s Guide to Breast Augmentation” is 40-pages of everything you need to know about breast augmentation… plus some fun stuff to lighten things up! It’s written by some girlfriends in the know…Dr. Reath’s office staff. It’s a must-read for anyone considering breast augmentation.

Download Our Free E-Book! A Girlfriend's Guide to Breast Augmentation Download Now

David B. Reath, MD

Board-certified plastic surgeon David B. Reath, MD is renowned for his surgical skills and his commitment to public education. Practicing in Knoxville, Tennessee since 1986, his personal approach with patients is what truly sets him apart.

requesting a consultation
Request a Consultation

Trans-Umbilical Breast Augmentation: Never an Option with Silicone
Recently we have gotten some questions about breast augmentation through the belly button which is known as trans-umbilical breast augmentation or “TUBA”. This is a procedure that Dr. Reath does not perform or recommend. In fact, this approach is not even an option for silicone breast implants. To understand more, read Dr. Reath’s recent blog post:

Breast Augmentation: The Incision Decision

There are many important questions to answer and decisions to be made when considering breast augmentation. Such as saline or silicone? Over or under the muscle? What size implant? And, where to place the incision. This last question is one that I have been asked a lot, but as of yet I haven’t explained my … Read more »

The History of Silicone Breast Implants

Silicone breast implants were first introduced in 1962 (first produced by Dow Corning). Both the outer shell and the silicone used to fill the implants have been much improved over the generations. For example, changes in the shell have proven to decrease the silicone “bleed,” (the amount of silicone that is shed by the implant) while the silicone fill has become more cohesive during the development and generations of implants. These changes explain why in a recent study, scientists found more traces of silicone in canned infant formula than in breast milk from augmented patients with silicone implants!

We currently use the round Fourth generation (1993 to present) silicone breast implants for most of our patients. They contain a cohesive silicone gel in a thick, low bleed shell. Although the FDA approval for cosmetic breast augmentation is recent, don’t be concerned that the Fourth Generation implants are new to us. They are the same ones we have been using in the study patients. So you can be confident that they are safe. Also, Dr. Reath has been using silicone implants since 1986 (even longer than this if you consider his training) he has an extensive history with silicone implants.

A fifth generation of shaped highly cohesive form stable implants (gummy bear implants) is now available for our patients. They are more expensive than our regular silicone breast implants (our cost is $510 more for each implant). Although they are highly promoted by the implant manufacturers, Dr. Reath is not convinced that they make much of a difference in most women.

At the recent meeting of the American Society of Aesthetic Surgeons, he was in a meeting where a group of about 250 Board-certified plastic surgeons was shown before and after photos of patients and asked to vote electronically on whether patients had shaped or round implants. They got it right 46% of the time, and they are the experts. Here is a link to the blog where he reveals the inside story:

Shaped vs Round Breast Implants: Can You Tell The Difference?

Highly cohesive breast implants are getting a lot of play in the media and at the meetings I attend. I’ve also noticed a real push from the breast implant manufacturers to persuade us to use these in our practice. They even have a cute, catchy nickname: gummy bear implants. But the question in the minds … Read more »

Now that you know the differences in the implants themselves, you can understand that there are not inserted the same way and they behave differently after the surgery too. Especially if you are considering silicone implants, make sure your doctor has experience working with them.

Breast Augmentation (Silicone)
 Before & After Photos

WARNING:

This feature contains nudity. Please click OK to confirm you are at least 18 years of age and are not offended by such material.

OK

Breast Augmentation (Silicone)
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 9
Previous
Case: 1 of 9
Next
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 1 of 8

Before and After Breast Augmentation (Silicone)

She is 5'8" and weighs 134 pounds. Here is a 32 year old woman whose breasts had always been smaller than she wanted, even after children. Dr. Reath performed a breast augmentation using 400cc silicone implants which he placed underneath her chest muscles.
Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 2 of 8

Before and After Breast Augmentation (Silicone, Submuscular)

Before and After Breast Augmentation (Silicone): She is 5’5” and weighs 144 pounds. Here is a 41-year-old woman who had always been self-conscious about her small breasts. Dr. Reath used 425cc silicone implants and placed them below her chest muscles. She is pictured here before and six months after her breast augmentation. She is very... Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 3 of 8

Before and After Breast Augmentation with Silicone Implants

Before and After Breast Augmentation (Silicone): She is 5’8” and weighs 140 pounds. Here is a 22-year-old woman who came to our office for breast augmentation surgery. She preferred the natural look and feel of silicone. Dr. Reath used 325cc breast implants, which he placed underneath her chest muscles. She is pictured here before and... Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 4 of 8

Before and After Breast Augmentation (Silicone)

