Considering Breast Augmentation?

Types of Breast Implants

There are several options and several types of implants and even options for how the implant will be located in the body. Patients can choose silicone or saline as the fluid inside the implant, and each has its own advantages and disadvantages to be weighed by the patient in consultation with their surgeon:



  • Peace of mind for those who are unsure of silicone gel
  • Leaks are easily detectable
  • Increased projection when desired
  • For purely cosmetic breast augmentation can be used at age 18
  • Slightly lower capsular contracture rate


  • Higher risk of rippling
  • More easily palpable (feels less natural in most cases)
  • Increased projection when not desired
  • Stiffer result
  • Slightly higher leakage rate



  • Softer more natural feel
  • Lower risk of rippling
  • Decreased projection when desired
  • Moves more like a natural breast
  • More profiles (shapes) available


  • Leaks are harder to detect
  • Decreased projection when desired
  • Slightly higher capsular contracture rates
  • Body makes scar in response to a leak
  • For purely cosmetic breast augmentation can be used at age 22 or older


The gummy bear implant is a relatively new arrival in the breast implant manufacturing industry. It is a departure from the traditional shell-and-filler design in that it a more solid piece. The silicone used is at a higher concentration, resulting in a firmer feel. This silicone also has a lower likelihood of leaking if there is a rupture in the implant.

Implant Location

You can have your implants placed above the muscle (subglandular) or below the muscle (subpectoral).

Your plastic surgeon will decide which placement location is best for you based on your goals, breast type and other factors.

The location choice will be part of your surgical plan.


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Dr. Gregory S. DeLange at Estetica Institute of the Palm Beaches

Dr. Greg DeLange is a highly trained and experienced Board Certified Plastic Surgeon. He graduated from the University of Miami School of Medicine and then completed his Surgery Residency at the University of Texas. After completing a year as Chief Resident, he followed his General Surgical training with an additional two years of Plastic Surgery Fellowship at the prestigious University of Florida Shands Hospital. Dr. DeLange has performed over 20,000 Plastic Surgical cases and is certified by the distinguished American Board of Plastic Surgery.