Plastic & Reconstructive Surgery Associates
Vincent D. Lepore, MD
2581 Samaritan Drive #102
San Jose, CA 95124
(408) 356-4241

Breast Implant Options

Customizing your choice of breast implants at our San Jose practice is easier than ever. When it comes to choosing breast implants, the women from Palo Alto, Los Gatos, and other nearby communities who consult with Dr. Vincent Lepore get the board-certified plastic surgeon's insight into the options that will look the best based on the proportions of their bodies, their lifestyles, and their overall cosmetic goals.

To begin your conversation about breast augmentation with Dr. Lepore in San Jose, California, and to discuss your choice of breast implants, request a free cosmetic consultation online or call his office at (408) 356-4241.

Breast Implant Remove & Replace Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Breast Implant Remove & Replace case #144 before photo
    Breast Implant Remove & Replace case #144 after photo

    Case #144

    This woman, in her late 30s, has noted a number of changes to her body, following two pregnancies, and child-rearing. She reports weight gain, stretching of her abdomen, and sagging of her breasts.... View Case 

  • Breast Implant Remove & Replace case #138 before photo
    Breast Implant Remove & Replace case #138 after photo

    Case #138

    Breast Lift-Short Scar, Breast AugmentationBreast Lift – Breast Augmentation – Remove & Replace Breast ImplantsPatients considering cosmetic breast surgery often tell us they like t... View Case 

  • Breast Implant Remove & Replace case #102 before photo
    Breast Implant Remove & Replace case #102 after photo

    Case #102

    Removal of Breast Implants At different times in life, patients may want different things. That is the case for this woman, who had undergone Breast Augmentation surgery with saline implants, appr... View Case 

  • Breast Implant Remove & Replace case #94 before photo
    Breast Implant Remove & Replace case #94 after photo

    Case #94

    Breast Implant Replacement  - Silicone Gel Implants This young woman had had a Breast Augmentation some time ago.  She experienced one of the most common complications resulting from thi... View Case 

  • Breast Implant Remove & Replace case #131 before photo
    Breast Implant Remove & Replace case #131 after photo

    Case #131

    Breast Surgery-Los GatosThis is a patient, in her early 50s, who had a breast augmentation with 450cc implants more than 15 years ago. She came to Dr. Lepore, after one of her saline implants had d... View Case 

Looking Your Best

Getting the best results from breast augmentation surgery involves communicating your cosmetic goals to a highly qualified and experienced plastic surgeon who can make those goals a reality. Dr. Lepore may advise a patient who comes in asking for a specific size of implant because it looks good on a friend that she would be better off with a different implant size. That's because every patient has a unique body type and proportion, and Dr. Lepore has the trained aesthetic eye to help you find the options that would make you look your best.

Additionally, one of Dr. Lepore's jobs as a plastic surgeon is to help you understand the breast implant options you have. There are so many choices on the market today, and more are coming out all the time. Dr. Lepore finds personal and professional fulfillment in evaluating these options and making sure they meet his patients' standards. He is glad to walk you through each of your many options until you find a great match.

Your Options

Choosing the correct implants for you involves more than selecting a size, although that's an important decision. Other choices include the material filling the implant shell, the shape, the texture, and the implants' projection. Each of these factors is discussed below:

Implant Size

The first thing to know is that implants are measured in cubic centimeters (cc), not bra cup sizes. That's because, as you probably know, bra sizes aren't standard and are an unreliable way to choose implants. Some of the other factors to consider when choosing an implant size include:

  • Aesthetic goals: Do you want breasts that look natural but larger, or do you want to enhance the upper areas of the breasts to emphasize cleavage for a more dramatic result?
  • Body frame: The same size of implants will look very different on a petite woman than on a woman with a wider torso, for instance. Dr. Lepore may take measurements to find an implant size that fits your frame.
  • Lifestyle: Women who are very active — runners, tennis players, hikers — should consider if the size of their breasts will interfere with those activities.

Looking at plenty of before-and-after photos and remaining flexible when it comes to Dr. Lepore's size recommendations are 2 of the best ways to get the results you want.

Implant Filler

Breast implants are either filled with a saline solution or silicone gel.

  • Saline: Saline is a sterile, saltwater solution that is naturally absorbed by the body in the rare case of a leak. Dr. Lepore fills the implants with the saline after he inserts them into the breast pocket, meaning the incisions to insert them are very small and the size can be fine-tuned to ensure symmetry. Some patients believe saline implants don't look or feel as natural as silicone gel implants, but, that depends on a patient's body type and tissue, and it may be less of an issue if they are placed behind the pectoral muscle.
  • Silicone gel: Silicone implants are the most popular implants in the U.S. Patients tend to think they look and feel more like natural breasts. Incisions are slightly larger than for saline implants, but Dr. Lepore makes incisions that are as inconspicuous as possible, regardless of their location.
  • Highly cohesive silicone gel: These are the implants nicknamed "gummy bears" because the consistency of the filler is similar to that of a gummy bear candy, holding its cohesive shape even if it was cut in half. Even though the gel is made of a more "solid" substance than that of regular silicone gel implants, it remains soft and pliable. Many patients find the cohesive gel implant's consistency more like that of a natural breast. These are also sometimes referred to as form-stable implants.

Dr. Vincent Lepore

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Implant Shape

Implants are either round or anatomically shaped (sometimes called teardrop-shaped).

  • Round implants: Both saline and silicone gel implants are available in a round shape. Round implants offer more fullness in the upper breast (the upper pole).
  • Anatomical implants: These implants are designed to mimic the slope of a natural breast, with more volume in the lower pole. Teardrop-shaped implants are textured and often placed behind the muscle to help prevent them from rotating within the pocket.

Implant Texture

Both saline and silicone implants come in smooth or textured options.

  • Smooth implants: Most patients who get round implants also choose the smooth option.
  • Textured implants: The textured surface of an implant attaches more easily to natural breast tissue and helps prevent anatomically shaped implants from rotating within the breast pocket. There is research that suggests textured implants are less prone to capsular contracture (hardening of the scar tissue around the implant), which is the most common complication following breast augmentation.

Implant Profile

Another part of the decision-making process is choosing the projection of your implants. The implant profile refers to its height versus the width of its base. Although the options offered by the 3 major makers of breast implants in the U.S. are similar, some offer more choices than others. The choices include:

  • Low profile
  • Moderate profile
  • Moderate-plus profile
  • High profile
  • Extra high profile

A patient with a narrow chest who wants a fuller look in the upper pole of the breasts may select a high-profile implant, which is narrower at the base. The choice of profile depends primarily on the look of your natural breasts, your chest width, and your cosmetic goals. It's critical to discuss this factor with Dr. Lepore during your consultation and look at examples of the various options.

You'll also have the opportunity to try on the various sizes, shapes, and styles of implants, to assist you in determining the look that will suit you best.

If you're ready to find the implants that fit you best, request a consultation online with Dr. Lepore, or call his office directly at (408) 356-4241 to schedule your appointment.

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