Breast Implant Options

Dr. Richard D’Amico’s breast augmentation patients have many choices when it comes to their breast implants. Women appreciate that he takes the time to help them understand the available options and choose the size, shape, and fill material that is right for them. Dr. D’Amico served as co-chair of the Breast Implant Task Force established by the American Society of Plastic Surgeons® and has provided expert testimony to the FDA’s Breast Implant Advisory Panel. There are more breast implant options than ever, including subtle differences that Dr. D’Amico is uniquely qualified to explain.

What Are My Breast Implant Choices?

Many women considering breast augmentation in New Jersey understand they need to choose between saline and silicone implants, and they know they must decide how big they want their breasts to be. Other choices, however, could impact those options, including the shape, profile, and texture of the implants. Each of the options is explained below:

The goal is to give patients breasts that look as beautiful and full as they want and yet still look natural. This way the patient can manage her look, depending on the type of clothing that she chooses to wear for a given situation. She can look fabulous on Saturday night, but still look business-like at work on Monday morning*.


Silicone or saline? Those are essentially the options, although the different implant manufacturers each offer qualities unique to their brands. Saline implants are filled with a saltwater solution after the shell is inserted. Because the implants aren’t filled until after insertion, incisions are slightly smaller. Also, the size can be customized for each breast to address asymmetry.

Silicone implants, on the other hand, come prefilled with a cohesive gel that resembles the consistency of a gummy bear. Dr. D’Amico offers 2 kinds of “gummy bear” implants: Allergan Natrelle® 410 and Sientra® Silimed. Most women believe silicone implants look and feel more natural, but beautiful results can come from either material, and the decision is a personal one.


It seems simple enough that all women who want breast augmentation would like their breasts to be larger, but it’s not quite as easy as saying you want to go from a B cup to a C cup. Bra sizes are not an accurate breast measurement, so implants are measured in cubic centimeters, or cc. It’s also important to choose implants that are in proportion to your body. The final size is the patient’s decision. Dr. D’Amico can use his trained aesthetic eye to make a recommendation for what size will fit your frame. He will also evaluate the amount of existing breast tissue you have, which will be a factor in your decision. If you choose breast implants that are too large for the amount of breast tissue you have, you may be able to see or feel the implants’ edges.


All saline implants are round, but silicone implants can be round or teardrop-shaped. The teardrop shape is also called anatomical because it is designed to resemble the natural slope of a woman’s breast, with more volume at the bottom. One drawback of the teardrop-shaped implants is that if they rotate, they will appear unnatural. The Natrelle 410 implants Dr. D’Amico offers are this shape, and the Silimed implants can be either round or anatomical.


Breast implant surfaces are either smooth or textured. Some plastic surgeons believe textured implants reduce the risk of capsular contracture, a complication that occurs when scar tissue forms around the implant and hardens. Teardrop-shaped implants are always textured to help prevent them from moving within the breast envelope.


The profile of your breast implants is probably the least well-known option that you need to consider. Profile refers to how your breasts will appear from a side view. Advances in breast implant options include the ability to choose how far the implants will project from your chest. This is different than the size of the implant, although it is related. Implants come in low, moderate, and high profile. Dr. D’Amico will take careful measurements of your body and recommend an option that incorporates your aesthetic goals. It determines the forward projection of the breast (i.e. how far they “stick out” in profile).

Getting Started

The first step in achieving your cosmetic goals is to request a consultation with Dr. D’Amico, servingthe New York metro area. He enjoys spending time with you one-on-one to understand your objectives and give his professional opinion about the procedures that are best for you. You will never feel pressured to choose surgery and you will even have a second consultation visit (included with your fee) to bring along family or loved ones and ask follow-up questions. The consultation fee is applied toward any surgical procedure you choose. We are also happy to schedule appointments by phone by calling (201) 567-9595.

If you want to learn more about getting breast implants in the New York metro area, please view our Breast Enhancement FAQ page.

* = Results may vary