The Piazza Center for Plastic Surgery and Advanced Skin Care
7900 Farm to Market Road 1826, Bldg 2, Suite 206
Austin, TX 78737
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.

Breast Implant Options

Women considering breast augmentation with implants in Austin, San Antonio, and throughout Texas have many options when it comes to choosing the right breast implants for them. Saline implants have been available consistently since 1992, and since the FDA approved a new generation of silicone gel implants in 2006, their use has grown rapidly. In 2012, the FDA approved the first type of form-stable silicone gel implant for use in the United States. This fifth-generation silicone gel implant has been nicknamed the “gummy bear implant,” because its texture is similar to that of a gummy bear candy, and it holds its shape even when cut and squeezed.

At The Piazza Center, we believe that beautiful surgical results are enhanced by following a healthy lifestyle. Our aim is to help you achieve your cosmetic goals and desires. If you would like to find out more about breast surgery, you can request an in-person or virtual consultation online, or call our office at (512) 288-8200.

THE PERFECT PAIR FOR YOU

Saline Implants Round Silicone Shaped Silicone
A silicone shell filled with sterile saltwater A silicone shell filled with cohesive silicone gel An anatomically shaped silicone shell filled with cohesive silicone gel
Inserted empty and filled once in place Inserted full size; cannot be filled once in place Inserted full size; cannot be filled once in place
More prone to rippling or wrinkling Slightly less prone to wrinkling than saline Less prone to wrinkling than saline or round silicone
Generally less expensive than silicone Generally more expensive than saline Generally more expensive than saline
Appropriate for patients who have more existing breast tissue Appropriate for patients who have less existing breast tissue Appropriate for patients who have less existing breast tissue
Slightly higher risk of rupture Lower risk of rupture Lower risk of rupture
Feels firm; check out this video to see more differences between saline and silicone Feels softer than saline Feels softer than saline; shape mimics the shape of a natural breast

Saline Breast Implants

Saline breast implants have been an option for breast augmentation patients for more than 30 years in the United States. According to FDA regulations, women who are 18 or older may choose saline implants for breast augmentation. In Austin, this has been a very common choice for young women that are between the ages of 18 and 22. For women who are 22 or older, either saline implants or silicone gel implants may be used for breast enhancement. The newest generation of silicone gel implants represents a significant step forward in terms of achieving a natural look and feel with breast enhancement surgery.

Breast Augmentation
 Before & After Photos

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Breast Augmentation Before & After Photos

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

Case: 1 of 46
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Case: 1 of 46
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Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 1 of 45

Case #44

This is a 33-year-old woman who came to see Dr. Piazza to discuss how she could improve the overall fullness of her breasts with a breast augmentation. Like many women in Austin, Texas, she was in search of cosmetic surgery to enhance her breast size and fullness while still maintaining natural-looking proportions.During her consultation,... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 2 of 45

Case #98

Desiring to feel more like a woman, this very fit 33-year-old mom sought a consultation with Dr. Piazza for breast implants. This patient, like many Austin women, felt like she had a very broad chest and very small breasts. In her words, she felt “disproportionate”. She worked with Dr. Piazza and his nurse Hayley to choose an implant... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 3 of 45

Case #345

This 35-year-old mother of two was referred to The Piazza Center to consult with Dr. Piazza about a breast augmentation procedure. She felt after breastfeeding her children, her breasts were lacking in fullness. The patient desired a natural looking shape with fullness to her upper breasts. After choosing an appropriate implant size that was very... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 4 of 45

Case #23

This 30-year-old female was in search of a plastic surgeon in Austin for breast augmentation.  She was interested in increasing the size and improving the shape of her breasts.  She stated that she felt she had small breasts and desired a breast augmentation in Austin in order to fit better in her clothes and feel more confident. She scheduled... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 5 of 45

Case #289

This mother of two, felt her breasts looked deflated and lost their volume after breastfeeding. Prior to augmentation, she was a B cup and desired a full C cup with a natural looking appearance while remaining proportionate to her body.The patient met with Dr. Piazza at his Austin, Texas practice to discuss a breast augmentation. During the... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 6 of 45

Case #410

For most patients, breast asymmetry is a fairly common thing to have. This 23 year old patient felt like her right breast was larger than her left breast. She presented to The Piazza Center for Plastic Surgery for a consultation with Dr. Piazza to see what recommendations Dr. Piazza would have. This patient desired more volume to her breasts with... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 7 of 45

