7 key things to consider when choosing your breast implants to guarantee satisfaction: A guide for patients

Visual of a breast implant

How to choose the right implants 7 key things to consider: A Guide for Patients


Choosing the right breast implants is a crucial decision for patients undergoing breast augmentation or reconstructive surgery. As a UK breast surgeon, I understand the significance of this choice in achieving your desired outcomes and overall satisfaction. In this article, I will outline key considerations to help you make an informed decision when selecting breast implants.

  1. Implant Type: There are two primary types of breast implants: saline and silicone. Saline implants are not routinely used in UK practice though that differs across the world. Silicone implants often offer a more natural look and feel holding form so resisting bleeding out if a rupture occurs.
  1. Implant Shape: Breast implants come in two shapes: round and teardrop (anatomical). Round implants are symmetrical and provide fullness in the upper part of the breasts, creating a round appearance. Teardrop implants are designed to mimic the natural shape of breasts, with more fullness in the lower part. I use as part of the options I make available to you Motiva ergonomix implants which give a best of both worlds from what is inherently a round implant. Consider your desired outcome and discuss with your surgeon which shape would best complement your body type and aesthetic goals.
  1. Implant Size: Choosing the appropriate implant size is essential for achieving the desired breast size and proportion. Consider factors such as your body frame, existing breast tissue, and personal preferences. Your surgeon will guide you through the selection process, taking measurements and providing recommendations based on your unique anatomy. Visual aids, such as before-and-after photos, can help you envision the potential outcomes.
  1. Implant Profile: Implant profile refers to the projection or how much the implant extends forward from the chest wall. It determines the degree of fullness and cleavage. Implant profiles typically range from low to high. A low-profile implant provides a subtle augmentation, while a high-profile implant offers a more prominent projection. Your surgeon will assess your chest wall dimensions and discuss the available options to achieve your desired outcome.
  1. Implant Texture: Breast implants can have a smooth or textured surface. Smooth implants have a softer feel and can move within the breast pocket more naturally. Textured implants have a slightly rough surface, which may reduce the risk of implant rotation and capsular contracture (scar tissue formation around the implant). Your surgeon will consider factors such as your anatomy, aesthetic goals, and potential risks when recommending the appropriate texture for your implants.
  2. Surgical Incision Options: Different incision options are available for implant placement, including inframammary (under the breast crease), periareolar (around the areola), transaxillary (through the armpit), and transumbilical (through the navel). Each option has its advantages and considerations. Discuss these options with your surgeon to determine the most suitable incision site for your specific case.
  1. Safety and Quality: Ensure that the breast implants you choose are FDA-approved and meet the safety standards set by regulatory authorities. High-quality implants from reputable manufacturers have undergone rigorous testing and have a proven track record of safety and reliability. Your surgeon will recommend trusted implant brands and provide you with information on their safety profiles.


Selecting the right breast implants is a collaborative process between you and your surgeon. Remember these 7 key things to consider . Implant type, shape, size, profile, texture, incision options, and safety are crucial in achieving your desired outcomes. Openly communicate your goals and preferences to your surgeon, who will guide you through the decision-making process and help you make an informed choice. Remember that every individual is unique, and your surgeon will tailor the selection to your specific needs, ensuring the best outcome for you. If you want to know more get in touch.

Mr Senthurun Mylvaganam

Consultant Oncoplastic Breast Surgeon 



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Breast surgery as any surgery is not without risk. These risks and the relative chance of them happening for you will differ dependent on the type of surgery you have and also personal risk factors. Risks of breast surgery can be early risks related to the surgery itself or longer term risks such as cosmetic changes related to ageing.

Infection and poor wound healing are a risk in all breast procedures whether it is for breast cancer or for cosmetic reasons. Cosmetic surgery has a lower risk of this but it is increased if you are a smoker or have other medical problems which may effect healing such as diabetes. Every breast procedure will have a long list of possible risks or complications however most of them can be quite rare.

Your surgeon will be able to guide you through the individual risks for your chosen procedure explaining about likelihood of occurrence and what that could mean for you if the complication occurs.

This can be a difficult question to answer. In the cosmetic setting your surgeon will listen to you about what you wish to achieve focusing on shape and volume. They will then examine and assess your chest frame to determine what range of implants are suitable for you to compliment your body shape without risk of long term poor cosmetic results.

Implants vary by brand, surface texture, volume and projection. The choices available within each of these categories can be extensive. The right implant for you will be based on a collaborative discussion between you and your surgeon to select the right implant, volume, shape and projection to be the best fit to meet your cosmetic needs.

