Types of Breast Implants

Breast Augmentation is referred to as “boob job” by the public has been the top 5 most popular aesthetic surgical procedure for woman. Dr Kalantarian (OC Dr K) Plastic Surgery offer this procedure and OC Dr K (Dr Kalantarian) is considered one of the top plastic surgeons for this procedure. The procedure involves breast implants to enlarge the size and enhance the shape of your breasts. It can also add volume to breasts that are affected by weight lost or pregnancy to restore fuller and rounder breasts.  Here are some benefits to Breast Augmentation:

  • Increase breast size
  • Restoring Breast fullness for woman after weight loss and pregnancy
  • Improving breast shape to contour and become proportionate to the body
  • Rejuvenating breasts by replacing old implants

At Dr Kalantarian (OC DR K) Plastic Surgery, you may choose Saline, Silicone, or Gummy Bear breast implants for your breast augmentation. Each implant comes in different sizes and shape or profile. How do you know which implant is the perfect implant for you? Well, here are some information on each implant.


Silicone Implants are filled with silicone gel. The goal of silicone implants is to imitate the feel of real breast tissue. The new generation of silicone breast implants are highly cohesive. Because of the cohesive nature of the silicone implants, If the implant leaks, the gel will still be intact and keep its shape. The gel is a thick, sticky fluid to mimic the feel of human fat. However, if there is a break in the shell of the breast silicone implant, the implant must be replaced with a new one. You need to do Ultrasound or MRI (a radiographic imaging study) every 2-3 years to determine if there is break in the shell of the breast silicone implant.  Some manufactures offer automatic warranty for 10 years for any break in the breast implant shell or if scar tissue develops around the implant which is referred to as capsular contraction.


Saline Implants are filled with sterile salt water. The implant shell is made out of silicone. The empty implant shell in inserted in the breast pocket first and then it is filled with saline using a filling tube. The filling tube is removed and the filling port is caped with a valve.  If the implants were to leak, the saline is absorbed by the body (it is similar water we have in our body) and you can easy tell because that side becomes much smaller than the other side. The goal of saline implants is to provide a uniform shape, and firmness feel.


Gummy Bear is similar to silicone implants because they are both filled with silicone gel. The difference is Gummy Bear silicone gel is thicker creating a firmer feel. If the gummy bear implants were to burst, the gel will still remain its shape.  There is no round smooth gummy bear silicone implants available. The rate of rippling is less than the other implants because of the firm nature of the implant.


There are many choices for sizes and the type of implants in breast augmentation to give patients options to customize the look they are trying to achieve. Woman who undergo breast augmentation are usually looking to increase size, shape or for woman who have asymmetrical breast. Breast Augmentation is a long-term solution to achieving a larger and more attractive looking breast. You do not want to compare yourself with anyone else because no one has the same breast width and shape/volume, shoulder width, rib cage, and height.


When you come in for a consultation with Dr Kalantarian (OC Dr K) Plastic Surgery, Dr Kalantarian (OC DR K) will go over all your options in great detail. A formal examination of your breast will be done and based on your height, shoulder width, breast measurements, hip and your desire for breast cup size, Dr Kalantarian will provide you with a recommendation.

Call us today to schedule a free consultation!

(714) 444-4495


Breast Augmentation with Circumareolar Mastopexy

This is a before and after photo of a 28-year-old woman who requested to get her breasts improved. Dr. Kalantarian (Dr. K) Plastic Surgery in Orange County (OC Dr. K) performed Breast Augmentation (Breast augmentation involves the use of breast implants (Types: Saline, Silicone or Gummy Bear)) on this patient 3 months ago. Her insecurity of her breasts gave her the confidence to improve her breasts.

As shown on the left picture, her left breast is higher and slightly bigger than her right. In this case it is very common to have one breast larger than the other. It usually has to do with different amount of breast tissue or size of the breast pocket. Very few women have completely symmetrical breasts.

Dr. Kalantarian (Dr. K) used two different sizes of implants to make her breasts look symmetrical. On her left breast, Dr. Kalantarian (Dr. K) used 425cc and on the right, is 475cc.  As one breast is droopy than the other, Left Circumareolar Mastopexy (breast lift) was performed to modify the elevation of her breasts. As result, there was an increase of fullness and projection to her breasts. She is one happy patient!

Call us today for a FREE consultation.

(714) 444-4495

Silicone-gel breast implants: What’s the fuss about?