Case #302

This is a 40-year-old female patient who consulted with Dr. Piazza about a breast augmentation procedure. She wanted to add shape to the upper portion of her breasts, while staying in proportion relative to her body size. Her goal was to feel better in her clothes and bathing suits. This was achieved by Dr. Piazza spending time understanding her... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 8 of 45

Case #407

After breastfeeding both of her children, this 38 year old mother did not want to be wearing ridiculously padded bras in the future and desired a natural result with fullness to the breasts. She came into The Piazza Center for Plastic Surgery in Austin, Texas for a consult with Dr. Piazza where the patient was measured with a variety of implant sizes.... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 9 of 45

Case #303

This 34-year-old patient met with Dr. Piazza to consult about a breast augmentation procedure. Her desire was for her breasts to fit her 5’6”, 130lb, athletic frame, which she felt looked deflated after the birth of her two young children. She came to her consult prepared that a breast lift may be needed. Allowing Dr. Piazza to choose the best implant... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 10 of 45

Case #412

This 32-year-old patient was a small B cup prior to augmentation and desired more volume, with a natural and athletic appearance to her breasts. She met with Dr. Piazza at his Austin, Texas practice to discuss her goals for this procedure, her surgical options and the recovery process. After a thorough discussion and exam, Dr. Piazza and the... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 11 of 45

Case #194

This young woman met with Dr. Piazza to discuss her options for breast implants at our Austin, TX practice. She had always been very self-conscious about her small breasts. She was looking for a permanent breast enhancement instead of continuing to wear padded "bombshell bras." Like most of our patients, she felt it was very important to achieve... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 12 of 45

Case #68

Desiring breast augmentation in Austin, this 37-year-old woman met with Dr. Piazza and his nurse Hayley to plan for her breast enhancement procedure. After an hour-long consultation with Dr. Piazza, she had chosen her implants, her incision, and the position of her implants to help achieve her desired goals with this procedure. With confidence, she... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 13 of 45

Case #158

This mother of one came to see Dr. Piazza desiring a very natural breast augmentation procedure with gummy bear implants in Austin. She was most concerned because her breasts were significantly deflated after just one pregnancy. This patient did not want a breast lift, so based on this preference, Dr. Piazza chose a full-projecting Allergan Style... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 14 of 45

Case #411

This mother of one presented to The Piazza Center for Plastic Surgery in Austin, Texas to consult with Dr. Piazza about a breast augmentation. This patient was an A cup and felt like her breasts didn’t fully develop during puberty. She was seeking more volume to her breasts, similar to a C cup size and was looking forward to her clothes fitting better.... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 15 of 45

Case #215

This 36-year-old fitness devotee feels that she has lost breast volume as she has refined her body composition and increased he muscle tone. She desired a breast augmentation procedure in Austin.  It was important to her that she would be able to maintain some kind of work-out routine while recovering from her procedure.She met with Dr. Piazza... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 16 of 45

Case #134

Soon after moving to town, this 23-year-old fit young woman searched for a plastic surgeon in Austin for a breast augmentation procedure. She scheduled a consultation with Dr. Piazza to learn about breast implants to enhance the size and shape of her breasts. After meeting with Dr. Piazza and his nurse Hayley, she scheduled her outpatient procedure.... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 17 of 45

Case #96

This 37-year-old mother of two came to see Dr. Piazza to increase her breast volume that she had lost after having two children.  Dr. Piazza discussed breast augmentation at his Austin plastic surgery office.  He explained the differences between saline and silicone breast implants.  In Austin, many women choose to have breast augmentation... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 18 of 45

Case #122

First of all, this patient, age 53, is an incredible athlete. She came to see Dr. Piazza upon the referral of one of her physicians about enhancing the size and shape of her breasts. She wanted to have more fullness and more breast volume as she felt like she really didn’t fill a bra very well.She met with Dr. Piazza and his nurse, Hayley,... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 19 of 45

Case #403

This 35 year old woman, is a mother of two, who desired augmentation mammoplasty to restore the lost volume of her breasts and enhance the appearance of her breasts. She presented to my Austin plastic surgery office for a breast augmentation and I noted on the exam the patient's left breast fold was slightly higher than the right, and the left breast... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 20 of 45

Case #38

This 20-year-old female came to Dr. Piazza at his office to discuss breast augmentation in Austin in preparation for her upcoming wedding. She wanted breast enhancement to increase the size of her breasts, improve the shape of her breasts and to correct asymmetry. She also wanted to have more cleavage after surgery. Dr. Piazza and his... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 21 of 45