She is 5'3" and weighs 121 pounds. Here is a very athletic 22-year-old woman who wanted her breasts to be in proportion with the rest of her figure. Dr. Reath used 375cc silicone breast implants which he placed underneath her chest muscles. She is pictured before and six months after her augmentation.
Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 5 of 8

Breast Augmentation with Silicone Implants

Before and After Breast Augmentation- She is 5’7” and weighs 130 pounds. Here is a 31-year-old athlete who wanted her breasts to be more in proportion to the rest of her figure. Since she is an active runner and weightlifter, she did not want them to interfere with her workouts. Dr. Reath performed a breast augmentation... Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 6 of 8

Before and After Breast Augmentation Silicone Breast Implants

Before and After Breast Augmentation (Silicone)- She is 5’9” and weighs 122 pounds. Here is a 37-year-old woman who wanted a breast enlargement. Dr. Reath used 375cc silicone breast implants. Because she did not have a lot of natural breast tissue, Dr. Reath placed them below her chest muscles for this lovely natural-looking result. Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 7 of 8

Before and After Breast Augmentation (Silicone)

She is 5'7" and weighs 136 pounds. Here is a 35-year-old woman who wanted a more propotional figure. Dr. Reath performed a breast augmentation using 415cc silicone breast implants which he placed underneath her chest muscles. Her after pictures are taken six months after her breast augmentation.
Read More
Breast Augmentation (Silicone) Before & After Photo | Knoxville, Tennessee | David B. Reath, MD
Before & After
Case: 8 of 8

Before and After Breast Augmentation with Silicone Implants

She is 5'1" and weighs 123. Here is a 44-year-old mom who always wanted larger breasts. Dr. Reath used 400 cc silicone breast implants which he placed underneath her chest muscles. She is pictured before and six months after her breast augmentation.
Read More

Keep in mind that each patient is unique and your results may vary.

Have a question about silicone breast implants?

Ask Dr. Reath.
Ask Dr. Reath Have a question about plastic surgery?
Dr. Reath will personally answer it for you.
Ask Now

Breast Augmentation: Helpful Pages On Our Site

The Latest Breast Implants Posts from Dr. Reath's Blog

  • 3 Ways I have Made My Breast Lifts Better

    From the Blog

    As I continue to practice plastic surgery, I look for ways to improve the operations I have been doing for years to achieve better results. One such procedure is the breast lift (mastopexy), most often using breast implants (augmentation mastopexy). Several aspects of how I do this have evolved, and presently I think I am … Read more »
  • My Top 10 Most Important Blog Posts (So Far)

    From the Blog

    Back in November of 2009, I started my Facebook page, got my first smartphone, and wrote my first blog post. Since then, we have been honored with over 11,500 facebook fans, and our practice YouTube channel has 273 videos with over 850,000 views. Pretty amazing, right? Now, eleven years later, I have written over 300 blog … Read more »
  • Think Timeless, Not Trendy, When Considering Plastic Surgery [Updated]

    From the Blog

    Bubble butt, badonkadonk, derrière — the media has become increasingly butt-focused these days. Celebs like Kim Kardashian, Cardi B, Shakira, and Jennifer Lopez are at the center of “The Booty Boom”, making headlines about their bums and even insuring their prized assets. Like every popular fad, this is excellent news for some (those with some … Read more »

Meet Mandi Millsaps, M.A.

Mandi Breast Augmentation Specialist

If you have a breast augmentation with Dr. Reath, prepare for Mandi to become your new BFF. Whenever you read a glowing review of our practice online, it’s likely that you will see Mandi mentioned by name. Kind, caring and detail-oriented, Mandi has been a patient favorite since she started with our practice in 2002. Working side by side with Dr. Reath, Mandi takes the time during clinic to listen to our breast augmentation patients while kindly and expertly guiding them through the surgery process.

Mandi is famously known as a “sizer sister” because of her close work with our breast augmentation patients. She has literally helped thousands of women pick out the size of their breast implants. She will not steer you wrong.

Where she really shines is in our pre-op appointments. Mandi is the one who will help you finalize all the details prior to your surgery from what vitamins to take to when you can shower afterward. Her experience, patience and hand-holding are so reassuring to patients who are a little nervous just before and right after their surgery.

Mandi received her degree in Health Care Administration in 2001, has been a member of the American Registry of Medical Assistants since 2003 and is an active member of the American Society of Plastic Surgical Nurses.

“I feel very blessed to work for such an honorable physician. Seeing amazing results and positive changes in our patients makes my job so fulfilling.”

Back to top

A Girlfriend's Guide to Breast Augmentation A Girlfriend's Guide to Breast Augmentation

Questions?
Contact Us Today.

Fields marked * are required


Terms of Use*
By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold , its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.