Same day cosmetic surgery is generally very safe. Your surgeon will discuss with you specific risks which will be related to the surgery that is to be undertaken and the individual risks that may be more specific to you. This can often be related to any other medical conditions you have or if you are a smoker.

Following surgery you are observed for 2-4 hours afterwards to ensure you have recovered from the anaesthetic and there are no immediate post operative complications. If you are then deemed fit to be discharged you will be able to leave with further post operative instructions to guide you at home and also contact details should you experience any problems at home and need further medical advice. You will be required to have a responsible adult stay with you for the first night after surgery to be eligible to be discharged on the same day of your surgery.

The purpose of cosmetic and reconstructive surgery is different. Cosmetic surgery has a goal of improving the cosmetic appearance by complimenting and modifying the shape and/or size of your natural breasts. Reconstructive surgery is primarily considered for patients who may require or have a mastectomy(removal of all breast tissue). This can be for a number of reasons but primarily is for the treatment of breast cancer or risk reduction if patients have a gene defect making them much more at risk of developing breast cancer. Reconstructive surgery involves the recreating of a breast mound and shape. The cosmetic goals in reconstructive surgery can be quite different to cosmetic breast surgery due to the effects of cancer treatments and the loss of all breast tissue often preventing an optimal natural appearance to be achieved.

Both types of surgery can use implants and fat grafting but reconstructive surgery can also be undertaken by moving your own tissue from another area to recreate the breast.

If you are experiencing a breast symptom such as a new lump, skin or nipple change, nipple discharge, breast shape change, armpit lumps or breast/chest swelling in men then this clinic appointment will aim to address these and other breast symptoms. I will undertake a detailed assessment of the symptoms, screen for the need for genetic risk assessment and examine you. Based on this I will give you a clear explanation of that assessment.

I will inform you as to any diagnosis reached or the need for any imaging, which could be a breast ultrasound or mammogram to help reach that diagnosis. This may also be complimented by a tissue biopsy to confirm any diagnosis. Following any diagnosis I will discuss with you a plan of treatment or reassurance as necessary.

Breast symptoms are extremely common and can range from noticing a difference in the appearance or texture of your breasts to new lumps, nipple changes and breast pain. All breast symptoms should be reviewed by either your GP or a breast surgeon. However this does not mean to say that your symptom is likely to represent a worrying change such as cancer.

MOST breast symptoms are either the result of a normal variation in the tissues that comprise your breast or to a family of conditions that are collectively called benign breast disease. In my breast reassurance clinic I will be able to assess you and provide a diagnosis and explanation for your symptoms or if necessary, further assess the symptoms if a cancer is suspected. It is much more likely your breast symptoms are not due to breast cancer but please do be assessed for any new symptoms.

Choosing to have breast augmentation is a very personal decision. Your surgeon should guide you through this process. By doing this they should help you to decide firstly whether it is right for you and then guide you through your vision for the final look and how to achieve it. I always aim to really understand what the final desired appearance is wanted right up to the smallest detail. We discuss this based on the shape including cleavage, appearance in and out of clothes and then also volume. Following this discussion to achieve your look we may also discuss performing a small uplift as well as the use of implants.

I will always be honest about what can be expected and whether your vision of the final look is possible and responsible to achieve whilst respecting your body shape and frame. A library of my work will also be available for you to view. Beyond this it is also crucial that your surgeon discusses with you the potential risks of the surgery which should include short term and what may happen in the long term. With this entire discussion you will develop a rapport and relationship with your surgeon. You can then decide if that surgeon is the right one for you or not.

Breast augmentation surgery can be undertaken as a day case procedure. Hence you can go home the same day once you have had a period of observation after surgery. You will be fitted with a surgical bra and a binder which can be purchased by yourself or provided at the hospital. The binder provides gentle pressure from above the implants ensuring they remain in the optimal position whilst healing occurs. Please aim for about 4-6 weeks of recovery before getting back to anything strenuous such as the gym or long runs. If returning to work this can be done after 1-2 weeks but ensure you only undertake light manual labour activities.

I will ask you to wear the surgical bra as much each day and night as possible for 6 weeks to provide the best cosmetic result. Upon review during your recovery I will inform you as to when to remove the binder.



Breast Reassurance

Breast symptom assessment utilising the national standard of triple assessment (clinical hist...

Breast Cancer Care

Treatment of breast cancer including a full range of oncoplastic and breast reconstruction techniques.

Cosmetic Breast Surgery

Surgery to change the appearance of your breasts adjusting volume, shape and cleavage.