Case #29

This 50-year-old woman spent many years considering a breast augmentation in Austin. After much research she sought out board-certified plastic surgeon, Dr. Rocco Piazza at his southwest location in Circle C Ranch. This patient told Dr. Piazza that she wanted to increase her breast size without feeling “over done.” She stressed that... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 22 of 45

Case #255

This 49-year-old working mother of two desired a bilateral breast augmentation. She came to our practice in Austin, TX to meet with Dr. Piazza and explore all of her options. She had been bothered by her small breasts for many years now and was tired of having to wear heavily padded bras to get breast size and shape she desired. Like most of our... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 23 of 45

Case #234

This 38-year-old active mother of three desired a bilateral breast augmentation. She came to our practice in Austin, TX to meet with Dr. Piazza and explore all of her options. She had always been very self-conscious about her small breasts even prior to children. Like most of our patients, she felt it was very important to achieve a shape that would... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 24 of 45

Case #26

This 27-year-old female was in search of a breast augmentation surgeon in Austin so that she could have larger, fuller breasts. She noticed that her breast volume had greatly decreased after 3 pregnancies and that she had lost the fullness in the upper portion of her breasts. She scheduled a consultation to meet with Dr.... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 25 of 45

Case #97

This 40-year-old mother of two came to see Dr. Piazza one year prior to her actual surgery date. She had desired breast augmentation in Austin for quite some time. She had a consultation with Dr. Piazza in advance to find out the details of the procedure, along with the risks and benefits. When she was ready, this patient underwent breast augmentation... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 26 of 45

Case #408

After this patient's second pregnancy, she felt as if her breasts had significantly deflated and desired more fuller and feminine breasts. Based on exam findings, during a consultation with Dr. Piazza at The Piazza Center for Plastic Surgery, given the asymmetry of the patient's shoulders and the anatomical differences between the breasts, perfect... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 27 of 45

Case #118

This 51-year-old woman had wanted to have a breast augmentation for a long time. She came to see Austin plastic surgeon Dr. Piazza for a consultation during which they discussed her options for breast implants. Based on her breast shape and desired size, Dr. Piazza felt that a shaped implant would give her breasts a very pretty appearance and create... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 28 of 45

Case #276

This 24-year-old came to see Dr. Piazza to discuss a breast augmentation procedure. She scheduled a consultation with Dr. Piazza to learn about breast implants to enhance the size and shape of her breasts. She was tired of wearing the “miracle bra” which gave her the volume and shape she so desired. This patient was looking to have an augmentation... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 29 of 45

Case #43

This is a 34-year-old woman who was looking for a plastic surgeon convenient to her hometown. After her recent weight loss she was interested in increasing her bust size and adding volume to the upper pole of her breasts. She scheduled a breast augmentation consultation with Dr. Piazza in Austin.Dr. Piazza and his nurse Hayley spent an... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 30 of 45

Case #257

This 33-year-old mother of two came to see Dr. Piazza to discuss a breast augmentation procedure. She scheduled a consultation with Dr. Pizza to learn about breast implants to enhance the size and shape of her breasts. Like many woman, she felt her breasts changed significantly after having children and felt there was a very noticeable loss of volume... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 31 of 45

Case #300

This is a 32-year-old busy, working mother of 2 young children. With her family now complete, she felt ready to meet with Dr. Piazza and consult about a breast augmentation. The patient showed up for her visit prepped and ready with her specific expectations and desires of her proposed outcome from this procedure.  Like most women, she would... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 32 of 45

Case #132

After years of thinking about enhancing the size and shape of her breasts, this 53-year-old woman came to see Dr. Piazza about a breast augmentation at his practice in Austin. She wanted an increase in cup size with an obvious breast augmentation result. Dr. Piazza felt that a shaped gummy bear implant would give her the best result with regards... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 33 of 45

Case #285

This 36-year-old mother of four came to see Dr. Piazza to discuss a breast augmentation procedure. She scheduled a consultation with Dr. Piazza to learn about breast implants and how the procedure was performed. Like many woman, she felt her breasts changed significantly and looked “deflated” after having her children. She desired to enhance the... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 34 of 45

Case #238

This 32-year-old patient scheduled a consultation with Dr. Piazza at our Austin, TX practice for breast augmentation. She had always been very self-conscious about her breasts but they became even more of a concern for her after a significant weight loss. She was looking for a permanent breast enhancement to help correct her now “sunken in breasts”.... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 35 of 45

Case #164

This young woman came to see Dr. Piazza for a breast augmentation consultation in Austin.  She felt like she had very pretty breasts, but desired more fullness in the upper portion of her breasts, while maintaining a natural shape to her breasts.  Dr. Piazza selected a shaped, gummy-bear implant in order to achieve her desired... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 36 of 45

