Breast Implant Options Fort Worth

If you are considering your options for breast augmentation, Fort Worth plastic surgeon Dr. Louis L. Strock has the knowledge and experience to help you select the best breast implants to suit your personal needs. Whatever your body type may be, Dr. Strock has the proven ability to ensure your results look natural and proportional, with the added option of having your implants placed with no incisions on your breasts, thanks to his expertise with transaxillary (armpit) incision breast augmentation. Additionally, Dr. Strock offers you all breast implant choices that he feels are the best of the latest technology from all major breast implant manufacturers!

Dr. Strock is a board-certified plastic surgeon (American Board of Plastic Surgery) who has achieved national and international recognition for his cosmetic breast surgery techniques. He has demonstrated his breast augmentation techniques by performing live surgery at the prestigious Baker Gordon Cosmetic Surgery Symposium, the Southeastern Society of Plastic and Reconstructive Surgeons Atlanta Breast Symposium, and most recently at the Beauty Through Science Aesthetic Medicine Congress in Stockholm, Sweden. He will take the time to educate you on your options for breast implants — which include the filler type (all cohesive silicone gel, ranging from the softest gels to the thicker but more firm “gummy bear” implants, and in between), shape (round or shaped), and surface type (smooth or textured rough surface). You will benefit from his expertise to guide you to the options and choices that best fit your needs. Dr. Strock has performed these procedures for over 20 years and enjoys access to the latest information and technologies to provide the best procedures with the easiest recovery possible. While he has close relationships with implant manufacturers and has helped with product development, he has expertise with multiple device lines from all the major manufacturers. In addition to helping you to customize the procedure to fit your personal preferences and needs, Dr. Strock also offers a TRUE CHOICE of incisions that include the transaxillary (armpit incision), inframammary (base of the breast), and periareolar (nipple incision), regardless of device type chosen. He will work with you to make informed and confident choices that work for your body and your lifestyle.

If you would like to meet with Dr. Strock to discuss your breast implant options, please feel free to request a consultationrequest a consultation online, or call our office at (817) 335-1616 to schedule an appointment.

Gummy Bear” or Highly Cohesive Gel

Silicone gel breast implants are the most popular choice for breast augmentation worldwide because of a more believable and natural feel that is similar to breast tissue. These devices contain silicone gel that is more solid, also referred to as “cohesive gel.” All currently available silicone gel implants have cohesive gel, but they differ in their consistency. Some are thicker, or more cohesive, depending on the device type and manufacturer. You will be able to choose, with Dr. Strock’s guidance, whether you would like the softest gel, or more firm “gummy bear” gel that will give your augmented breasts a more firm feel. There are also some of the newest gel devices that offer a more firm feel by adding more gel to the breast implant, and others that offer a different and more flexible material to maximize a more naturally behaving device after implantation. These are examples of the issues that Dr. Strock and his team will help you choose the best approach for you. Dr. Strock’s familiarity with multiple manufacturer lines assures the most customized and personalized approaches to fit your needs

Dr. Strock and Gummy Bear Implants

Dr. Strock has extensive experience using the popular highly cohesive silicone gel implants nicknamed “gummy bear” implants dating back to 2001. The first versions of “gummy bear” implants were shaped, and have since become available in smooth wall forms with a wider spectrum of gel thickness, which helps to determine how firm each implant type will feel for each patient. Dr. Strock’s practice served as a study site for clinical trials for the original versions of gummy bear implants beginning in 2001, and has recently started a new trial for a softer and more flexible gel device with a nano-textured shell, which combine to give these devices a unique feel that can appeal to many patients. Clinical trials are a critical part of the FDA approval process, and only a select group of board-certified plastic surgeons specializing in breast augmentation was invited to participate in such breast implant studies.

It’s important to note that the cohesive gel used in current breast implants is different than the thin liquid material that filled many earlier generations of silicone implants. The thickest gel available now is called “highly cohesive,” which retains its shape even if removed from the outer shell. This group of devices, also known as “gummy bear” implants, tends to dictate shape to overlying breast tissue, which can be desirable for many patients. This group of devices, also known as “gummy bear” implants, tends to dictate shape to overlying breast tissue, which can be desirable for many patients. When you meet with Dr. Strock for your consultation, you can handle the various implant options to feel the differences between types of silicone gel implants.

