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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.
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.
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.
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.
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.”)
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.
“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
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
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:
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.
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Keep in mind that each patient is unique and your results may vary.
Keep in mind that each patient is unique and your results may vary.
From the BlogAs 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
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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.”