Case #60

This 30-year-old female was in search of a plastic surgeon that she trusted and felt comfortable in proceeding with a breast augmentation. In Austin, many women have similar desires of wanting larger, fuller breasts. This patient noticed that her breast volume had greatly decreased after 2 pregnancies and that... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 37 of 45

Case #297

This 35 year old mother of 2 met with Dr. Piazza to discuss the loss of fullness after breast feeding and her overall decreased size, especially in the upper pole of her breasts. She came to her consult thinking a breast lift would be needed and was hesitant about the vertical scar a lift would create. Dr. Piazza was able to provide the patient with... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 38 of 45

Case #69

This 28-year-old woman chose to undergo a breast augmentation in Austin with Dr. Piazza.   She was seen in consultation to discuss breast enhancement options.  After breast sizing was performed with Hayley, she chose 350 cc smooth, round, high profile implants placed submuscular through an inframammary fold incision.  She is seen... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 39 of 45

Case #272

This 53-year-old career woman and mother of two came to see Dr. Piazza to discuss a breast augmentation procedure. She scheduled a consultation with Dr. Piazza to learn about breast implants to enhance the size and shape of her breasts. She knew she wanted a significant size increase and to be more “full” but was also very concerned about looking... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 40 of 45

Case #239

This 32-year-old mother of two came to see Dr. Piazza to discuss a breast augmentation procedure. She scheduled a consultation with Dr. Pizza to learn about breast implants to enhance the size and shape of her breasts. Now that she was done having children, she wanted to be able to enjoy her body while she was still young and have the larger fuller... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 41 of 45

Case #409

This 31 year old patient had an interest to increase her breast size in a conservative manner. She felt it was important for her breasts to maintain a natural appearance that would compliment her tall and lean figure. An in-office consultation was set with Dr. Piazza at his Austin, Texas surgery practice where the different types of breast implants... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 42 of 45

Case #290

This is a 27-year-old patient who came to consult with Dr. Piazza and learn more about a breast augmentation procedure. She knew that she wanted to slightly increase her breast volume while maintaining a natural shape and look to her breast appearance. Dr. Piazza and herself went over her implant options and decided that the Allergan Natrelle Inspira... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 43 of 45

Case #28

This very fit 30-year-old woman came to see Dr. Piazza to discuss a breast augmentation at his Austin practice. She had thought about this procedure for quite some time. She is extremely active and goes to the gym regularly, which is evident by her healthy, lean appearance. She wanted to increase the size of her breasts without distorting their shape... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 44 of 45

Case #15

This 37-year-old female was in search of a plastic surgeon for breast augmentation. Austin was the nearest city to her hometown and Dr. Piazza’s office at Seton Southwest was conveniently located for a quick commute. This patient was interested in increasing the size and improving the shape of her breasts. She felt that after being... Read More
Breast Augmentation Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 45 of 45

Case #136

After desiring larger and fuller breasts, this 23-year-old patient came to see Dr. Piazza to discuss a breast augmentation in Austin.  She wanted to achieve a symmetric and natural result.  Because her right breast was slightly smaller than her left breast, Dr. Piazza used a slightly larger implant in order to achieve better symmetry. She is seen... Read More

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

Silicone Breast Implants

In 2006, the FDA removed its ban on silicone gel implants because the new generation of silicone implants was determined to be much safer than earlier models. In 2012, the FDA began approving shaped silicone gel implants. The Allergan Natrelle® 410 highly cohesive anatomically shaped silicone gel breast implant, the type of gummy bear implant Dr. Piazza uses almost exclusively in his cosmetic and reconstructive breast practice, was approved in February 2013. Mentor MemoryShape™ Breast Implants followed with their FDA approval in July 2013. These implants have a new type of silicone filling that clings to itself so that it will hold its shape even if cut or torn. The consistency is similar to gummy bear candies, which is why the cohesive gel options are commonly called “gummy bear” implants. This greatly reduces the risk of silicone from a damaged implant migrating through the body. The FDA continues to monitor silicone implants as part of a post-approval study in order to ensure their ongoing safety and reliability. To learn more about the FDA’s approval of this new fifth-generation silicone implant, read the FDA’s statement about its decision.

Choosing Gummy Bear Implants

Many women prefer the new silicone gel implants because they have a more natural look and feel than saline implants. Dr. Piazza is even seeing a number of women who choose to replace their saline implants with the newer cohesive gel silicone options. Among the options offered by Dr. Piazza are the Natrelle® 410, made by Allergan, and others. Dr. Piazza believes that selecting the ideal size and shape of a gummy bear implant is critical because unlike a standard silicone implant, its form stable nature means that it will not distort according to the shape of the breast; rather, it will shape the breast. This is revolutionary and has allowed him to create a more natural shape to the breast while increasing projection of the nipple-areola complex and creating long-term fullness to the upper portion of the breast.

