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Breast Procedures

Saline or Silicone Implants

Our plastic surgeons in Destin commonly use breast implants filled with either saline or cohesive silicone gel. Dr. Burden and Dr. Ennis will help you choose the type and implant placement that is right for your breast enlargement goals.

Saline Implants

The popular saline breast implant is available in a wide array of sizes and shapes to accommodate various body types. High profile and moderate plus profile style are available for greater projection in the breast profile. Typically the profile is chosen based on numerous features of the breast and the desired cup size and therefore, should be discussed with your surgeon to determine what would be best for you.

Round breast implant shells come in 2 surface textures, smooth or textured. Smooth surface breast implants may be less likely to be felt through the skin and tissue and tend to ripple less than textured implants.

The smooth, round saline implant has been of the most popular implants for over 20 years – giving the breast a full, rounded look that adds greater dimension to the breast. It gives the breast a nice fullness at the top while maintaining the natural teardrop appearance. The saline implant is filled with salt water (saline) and therefore will go "flat" if it ever leaks. A deflation is very obvious to the patient. The limitation of the saline implant is that the larger the implant and the less breast tissue a woman has, the more likely it is to ripple or be felt underneath the skin. As long as a woman has adequate breast tissue to cover the implant, saline implants are an excellent choice. The saline implant is also adjustable and is a good choice for women with different size breasts (asymmetry).

Silicone Gel Implants

Is it safe? This is one question we still get from patients about silicone implants. In 1997, the Department of Health and Human Services began one of the most extensive research studies in medical history by appointing the Institute of Medicine of the National Academy of Science (IOM) to examine potential complications of silicone breast implants. In 2006, after rigorous scientific review, the U.S. Food and Drug Administration (FDA) approved the marketing of silicone gel-filled breast implants made by two companies for breast reconstruction in women of all ages and breast augmentation in women ages 22 and older. The implant has quickly become the implant of choice.

Dr. Burden has been an investigator and involved with the FDA approved study allowing women to receive silicone breast implants since 1997. Dr. Ennis joined the study in 2003. Both Dr. Burden and Dr. Ennis are among the top plastic surgeons in the nation in regards to placement of saline and silicone implants for women who want breast augmentation near Pensacola, Mobile and Montgomery.

Silicone Gel Breast Implant

The new silicone gel implant is more cohesive and therefore is less likely to leak into the tissues than the old liquid filled silicone gel implants.

The advantages to silicone implants are numerous. They offer a much softer feel and allow women with small breasts to have larger enhancements without the problems of rippling that can occur with saline implants.

Before & After Breast Implant Revision

Before & After Breast Implant Revision

This patient had very little breast tissue and underwent a submuscular breast augmentation with saline implants by an outside surgeon. The patient was unhappy with the rippling that occurred when she leaned forward. She subsequently underwent an implant exchange from saline to silicone at Destin Plastic Surgery and as you can see in the right hand picture, the rippling was significantly improved.

Choosing the Right Size Implant

Sometimes choosing an implant size can be the most difficult decision for a woman; however, there is typically a right size for each patient. The size should be determined based on the width of the implant rather than the volume. As an implant gets larger, the width becomes wider. The implants should be chosen based on the base width of the patient's breasts.

Before & After Breast Implant Revision

Before & After Breast Implant Revision

This patient underwent a submuscular augmentation by an outside surgeon and the patient was unhappy with the large space between the breasts and the lack of cleavage. The patient subsequently underwent an implant exchange at Destin Plastic Surgery to a larger (in essence a wider) implant. This nicely closes the distance between the breasts, greatly improving the cleavage.

This base width should be discussed with your surgeon and may be altered by using a moderate, moderate plus, or high profile implant based on the end result the patient desires. The higher the implant profile, the narrower the implant. It is important that the surgeon choose the proper implant to ensure the optimal result and optimal cleavage. It is unfortunate that many patients we see are breast implant revisions from other plastic surgeons that do not have the same experience as Dr. Burden and Dr. Ennis. Dr. Burden and Dr. Ennis have performed thousands of breast augmentations and will recommend a size and implant type that will give you a good result.

Investigational Studies

Drs. William Burden and Scott Ennis of Destin Plastic Surgery were appointed to the International Physician's Advisory Board for Mentor Corporation. Selection into this group is based on experience and volume in breast enhancement surgery. This elite group advises Mentor Corporation on their latest product development and practice management systems.

Additionally, Drs. Burden and Ennis of Destin Plastic Surgery, and Dr. Robert Rey of E!'s "Dr. 90210" fame were among a group of select plastic surgeons who met in Las Vegas to be briefed on the Becker adjustable gel implant clinical trials. Dr. Burden was one of only 30 plastic surgeons nationwide selected to participate in the trials.

The adjustable gel implant combines the benefits of the silicone gel implant with the adjustability of the saline implant. This implant is currently in use in Europe and Mentor Corporation will be seeking FDA approval in the United States. At this time, it is considered an investigational device and is only available in the clinical study. Drs. Burden and Ennis will be investigators in the clinical studies.

More Information about Breast Implants

For more information about the breast enhancement procedures, request a consultationrequest a consultation online to meet with one of our surgeons or call our office at (850) 654-1194. Located in Destin, Florida, we provide first-class services for patients from surrounding cities like Panama City and Pensacola, as well as neighboring states and international locations.

Dr. William R. Burden, MD, FACS and Dr. L. Scott Ennis, MD, FACS are known for their experience and dedication to staying in the forefront of leading technology in plastic surgery. They perform over a thousand breast procedures per year including many revisions from other places. Drs. Burden and Ennis not only treat many patients from the Florida panhandle including Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta, and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin to seek out their services.

Toll Free: (866) ENHANCE 4485 Furling Lane, Destin, FL 32541
Dr. Burden

Dr. William Burden

An internationally renowned plastic surgeon who draws patients from near and far.

Dr. Ennis

Dr. L. Scott Ennis

A renowned plastic surgeon devoted to achieving the optimal outcome for every patient.


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