Silicone MemoryGel Implants™ Create Patient Buzz

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Plastic surgeons say patients prefer silicone breast implants thanks to the more natural feel and look. Most women requesting silicone implants are in their late 20s and early 30s and want their pre-baby body back.

Cohesive gel acts as a semisolid rather than a liquid and has a natural 'give' that resembles the sensation of actual breasts

Plastic surgeons are reporting the newly approved MemoryGel™ breast implants are enjoying the best possible introduction: word of mouth.

Silicone Breast Implant
"Patients arrive for an initial consultation, tell me their friends absolutely love their Memory Gel implants and that they also want the same type of implants," says A. Dean Jabs, M.D., Ph.D., one of two plastic surgeons at Cosmetic Surgery Associates in Virginia and Maryland. "Other patients arrive, having researched Memory Gel and decide they want silicone because they think it's better."

After a 13-year absence, silicone is back, big time, in the world of plastic cosmetic surgery. The FDA approved silicone gel-filled breast implants as safe and effective in November 2006 with only a few restrictions. A patient must be at least 22 years old -- to allow for complete breast development -- and agree to report on the status of her implants yearly for the next decade.

"Now, with silicone implants available as another choice, even more women will probably go ahead with the breast enlargement procedure they've been thinking about," says Franklin Richards, M.D., the second Cosmetic Surgery Associate plastic surgeon.

The popularity of breast augmentation continues to rise. According to the American Society for Aesthetic Plastic Surgery (ASAPS,) about 364,000 women in the United States opted for breast enlargement in 2005, the most recent year for which statistics are available. Drs. Jabs and Richards encountered so many questions about breast augmentation, they added a second website, in addition to their website at

Breast Augmentation
The typical Cosmetic Surgery Associates patient asking about silicone breast implants is in her 20s or early 30s. Pregnancy and breast feeding has usually caused their breasts to lose volume and perhaps sag a little.

"Many are calling this, along with a tummy tuck, 'The Mommy Makeover,'" says Dr. Jabs.

"Women coming to see us say they just want their full breast volume back," says Dr. Richards. "Memory Gel provides not only the genuine feel of real breast tissue, but a more natural look after implantation."

Cosmetic Surgery Associates only offer Mentor Cohesive Type I MemoryGel™ implants.

Drs. Richards and Jabs are board-certified and fellows of the prestigious American College of Surgeons. Both have written widely, made presentations to other surgeons about plastic surgery and are quoted and featured by the media. Together, they represent over three decades of experience and specialize in breast surgery procedures -- breast augmentation, breast lift and reduction, including male breast reduction.

The surgeons also perform the other frequently requested cosmetic plastic surgery procedures of the face and body including facelifts, noses, eyes, tummy tucks and liposuction.

Breast Enhancement
"Cohesive gel acts as a semisolid rather than a liquid and has a natural 'give' that resembles the sensation of actual breasts," says Dr. Richards.

Patients have three choices among MemoryGel™ implants in what doctors know as projection, or how far out from the chest the newly augment breast will protrude.

Drs. Jabs and Richards are masters at matching a woman's frame and anatomy with an aesthetically pleasing and flattering implant size and profile.

Patients must consider that silicone implants require a slightly larger incision than saline.

"If a saline implant requires a three centimeter (1 and 1/8 inch) incision, silicone implants need an incision that is four centimeters (1 and 1/2 inch,) long," says Dr. Jabs.

Both doctors prefer to place implants under their patients' chest muscles which then act like very strong ligaments to hold the implants close to the body and help prevent a sagging bustline as the years go by.

Natural Breast Enlargement
The doctors gain access to chest muscles by placing those small incisions in the areola or in the patient's armpit. The most common incision site is the inframammary crease, the technical name for the fold where the bottom of the breast meets the chest wall.

"Even though silicone implants were not available in the United States for 13 years, they nonetheless represent the most studied implants in the history of medicine," says Dr. Richards. "We know the substance is safe because silicone has been in implants for 20 years with about a million women worldwide having them; they have been shown not to cause long term auto-immune or cancer problems."

According to the manufacturer, Mentor Corporation in Santa Barbara, California, MemoryGel™ implants have a thicker shell that is more impermeable to leakage. The implants also offer a longer life.

"We really like hearing back from our patients -- and their husbands -- about how much they love their silicone implants," says Dr. Jabs.


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