Gummy Bear Breast Implants

Gummy bear implants are different — in a good way. Learn why these cohesive silicone options are some of the most popular at The Piazza Center for Plastic Surgery and Advanced Skin Care.

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Dr. Piazza Answers Common Questions

How will I know if my saline breast implant has ruptured?

The saline solution in a breast implant is very similar to what patients get in their IVs when they need IV fluids at the hospital. When a leak occurs with a saline implant, it most often occurs at the valve on the device. This leak can happen slowly over the course of weeks or months, or it can happen more rapidly over the course of several days. A woman may notice that she has lost volume in her breast and may be asymmetric. This often leads a patient to consult with her plastic surgeon to discuss removal and replacement of the implant.

How will I know if my silicone breast implant has ruptured?

The rupture rate of silicone gel breast implants is very low, and ruptures can be difficult to detect. The FDA recommends that women who have silicone breast implants have an MRI of the breasts 3 years after placement, and then every 2 years thereafter, to confirm the integrity of the implant. Patients who come to my office with concerns about a silicone breast implant rupture most often do so because of incidental findings on a routine mammogram. When a rupture occurs, the options include simply removing the implant, or removing the implant and replacing it with the newest generation silicone gel type. At my Austin plastic surgery practice, I often perform short-scar breast lift procedures to enhance the shape and appearance of the breast.

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Board-certified plastic surgeon Dr. Rocco C. Piazza looks forward to meeting with you to help you discover how you can achieve your cosmetic goals and desires.

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Do I need my breast implants replaced every 10 years?

Implants do not have an expiration date, but you should have your implants replaced if you experience a rupture or if you are having problems such as capsular contracture. The current generation of implants should last for about 15 years. There is only about a 1% per year chance of your saline implants leaking, but the older the implants get, the higher the risk may become. It has been well documented that a leaking implant will not affect your health. However, it is usually not advisable to have a medical device remain in your body if it is damaged in any way.

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When you get plastic surgery at The Piazza Center, we make a long-term commitment to your recovery, your beauty, and your well-being. Learn about the dedication you receive when you become a patient for life.

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What is the difference between round and shaped implants?

Generally speaking, breast implants come in 2 main shapes: round and shaped, which are sometimes called “anatomic” or “teardrop” implants.

Although they’re called “round,” round implants are not perfectly spherical. Instead, they’re more or less disk-shaped and can vary in appearance based on their projection (how far they stick out from the body). Round implants are popular choices with women who want increased fullness throughout the entire circumference of the breast, which creates a more voluptuous appearance with more cleavage. Round implants can be either saline or silicone.

Shaped implants have a tapered appearance, with more volume toward the bottom, mimicking the shape of natural breast tissue. Shaped implants increase the size of the breasts and contribute to a more natural-looking outcome. Most shaped implants are silicone.

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Find out what it's like to be a patient of The Piazza Center. Review the stories and "after" photos of some of the plastic surgery patients who've shared their experiences with us.

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Can implants provide lift as well as enlargement?

For women with very mild breast ptosis, or drooping, implants alone, especially form-stable shaped implants, also called “gummy bear” implants, can provide a small amount of lift. But most women who wish to lift their breasts require more than just augmentation. For these patients, I recommend combining breast augmentation with breast lift — 2 distinct surgeries that can be performed at the same time. My patients who undergo both these procedures are often impressed by the improvement in the shape, size, and the placement of their breasts. This approach is especially popular for mothers who sometimes combine the surgery with a tummy tuck, a procedure called a mommy makeover. However, any woman who feels that her breasts are both small and sagging may benefit from this combined technique.

Are silicone or saline implants more popular?

Silicone implants are generally the more popular options at plastic surgery practices throughout the country. Many people think that silicone implants, especially today’s gummy bear varieties, look and feel more natural than saline. Silicone implants also stronger and hold their shape even when damaged.

But this doesn’t mean they’re right for everybody. Saline implants have their own set of benefits, too. They often require smaller incisions. Additionally, saline implants are often appropriate when a patient already has a good amount of existing breast tissue and desires only a subtle improvement in size.

Today’s breast augmentation patients have a lot of choices when it comes to implant options. I strive to ease the decision-making process by providing plenty of guidance every step of the way.

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