“Dr. Strock is amazing!!!…He’s very knowledgeable about what implants will work for you according to your body and what size will look perfect.”

Amber, user

Structured and Saline Breast Implants

Structured breast implants are an alternative to silicone gel that uses multiple device shells with an inner saline lumen to create added softness and less ability to feel device edges as compared with conventional saline breast implants. Early studies with these devices have shown low complication rates.

Traditional saline implants are an appropriate choice for some patients. Like silicone gel implants, they have a shell made of silicone, but are filled with medical grade saline solution. They are less expensive than silicone gel implants, and because they are filled after insertion, the incision is slightly smaller than what is needed for cohesive gel implants. Many patients find that saline implants feel somewhat less natural than silicone gel implants, and that the device edges can more often be felt beneath the skin of the breast. However, Dr. Strock offers all incision choices – including the transaxillary, or armpit incision – for all types of implants.

Moderate, Moderate Plus, or High Profile?

The profile of a breast implant is an important but sometimes misunderstood issue. This refers to how much the implant projects from the chest, and your ideal profile corresponds to the dimensions of your body and aesthetic goals. Both round and shaped device types are available in moderate, moderate plus, high profile and extra high profile versions, depending on the device type and the specific manufacturer. Both round and shaped device types are available in moderate, moderate plus or high profile versions. Higher profile devices will project more than moderate profile devices. If you seek a conservative, more natural appearing look, moderate and moderate plus devices are usually preferred. Alternatively, a more fully round look can be accomplished using a higher profile device. It is important to note that the profile will differ somewhat depending upon the type of gel and the degree of gel fill, which differs between manufacturers. This is why Dr. Strock’s expertise with multiple manufacturers and multiple device lines is so important to guide you to the outcome that you would like to achieve!!!

Shaped or Round?

You will be able to choose round or shaped breast implants. Both device types are available in moderate, moderate plus or high profile versions (see below). Shaped implants are designed to mimic the breast’s natural teardrop shape, and create a sloped breast with more fullness at the bottom. Shaped implants also require specific planning and selection of device height. This can offer an important option for manny patients but is frequently overlooked as an option. While many view shaped implants as more natural appearing because of the teardrop shape, they may or may not give a more natural appearing result, depending upon how much tissue is present over the device. You may choose round or shaped breast implants, depending on your cosmetic goals and your anatomy. These issues are reviewed in great detail during your personal consultation with Dr. Strock.

Dr. Strock has extensive experience using most breast implant device types available. Below are examples of different profiles of smooth round cohesive silicone breast implants:

Breast Implants from Mentor®

MENTOR® MemoryGel® Breast Implants

Smooth or Textured?

The surface of the implant shell can be either smooth or textured. Textured device surfaces have varying degrees of “roughness” depending upon manufacturer and device type. There are important differences between manufacturers on how texture is created on a breast implant that result in meaningful and important differences in results depending upon which device type is chosen. The body creates a fibrous capsule that surrounds the implant, and the texture is intended to promote the adherence of the capsule to the implant. This can serve to stabilize the position of the implant, which can be helpful to avoid unwanted device movement. Textured, shaped, highly cohesive silicone gel “gummy bear” implants have been shown, in some studies, to have lower rates of implant firmness, or capsular contracture, compared with smooth devices. All shaped implants have a textured device shell to prevent them from rotating within the breast pocket, but rotation can occur on occasion and is a complication unique to shaped implants. Dr. Strock will walk you through the advantages and drawbacks of both textured and smooth implants during your consultation.

While breast implant options can seem a bit overwhelming, Dr. Strock will help you arrive at a comfortable decision based on his extensive experience and access to the latest information and innovations. He will work with you to navigate all of your implant choices, and ultimately choose the right type, size, shape, and profile to create the results you’re seeking.

Click for information about a Motiva® Breast Implant Clinical Trial