If you’re considering breast implants, to know that they’re popular is not enough. Breast augmentation is surgery and implants take up permanent residence in your body. You are probably asking, “What was so wrong with silicone-gel implants in the first place that they were taken off the market for years?” In a recent live interview, the Huffington Post got together prominent plastic surgeons to answer these questions:

Why were silicone-gel breast implants taken off the market?

The FDA banned the use of these devices in cosmetic procedures in 1992 after complaints that the devices ruptured. At that time there were concerns that once released in the body, the implant material could lead to health problems, including connective-tissue diseases like rheumatoid arthritis. Plastic surgeons did not believe this to be true, but manufacturers at the time had no long-term data at this point, so they agreed to the ban to collect more information. During the ban, silicone implants continued to be used for breast reconstruction.

Why were they put back on the market?

The efforts of scientific studies made by 2,000 institutions exploring 1,200 data points showed that silicone-gel breast implants were not associated with breast cancer, autoimmune disease or any other systemic diseases.

Even though a scientific advisory committee recommended that the ban be lifted in 2003, the FDA recommended even more studies. One of the plastic surgeons interviewed, the President of ASAPS, said it’s unheard of that the ban would not have been lifted earlier based on the intensity of the studies completed. It was not until 2006, after three more years of studies, that the FDA decreed these implants “safe and effective.” According to the ASAPS President, “No implantable device on the planet has been more thoroughly studied than silicone gel implants.”

Why are silicone-gel breast implants so popular?

A California plastic surgeon and Assistant Clinical Professor at UCLA puts it well: “Nothing in the body is filled with water (like a saline implant) but the bladder. Water is not compressible. We want a breast implant that is soft and compressible like silicone. Women like it because it looks better, feels better and lasts longer.”

What are the dangers of silicone breast implants?

Silicone-gel breast implants were not banned because things went wrong but because, at the time, there weren’t scientific studies to refute claims that were made. The concern in the early 1990s was that these implants could make you systemically ill, i.e., cause disease. Now we have studies that show that neither silicone nor saline implants cause disease.

However, both these implants can have local complications. The most common local complications associated with both are capsular contracture (hardening), reoperation, implant removal and rupture or implant deflation.

Is there a higher complication rate with silicone than saline?

Studies since 2006 show an equal complication rate between saline and silicone. With saline implants, you can tell immediately if there is deflation. When it ruptures it deflates and the saline is absorbed by the body. With silicone implants, you sometimes need additional tests.

Saline implants are more prone to rippling and can sometimes be seen through the skin, but an advantage is that they can be made larger. A California plastic surgeon told the Wall Street Journal he is more likely to use saline implants in very young women who may change their minds about augmentation; saline implants require a much smaller incision, meaning less scarring. The shell of the implant is inserted and only then is it filled with saline. Removing it is also easier.

On the other hand, the new silicone-gel breast implants have the virtue of being so firm that if you cut one of these in half and squeeze it, the silicone protrudes from the open end, but when you release the pressure, it goes right back in. This ability to retain its integrity takes away the concerns, to a large degree, that in the event of rupture, there may be free silicone in the body. Additionally, breast implants create a pocket or capsule once implanted into the body, which prevents it from moving or sliding out, even in case of rupture.

Why do studies show that 20 percent of patients need their silicone gel breast implants removed after 10 years?

Both doctors interviewed agreed that this removal rate is not due to implant failure, i.e., a broken implant. Most reoperations are because women want to change their breast size, have breasts that droop, or chose an implant that is too large. In other words, the reoperation rate is due to the way patients and surgeons select and use implants, rather than implant failure. Another consideration is that not every doctor performing breast augmentation is a skilled board-certified plastic surgeon; poor surgery will certainly lead to reoperation. Both doctors interviewed and ASAPS are committed to reducing reoperation rates in breast augmentation.

 So, what’s the fuss about?

According to a Santa Monica plastic surgeon the fuss about silicone breast implants is because breast augmentation is politically and sociologically loaded and makes great fodder for news stories. For lawyers, it became their new ‘asbestos’ and for feminists breast implants became a symbol for bad values. Though Pamela Anderson is a poster child for breast implants, most patients are young women with underdeveloped breasts who feel inadequate or women with deflated breasts following pregnancy who just want a ‘natural look.’

