The Piazza Center for Plastic Surgery and Advanced Skin Care
5920 W. William Cannon Drive, Mesa Oaks Building Seven, Suite 200
Austin, TX 78749
Phone: (512) 288-8200
Monday–Friday: 8 a.m.–5 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

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 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 Before & After Photo | Austin, TX | The Piazza Center for Plastic Surgery & Advanced Skin Care
Before & After
Case: 1 of 8

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: 2 of 8

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: 3 of 8

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 8

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: 5 of 8

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: 6 of 8

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: 7 of 8

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: 8 of 8

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

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.

Learn More

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.

Meet Dr. Piazza

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.

About Dr. Piazza Dr. Piazza's credentials Dr. Piazza's credentials

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.

A Patient for Life™

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.

Learn More
Actual Patient Photo

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.

Real Patients. Real Stories

Helping Our Patients to Live Confidently

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.

View Stories
Actual Patient Photo

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.

Melissa Cady, Anesthesiologist

Delivering an Exceptional Anesthesia Experience for Our Patients

At The Piazza Center, our patients come first. We have listened to our patients and in an effort to reduce the uncertainty with the anesthesia experience, The Piazza Center has developed a collaborative relationship with Dr. Cady to deliver an exceptional anesthesia experience for patients like you.

“By far the best anesthesia experience I've ever had. Thank you!!”

Learn more about Dr. Cady, D.O. and The Piazza Center’s approach to taking the fear and stress out of anesthesia.

Learn More

Newsletter Sign-Up