Breast Augmentation with IDEAL Structured Saline Breast Implants
Individual results may vary.
Case ID: 4068This pleasant 25 year old woman came to see Dr. Daniel A. Medalie of Cleveland Plastic Surgery at his Beachwood office to inquire about breast augmentation. She is 5’3″ and 105 lbs and wanted to go from A full A cup to a full C cup after surgery. She chose to proceed with the surgery in an outpatient setting and had a successful 1.0 hour procedure. The implants placed were IDEAL Structured Saline breast implants inflated to 330 cc. The patient is shown 3 months after her breast enhancement and is very pleased with the results. *Results may vary
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. Dr. Medalie prefers light general anesthesia with the patient breathing fully on her own.
Step 2 – The Incision
Incisions are made in inconspicuous areas to minimize visible scarring.We will discuss which incision options are appropriate for your desired outcome. Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision). I prefer the IM fold approach because recent literature suggests that it is associated with a lower incidence of capsular contracture. Ths incision for a silicone implant is by necessity larger than one for a saline implant because the silicone implant is pre-filled and the saline implant starts empty.
![breast augmentation incisions](https://www.plasticsurgery.org/images/procedures/Breast-Aug/breast-augmentation-incisions.jpg)
Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference.
Step 3 – Inserting And Placing The Breast Implant
After the incision is made, a breast implant is inserted into a pocket either:
![submuscular and subglandular breast implant placement](https://www.plasticsurgery.org/images/procedures/Breast-Aug/08_inserting.jpg)
A. Under the pectoral muscle (a submuscular placement)
B. Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)
C. Dual-plane which is partly under the muscle (in the upper pole) and partly under the breast (lower pole). This procedure is more frequently used in women who have had children and have some droop to their breasts.
The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.
Step 4 – Closing The Incisions
Incisions are closed with layered sutures (that dissolve) in the breast tissue and with sutures, skin adhesive and surgical tape to close the skin.
![breast augmentation incision locations](https://www.plasticsurgery.org/images/procedures/Breast-Aug/09_procedural.jpg)
Over time the incision lines will fade. The quality of scar depends on many things, including your genetics, exposure of your body to nicotine and infection.
Step 5 – See The Results
The results of breast augmentation are immediately visible. Typically they start high and then over time settle to a lower and more natural appearance. I usually tell patients that what they see is not what they get until 3 months after the surgery.
*Plastic surgery results can vary from patient to patient and are not guaranteed
AN INNOVATIVE DESIGN USING TIME-TESTED MATERIALS
![18](https://idealimplant.com/wp-content/uploads/2021/12/18.png)
DESIGN
Years of research and testing led to this innovative design, developed to better meet the needs of women wanting a natural look and feel without concerns relating to rupture of silicone gel. A series of implant shells nested together and two separate chambers hold the saline filler. The unique internal structure controls movement of the saline for a more natural feel, while reducing wrinkling. On the outside, the edges have been lowered for a more natural contouring to the chest wall.
MATERIAL
IDEAL IMPLANT is a Structured Saline Implant made from safe and proven breast implant materials and time-tested manufacturing processes. It contains no silicone gel or new materials, yet offers a natural feel and beautiful shape due to its unique design and internal structure. And because the design is patented, no other breast implant company can manufacture or sell the IDEAL IMPLANT Structured Saline Implants.