How to make your breasts more attractive: Breast Implants

We all know there is a lot you can do with hair and makeup. But, did you ever consider that there is a lot you can do with your breasts? If you interview a group of plastic surgeons about breasts, you will be confounded by the number of ways to improve their appearance. Breasts can be augmented, reduced, lifted, made symmetrical, injected, separated, moisturized, pushed together…and that’s just for starters.

If you think your breasts are too small, you’re not alone. In 2012, according to the American Society for Aesthetic Plastic Surgery (ASAPS), Americans spent more than $1 billion on breast augmentation surgeries. If you’re considering implants, here are pearls of wisdom from board-certified plastic surgeons that have performed multiple implant surgeries:

  • Do not ask for overly-large breast implants – especially if they’re high profile (full and round). If your implants are too big for you and overly high profile, you can permanently damage your breast tissue and affect your ribs.
  • Do not expect your augmented breasts to look like the breasts of your favorite actress; leave the pictures at home when you have your plastic surgery consultation. Your ideal breast size will be determined by your personal measurements, including rib cage size, breast width and a dozen other factors your plastic surgeon will discuss with you.
  • There are many different ways to augment the breast and some come with higher risks than others. Breast implants with nipple entry have a slightly higher risk of infection. For most women, the best incision with the lowest complication rates is in the fold under the breast. However, every woman is different and every plastic surgeon has their own best practices – find out what will best work for you!
  • It is important to understand that your implants will not lift your breasts. Only a breast lift will lift your breasts.

If you have decided on breast implants and you want a want a natural-looking appearance, you will most likely avoid over-sized high profile implants (which are mainly used in breast reconstruction). Overly large, high profile implants may have the following tell-tale signs:

  • Breasts that have a sharply defined 360 degree border (like a bell)
  • Oversized implants that create a wide, bony gap between your breasts
  • Implants so large, they will not fall to the side when you lay on your back
  • Breasts that appear (in profile) as full on top as on the bottom
  • Implants that are placed so high that your nipples point downward

You can see more before and after photos in our gallery here.

There are things everyone can do to maintain breast beauty:

  • Keep your breasts out of the sun. Sun exposure causes breasts to droop by breaking down collagen and elastin fibers in the skin.
  • If you have or want breast implants, you can do chest presses against the wall or with body weight (push-ups), but not with weights. Large pectoral muscles can ruin your cleavage and decrease the size of the pocket where your implant sits.
  • If sun exposure and gravity have created lines and spots between your breasts, nonsurgical treatments like chemical peels, laser skin resurfacing and tightening can help.
  • According to a 2012 study, breastfeeding prevents breast aging.

Even though the size and shape of the areola may suffer, skin quality is better in women who breast fed. Although pregnancy has a generally negative effect on breast appearance, breast feeding creates a special hormonal environment, which is similar to internal hormone replacement.

  • Moisturize your breasts daily to slow down the aging process.
  • Do not forget to perform a monthly breast exam to make sure your breasts are healthy.

There have been some changes in breast development that scientists ponder. For example, compared with the previous generation, twice as many girls are developing breasts as early as age seven. Further, today’s average bra size is 36DD – that is up two full cup sizes from 2002. Remember though, not every bra is treated the same. Like clothing, bras of the same size vary from brand to brand. Be sure to get measured and get the right bra for your body type. That will help you look your best and have optimal support.

If you are considering surgical breast improvements, your board-certified plastic surgeon can assess what will work best for you. No matter your breast size, keep your cleavage out of the sun and moisturize!

“Gummy Bears” and Silicone-Gel Breast Implants

gummy bear silicone gel implants  

Attempts to improve breast size and shape, dating back to the late 1880s and involving implant materials such as ivory, glass balls, ground rubber, ox cartilage and sponges, have come a long way. Recent statistics from the American Society for Aesthetic Plastic Surgery (ASAPS) prove that enhanced breasts are no passing trend. From 2008 to 2010, breast augmentation was the most popular cosmetic surgery in the United States, although in 2011 liposuction led by a nose.

Gummy Bears Silicone Gel Breast Implants Orange County

There’s a lot to consider if you’re thinking about getting breasts implants, including implant safety, size, feel and shape; your incisions; your downtime and recovery period; costs; surgical facility and how your augmentation will affect your family and social relationships. Now there’s something else to think about. If you’ve been following the news recently, you’ve probably seen articles about “Gummy Bear” breast implants.

