Breast augmentation with Silicone gel Implants; Raleigh, NC*

Breast augmentation is one of the most common cosmetic procedures performed in the United States and globally. Implant choices include saline implants, structured Ideal implants and silicone gel implants. Silicone gel implants have been the source of controversy over the last several decades but still remain the most common choice of implant in the United States. The implant manufacturers now have much better warranties covering leakages as well as severe capsular contracture. Implant material has always remained silicone however the cohesiveness or thickness of the gel has changed which has led to a lower leakage rate and also less complications 1 leakage does occur. This 22-year-old woman was unhappy with the size of her breasts. She has always been a small B cup and wished to be a full C cup. She did have a reasonable amount of breast parenchyma and she chose silicone gel implants placed under the muscle. Dr. Lyle takes many measures to reduce potential for contamination and fluid collection which could lead to capsular contracture. Antibiotic irrigation is utilized as well as insertion sleeves also known as Keller funnels which reduces exposure of the patient's own native bacteria upon insertion. Even proper sterile technique does not completely remove every last bacteria present in a patient's skin and it is believed that even small amounts of bacteria could lead to future encapsulation. The patient was happy with her Allergan 330 cc implants.