Breast Implant Options and Breast Implant Surgery Choices in Melbourne

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Types of Breast Implant for Breast Implant Surgery in Melbourne

When it comes to your breast surgery procedure, there are many choices that need you will need to make. If you are seeking a larger breast size through augmentation using implants, the first thing to consider is what type of implants you will choose in terms of the inner-fill materials.

Breast Implant Brands

While there is a large range of Breast Implant Manufacturers – Mentor and Motiva produce High-Quality Implants. Coco Ruby Surgeons mostly use Motiva implants.

1. Breast Implant Fill Material options – Saline and Silicone Implants  


All modern breast implants these days have a rubberised silicone outer shell, no matter the fill material is used.

There are two types of fill material:  

  • Saline (saltwater)
  • Silicone gel

Saline-Filled Breast Implants

Saline-filled implants have a ‘water bed’ feel. They have also been known to cause a ripple effect for some patients. If you have small amounts of breast tissue in the beginning, then rippling of the tissue might be visible through your breast skin.

You can reduce these problems by using smooth surface round implants that have been overfilled (still within the manufacturer’s specifications). This results in an implant that is firmer to the touch. However, the implants may also look spherical. This is not necessarily a very natural appearance but individual preferences on breast appearance vary significantly. Additionally, if saline implants do deflate, they often do so within a few hours. Fortunately, the body can easily absorb the saline solution.

Silicone Gel-Filled Breast Implants

Silicone Gel-filled implants have a lower incidence of rippling in comparison to those with a saline filling. This is due to the consistency of the silicone gel. Furthermore, the design of these implant so a more natural feel, that is comparable to that of natural breast tissue. They are also known to hold their shape better than many saline-filled implants. These implants tend NOT to deflate; however, they can rupture in rare instances or in cases of trauma to the chest.  If an implant with a gel-filling does leak or rupture, it increases the resk risk of Capsule Contracture or hardening of the breast (read Risks to Consider).

The History of Breast Implant Types: Silicone and Saline

Saline-filled implants were popular about two decades ago when there was controversy about the quality of some implants with a silicone-gel-filling.  Those concerns are no longer valid today because of the advancements in implant manufacturing over recent decades.

Our Team still offers implants with a saline filling as an option, despite the fact that silicone implants are now the more popular option. Before you choose an implant type, it’s best to understand the differences in terms of appearance and potential complications and to speak to your chosen Plastic Surgeon at length about which one will best meet not only your breast enlargement aims but also your physique and existing breast tissue.

2. Breast Implant Sizes

Breast Implant cc size

We use high-quality implant manufacturers. As mentioned above, our implant suppliers, including Mentor and Motiva. They can supply hundreds of different implant volumes in various dimensions. Saline-filled implants can be filled after they have been inserted into the breast pocket. Whereas, silicone gel implants are made as a whole. The wide variety of choice available means you and your surgeon should be able to select the ideal implant shape and size just for you.

3. Breast Implant Profiles (Implant Projection)

Implants are usually available in 3 or 4 heights to aid breast projection; Motiva offer Mini, Demi, Full and Corse Profiles.

Breast IMplant choices Breast Implant Surgery

4. Breast Implant Surface – Smooth or Textured

Implants can have a smooth surface or a textured surface. Smooth-surfaced implants feel softer than textured surfaced implants and are relatively easy to insert. However, textured implants, have a slightly lower possibility of capsule contracture. There is a full range of smooth to heavily textured implants (Grades 1 to 4).

Furthermore, textured implants can reduce the risk of implant movement due to the rough surface allowing surrounding breast tissue to adhere to the implant. Textured implants are important if you are choosing anatomically shaped implants versus round implants. But it is important to discuss your best options and the outcomes you desire with your Plastic Surgeon Breast Surgery Specialist.

Textured Implants have fallen out of favour with fears of BIA-ALCL. Coco Ruby Surgeons almost exclusively use Motiva Smooth Implants.

5. Breast Implant Shape – Round or Anatomical

Breast Implant Texture

The shape of the implant is something that needs to be taken into consideration as well as the material and size. Implants are available in a round shape or anatomical (teardrop) shape. In women who have a moderate amount of breast tissue, it can be difficult to tell whether an augmentation has been performed with either round or anatomically shaped implants.

In general, anatomical implants tend to be more versatile, however, this depends on the outcome you desire. They can be chosen to provide more height to the augmentation and can provide more contrast between the shape of the upper and lower part of the breast.