These Gummy Bears are not eaten; they are implanted in the bosom. “Gummy Bear” is a flippant name for a medical device, but these silicone-gel breast implants are called “Gummy Bears” for a good reason. A plastic surgeon participating in implant trials got tired of comparing them to Jell-O. If you’ve ever cut Jell-O into squares, you know that it retains its shape rather than pooling. So do Gummy Bears.

Dr. Kalantarian about Gummy Bears Silicone Gel Breast Implants

gummy bear silicone gel implant

Dr. K’s patients with gummy bear silicone gel implants. Before and after

Although the nickname lacks gravitas, this new generation of silicone-gel breast implants has some distinct advantages. Unlike saline and earlier versions of silicone implants, Gummy Bears have the integrity to maintain shape if cut into squares. They do not ooze and they are not liquid-filled. With earlier versions of silicone-gel breast implants, if you took a knife and cut open the implants, the clear gel inside would slowly create a puddle on the table. Newer silicone implants, along with Gummy Bears, holds its shape.

This is no small potatoes and here’s why: 1) in the event of a rupture, these implants will keep their shape, 2) the integrity of shape minimizes the chance of gel leakage, 3) they pass the “feel” test because they squish when pressed against another person (as in a hug) as opposed to providing resistance like saline implants.

Breast feeding: If you are concerned about breast feeding, you’ll be interested that the IOM committee concluded that if you have silicone breast implants, “There are no dangers in breast-feeding; cows’ milk and infant formulas have a far higher level of silicon, a silicone component, than mothers’ milk. Breast milk is the best food for babies.” They urge mothers with breast implants to breast-feed their babies.

Gummy Bears Silicone Gel Breast Implants Orange County

Mammography: Concerns about implants and mammograms arose in the 1960s and 1970s when both mammograms and silicone breast implants were in their infancy. Since then, both mammograms and implants have improved. Mammography now achieves more sophisticated imaging, and in 1988, a more advanced technique was introduced for manipulating the implant without compressing it. Although mammography may present some problems, the IOM committee recommends its use and notes that the procedure is quick and relatively inexpensive.

FDA Approval: Finally, in 2006 the FDA lifted its ban against using silicone-gel breast implants for breast reconstruction and augmentation. However, this approval came with the provision that the FDA would continue monitoring 10-year mark studies of women who already had the breast implants and would require the completion of a second 10-year study of the safety of these implants in 40,000 other women.

Here are additional FDA stipulations attached to the 2006 silicone-gel breast implant approval:

• The implants will not last forever    • Many of the changes to your breasts following implantation are irreversible    • Mammograms may require additional views and specialized facilities for analysis (Always inform your mammography center that you have implants when you make your appointment)   • The best way to screen for rupture or leaks is to undergo MRI exams starting 3 years after implantation and every 2 years thereafter

Age Restrictions: If you’re a very young woman, you may be wondering if there are any age restrictions on breast augmentation and if restrictions differ between saline and silicone.The answer is “yes” and “yes.” Saline implants should not be used for augmentation in women who are under 18. Silicone implants are restricted to women who are older than 22. (However, both silicone and saline may be used for breast reconstruction in women of any age.) The age restrictions are based on the fact that breast tissue may still develop and change for several years after puberty, so there is concern that augmentation will be performed before full growth has occurred. The later allowable date for silicone may have to do with the FDA’s concern about long term follow up.

More About What Makes Silicone Different

Cohesive gel breast implants seem to hold their shape for a much longer time than other implants. Gummy Bears, composed of exactly the same ingredients as standard [silicone] gel, have more “cross-linker,” so the molecules bond better, creating a more form-stable shape. The gel is so thick that it won’t run or slosh around inside the implant. The folds and rippling associated with saline and silicone implants are less likely to occur with this stable-form implant. And, even if these cohesive gel implants do rupture, the silicone will not leak out. Ask your plastic surgeon about the advantages of each.

For Best Results, Do Your Homework

Both the FDA and ASAPS are confident that breast implants are safe and effective, but a procedure is only as good as the hands that perform it, so follow these rules:

  • Make sure your surgeon is certified by the American Board of Plastic Surgery
  • Make sure your surgeon has had adequate experience with the exact procedure you are undergoing
  • Even if your surgery does not occur in a hospital, make sure your surgeon has operating privileges to perform the surgery you’re undergoing in an accredited hospital
  • Make sure that the facility in which you undergo your procedure is accredited

Gummy Bears Silicone Gel Breast Implants Orange County