Breast Implants

There are many options available when it comes to choosing breast implants. In the Sacramento area, Dr. David Kaufman is recognized as a breast enhancement specialist who provides natural-looking results. During your consultation, he will help you to understand all of your choices, such as silicone or saline, profile type, and the area of incision, and make recommendations based on your body type and goals. Our advanced VECTRA® 3-D imaging system is also available to help you envision what your body might look like with a variety of implant sizes and styles. Our goal is to help you select the breast implants that will help you attain the unique vision you have for yourself.

To learn more about your breast implant options, call our office in Folsom, CA at 916-983-9895 to schedule an appointment at Kaufman Plastic Surgery. You can also request a consultation online.

Before & After Breast Augmentation with Silicone Implants

Smooth, round, moderate-plus profile, silicone breast implants were used to give this patient full yet natural-looking breasts.

Before & After Breast Augmentation with Saline Implants

Smooth, round, saline breast implants were used to provide the look this 30-year-old patient desired. For more patient photos, visit our breast augmentation photo gallery.

Choosing Breast Implants with VECTRA Imaging

At Kaufman Plastic Surgery, you can “try on” a variety of implant sizes, shapes, and profiles with the sophisticated VECTRA 3D imaging system. With the aid of this technology, Dr. Kaufman can compare an image of how you look now with simulations of how you may look after your breast augmentation procedure. The VECTRA system eliminates the guessing game and improves communication between doctor and patient when choosing breast implants.

The photos to the left show a current image of the patient (left) and 2 possible results (middle and right) with different sizes of implants.

Learn more about our VECTRA imaging services.

Silicone or Saline

The outer covering of all breast implants, called the shell, is made of silicone; it’s the filling of the implant that can vary. Saline implants are comprised of saline solution, which is essentially saltwater and makes up about 70 percent of the human body. Silicone implants, which come in the form of a viscous gel (like a gummy bear candy), are inert and non-reactive. At Kaufman Plastic Surgery, more than 95 percent of our breast augmentation patients choose silicone implants.

Silicone vs. Saline Implants

Filling and sizingSilicone implants come pre-filled; therefore, the size cannot be adjusted. These implants come in many sizes so Dr. Kaufman can select the implant needed for your desired result. A different size can be used for each breast to adjust for pre-existing asymmetry, if needed.Saline implants are inserted into the breast pocket and filled through a plastic tube that is attached to a port. After placement, Dr. Kaufman can adjust the implant volume by adding or releasing saline (within a certain range). The fill tube is then removed and the port closed. Dr. Kaufman can make up for small differences in breast volume to achieve better symmetry.
FeelSilicone implants feel more like natural breast tissue than saline implants.Saline implants may feel firmer than natural breast tissue. These implants may slosh and ripple in women lacking enough tissue to cover the implant, as well as those with thin skin.
RuptureRuptures and leaks in silicone implants may be difficult to detect. If the implant shell is slightly damaged, it’s unlikely the gel will leak. Silicone that leaks may stay within the pocket (intracapsular leak) or migrate outside the pocket (extracapsular leak).If a saline implant ruptures, the leak can be fast or slow. You will notice deflation as your body absorbs the fluid. It’s a good idea to get your implant replaced within a month to avoid breast pocket changes.

Breast Implant Cost

When considering breast augmentation, it is important to know that there is a difference in breast implant prices, with silicone costing approximately $1,000 more than saline. A typical breast augmentation procedure with saline implants costs $6,000 as compared to $7,000 with silicone implants. Although cost is an important factor to consider when choosing implants, most patients find it more important to attain attractive, natural-looking results.

In order to keep our prices competitive, our practice offers financing options through ALPHAEON™ Credit and CareCredit®, two healthcare lending agencies that offer special terms for qualifying patients. Financing terms and interest rates offered are customized, and our practice subscribes to only a select few. We encourage you to call our office for details.

Breast Implant Size

One of the most important decisions women focus on as they plan their breast augmentation procedures is choosing the right size of implant, and that’s understandable. You’re considering surgery to change your shape for the better, and naturally you want to come through the process with the results you had in mind. To assist Dr. Kaufman in understanding your aesthetic goals, we suggest you bring in pictures of women whose bodies are similar to yours with breasts that appeal to you.

In the privacy of the consultation room, you will try on gel sizers of different volumes in a non-padded bra to see what the different options look like on your body and in clothes. Once you select a volume you’re comfortable with, we typically increase your size by 50cc because we have found patients lose volume when the implant is surgically placed behind the muscle. Finally, we match the volume you’ve chosen with your breast width and select an appropriate profile to achieve your desired breast size and shape. We also explore your breast implant options using the VECTRA 3-D imaging system.

Breast Implant Shape

The two primary shapes for breast implants are round and teardrop (anatomic), pictured below. The choice of implant shape is primarily based on patient preference.



For most women, we suggest round implants as they provide more volume at the top of the breast where most women lack tissue.

Although anatomic silicone implants offer women a final result with contours that are more similar to natural breasts (less volume at the top and more at the base), they are not suited for everyone. They are a great fit for women who prefer a more subtle enhancement, and because of their natural look, they are a great option for women undergoing reconstructive surgery.

Breast Implant Profile

When learning about implants, there’s a concept most women take a little time to understand, which is “profile.” Simply put, the breast implant profile is the degree to which breast implants project or “stick out” from the chest wall. At Kaufman Plastic Surgery, the implants Dr. Kaufman uses are available in a number of different profiles, and we will work with you to find the one that is best for your body and the overall look you are trying to achieve. The image to the right is a good example of different profile types, with the projection increasing from top to bottom. Profile is an important concept to understand because looking natural after surgery depends on the right combination of profile and base width, as well as volume.

For instance, if you have a larger frame, you will likely prefer an implant with a larger base width in order to fit your body and provide natural-looking results. On the other hand, if you’re a petite woman, you will need an implant with a smaller base width that complements your small frame.

Related Blog Articles

  1. Silicone vs. Saline Breast Implants
  2. So You’re Thinking About Getting Breast Implants …