Anatomical implants must have a textured surface to reduce the amount of implant movement within the breast pocket. Round implants, however, are available in both smooth and textured surface.

If a round implant rotates in your breast pocket (where your implant is placed during your Surgery), it will not affect your breast shape. However, if an anatomically-shaped implant rotates within your breast pocket, then it must be re-positioned to restore its natural appearance.

6. Breast Implant Placement – Where is the implant located

There are three options for positioning implants in the breast: In front of the pectoral muscle (Subglandular), behind the pectoral muscle (Submuscular), or partially behind the muscle (Dual Plane). Each method has its advantages and disadvantages. The criteria taken into deciding which method is right for you are;

  • Quality of your skin
  • Size of the gland
  • And the development, size, and strength of the pectoral muscle.

In order to determine which is the best option for you, you will need to have a consultation with your surgeon. During the consultation, your surgeon will examine you in order to determine the best method.

Positioning the implant under the pectoral muscle (submuscular positioning) results in more natural results,. This is because the implant is more difficult to notice and feel. The downside is that this type of procedure is somewhat more complex, slower to recover, and if you need revision surgery, accessing the implant is more difficult.

Positioning the implant in front of the muscle (subglandular positioning) is a simpler procedure, less painful, and recovery is slightly shorter and easier. But implants that are placed in front of the muscles are more visible and easier to feel through the skin. In patients who already have sufficient breast tissue size, this may be the best choice since the implant will not be as obvious. They are also most likely to sag over time.

The Dual Plane technique is a somewhat newer method. The upper part of the implant is covered with muscles and cannot be felt under the skin. While, the lower part has a very nice, almost natural shape thanks to your natural soft breast tissue. This technique may be the perfect choice for patients of smaller build with smaller breasts, who are choosing between traditional breast augmentation and breast lift.

7. Breast Implant Incision Type and Scars

Breast surgery regardless of the type is impossible to perform without creating an incision. But, thanks to the most modern methods, experience, and knowledge of our Surgeons, it is possible to minimize the size and appearance of scars. With the correct course of recovery and healing, it is possible to further reduce the visibility of scars caused by the placement of implants in the breast. Also, certain breast augmentation techniques place incisions in less visible places, such as the armpit area and the areola line.

The most commonly used methods of placing implants in the breast are:

Transaxillary Incision (Armpit Implant Incision)

  • The Transaxillary Incision method allows a specialist surgeon to insert an implant through the armpit, thus “hiding” the incision.
  • However, this approach, although at first glance has an advantage over other methods, is rarely chosen.
  • For detail and further explanation as to why this is the case ask your Surgeon.

Periareolar Incision

  • This approach is performed through a semicircular incision around the lower half of the areola (the tissue that surrounds the nipple).
  • Thanks to the areola, the incision line is hidden and less visible than in other approaches.
  • However, the disadvantage of this procedure can be complications related to; the loss of sensation in the nipples, and the inability to breastfeed. Which makes this method unpopular among women who are planning on becoming mothers.

Inframammary Incision

  • Inframammary Incision is the most popular and most commonly performed method of implant placement.
  • The incision is made in a natural fold located at the transition of the breast to the chest.
  • This approach enables the easiest insertion of the implant in the pocket. As well as the best control of bleeding or hemostasis.
  • It is characterized by raising or elevating the nipples by a few centimetres in relation to the preoperative position of the nipples.
  • The size of the scar itself largely depends on the size of the implant used for this procedure.

FAQ about Breast Implants and Breast Implant Surgery

What type of breast implants feels more natural?

Silicone implants have the most natural feeling to touch. Thanks to their silicone filling, they mimic breast tissue, and as such is the best choice for those who value the feel as well as the look itself.

What are the alternatives to breast implants?

Fat transfer, also known as fat grafting is a surgical procedure in which fat tissue is taken by liposuction and then used to restore the contour of the body by adding volume (enlargement) to soft tissue deficient areas. However, this method cannot truly be a substitute for augmentation with implants. This is because the degree of augmentation has its limits and is unpredictable.

What is the most common breast implant type?

  • In the USA, the most common breast implant type used is silicone implants. With 88% of all breast implant surgeries using silicone implants. While Saline implants made up the other 12% of cases.
  • In Australia, nearly all of the implants used are silicone, with very few surgeons offering saline implants.

When do you need to replace breast implants?

  • The FDA, the agency that also approves implants for use and sale on the market, recommends you replace your implants every 10 years, regardless of the type (silicone and saline). Although modern Motiva implants have a lifetime warranty, many patients decide to change the implants in order to “refresh” the appearance of their breasts, which can change over time due to ageing, weight changes, pregnancy, and the like.

How safe are breast implants?

Thanks to the special nano surface of Motiva’s implants, the chances of inflammation of the breast tissue surrounding the implant are reduced. The most common area prone to implant rupture is the seal, which is commonly a different material. However, with Motiva implants, the seal is the same material as the rest providing equal elasticity in all areas.

How hard can you squeeze and pull implants?

The ideal implant can be compressed and stretched without fracturing, Motiva implants are extremely elastic and can be compressed and stretched without negative consequences, up to 450% of its size, which is a breaking point.

How do I know if the Implant is ruptured?

Breast implants can rupture. Although this is a rare case (with Motiva implants less than 1% per 1,000,000 patients), it is still possible. There are two types of implant rupture. The first type is very easy to notice, as there are visible signs on the chest in the form of a lump. Another way, the so-called silent rupture, gradually releases the contents of the implant. Therefore, the manufacturers and our specialist surgeons suggest frequent check-ups and breast scans in order to detect a ruptured implant in time.

Breast Implant Surgery Costs and Prices in Australias


Good surgery by highly experienced Plastic Surgeons isn’t cheap Surgery, but you only have ONE body.  We encourage patients to get the results they are seeking from their FIRST Surgery experience, not a revisional surgery.

Remember that you’re worth the leading Specialist Plastic Surgeons. You want to ensure that your getting the best. Read more about the ways patients can fund their surgery or save up for their procedures by visiting our Pricing Pages or Breast Implant Surgery Payment Plans

How to get Breast Implant Surgery

The first step to getting implants is to contact our Clinic to organise an appointment with a Specialist Plastic Surgeon. Our Team has top Plastic Surgeons with extensive experience.  Our Plastic Surgeons exceed national requirements for qualifications for Cosmetic procedures and all are fully-qualified Plastic & Cosmetic Surgeons (not simply cosmetic surgeons).  They are fully qualified to operate in hospitals (not back rooms) and have decades of expertise in Breast Surgeries, including revisions, augmentations, lifts, reductions and implant removal and replacement.

So you can trust the excellent quality of our leading Plastic Surgeon team and Surgical Support Staff. You’ll have peace of mind knowing you’ll be getting excellent and precise pre-surgery planning along with the best post-operative care protocols.  These include the latest in scar minimisation treatments and healing treatments, such as Fraxel, Healite II and Rapid Recovery Packs.

If you’re in or around Melbourne, you can’t ask for a better experience. Even if you’re not based in Melbourne, we can still take care of your breast augmentation needs. Many women travel to us because they want the best.  Visit our Interstate & International Patient pages for more information about how Our Specialist Plastic Surgeons on our team might assist you with your Breast Surgery.

Our Surgeon’s avoid using drains for most breast augmentation procedures, which makes your healing journey just a bit more comfortable. We customise every procedure. This helps you get the best breast enlargements possible for your specific frame and augmentation goals. Our Plastic Surgeons operate at accredited major hospitals in Melbourne and Sydney using only experienced Anaesthetists and a top Surgical Support Team.

Further Reading – Medical References

Coco Ruby’s Specialist Plastic and ENT Surgeons

With a wealth of experience and training, our Specialist Plastic Surgeons are dedicated to best practice patient care and education, customising Breast Enlargement Surgery for each and every patient to best meet their needs and desired surgical outcomes.

coco ruby specialist plastic surgeons 

What to do next?

Our Patient Liaison Team can assist with any questions you may have when considering a procedure. You can send in an enquiry form below or call our Melbourne Clinic between 9 am – 5 pm Monday to Friday.

Phone 1300 264 811, Email us: or Book a FREE 15-minute Phone Chat with our Patient Liaison Manager or a Virtual Consultation with a Surgeon.

Disclaimer: Results depend on individual patient circumstances and can vary significantly. Results may also be impacted by a variety of factors including your lifestyle, weight, nutritional intake and overall health. Consult your Specialist Plastic Surgeon for details. This information is general in nature and is not intended to be medical advice nor does it constitute a doctor-patient relationship. Surgery risks and complications will be covered in detail during a consultation with your Surgeon.