Breast Augmentation in New Jersey: Explore Your Implant Options with Dr. DiBernardo

by | Mar 29, 2019 | Plastic Surgeon Feature

New Jersey board-certified plastic surgeon Dr. Barry DiBernardo is one of the top plastic surgeons in the nation. At New Jersey Plastic Surgery® in Montclair, New Jersey, he serves as medical director and provides cosmetic treatments like breast augmentation and injectables. Dr. DiBernardo works hard to help women enhance their natural beauty and gain confidence. Choosing between saline implants, silicone implants, and structured implants may feel overwhelming. That is why Dr. DiBernardo sat down to explain the difference between breast implant types, and what you can expect from each.

Saline Breast Implants

You may know someone with saline breast implants, as they were the only FDA approved choice for many years. Dr. DiBernardo explains more about these breast implants:

“Saline implants we had used for many years. They come empty and they’re filled with saline, a liquid. They feel more like a water balloon, not as much substance inside. But the nice thing about them is, if they leak or rupture, which is rare, but it could happen, saline, which is part of your body, would leak out and you’d notice it right away. Easy to know there’s a rupture.”

If you’re considering breast augmentation in New Jersey, saline breast implants may appeal to you because of their natural filling. Many women enjoy knowing their implant is filled with a liquid that will be naturally absorbed by their body.

Saline breast implants are inserted into the breast pocket as empty shells then filled after they are placed. This can be beneficial in two ways. First, the implant can be rolled up to fit into a small incision and therefore cause less scarring. Second, your surgeon can adjust the amount of saline he fills the implant with during surgery. This type of adjustment addresses asymmetry more precisely.

When weighing the benefits and compromises of saline breast implants, keep the following in mind:

  • Saline breast implants are filled with saline, which will be naturally absorbed by your body if the implant ruptures.
  • They are FDA approved for women 18 and over.
  • Ruptures are easily detected by simply looking at the breast.
  • They are filled after placement for a smaller scar and less asymmetry.

Silicone Gel Breast Implants

Next, Dr. DiBernardo tells us about one of the most popular breast implant types, “Silicone gel implants were available even way before the salines, but they were more of a liquid and they had certain problems. The new type of gel implant is called a cohesive gel. It feels more natural, it feels more like a breast.”

Silicone gel breast implants, sometimes referred to simply as “silicone implants,” used to be made of a less cohesive gel, with the consistency of syrup or honey. If that gel leaked out of the shell it could easily migrate around the body and create a sticky mess. When these implants began to cause issues for women’s health, the FDA investigated. That is why saline breast implants were the only safe choice for women until the early 2000s. When silicone gel breast implants were reintroduced and FDA approved they were made of a more cohesive gel. This new type of gel gave silicone gel breast implants the nickname “gummy bear implants.” As Dr. DiBernardo pointed out, silicone gel breast implants feel and move more like real breasts.

While the new gel is more cohesive, Dr. DiBernardo explains that this can cause its own problems for women, “Although it feels very natural, if this did have a rupture of the wall, you would not be able to know there is a leak because it doesn’t lose volume, it sits there. You’re supposed to get MRIs every few years to detect if you have what’s called a silent rupture.”

What should you do if your silicone gel breast implant ruptures? According to the FDA, ruptured silicone gel breast implants should be removed, whether or not they are currently causing symptoms. The FDA states, “Silicone gel that leaks outside the capsule surrounding the implant may travel (migrate) away from the breast. The leaked silicone gel may cause lumps to form in the breast or in other tissue, most often the chest wall, armpit or arm. It may be difficult or impossible to remove silicone gel that has traveled to other parts of the body.”  

Knowing about silent ruptures makes many women uncomfortable with silicone gel breast implants. In fact, a recent survey found 98% of women reported they would be somewhat to constantly concerned about silent rupture with silicone gel implants. Before your breast augmentation in New Jersey, make sure you have all the facts about breast implants so you don’t find yourself dealing with anxiety about the status of your implant.

When considering silicone gel breast implants remember the following:

  • Silicone implants are FDA approved for women 22 and over.
  • These implants offer a beautiful, natural looking result.
  • They are more cohesive than the old gel, but still may cause problems if they rupture.
  • The FDA recommends MRIs every few years to detect a silent rupture, this cost is not typically covered by insurance companies.
  • If your implant ruptures it may be silent. Not knowing the status of your implant may cause anxiety.

IDEAL IMPLANT® Structured Breast Implant

The newest breast implant on the market, the IDEAL IMPLANT Structured Breast Implant, was approved by the FDA in 2014. Dr. DiBernardo explains how the IDEAL IMPLANT Structured Breast Implant brings a much needed alternative to saline and silicone implants

“It’s actually a new category. We have saline, we have gel, and what is called a structured implant. Structured because when I squeeze it, it feels more like a gel, but it’s filled with saline. Why does it feel more like a gel? Because it has chambers and baffles and it has structure to it. It has structure that holds it up, it gives it form, and that also gives it the ability to have very good statistics against some of the problems like capsule formation, which is hardness around an implant. But when it comes to rupture they don’t need to be monitored with the MRIs because it’s still a saline implant. These are becoming more popular because they have the feel of a gel, but the safety profile of a saline.”

IDEAL IMPLANT Structured Breast Implants successfully address major concerns women have with saline and silicone gel breast implants. Since they are filled with saline, women do not need to worry about silicone gel leaking into their breast tissue. There is no need for repeated MRIs. Rupture detection is easy, and saline is naturally absorbed by the body if a rupture occurs. IDEAL IMPLANT also offers a beautiful, natural looking result that was not previously possible with a saline-filled implant. The internal structure means it keeps its shape and does not ripple or wrinkle.  The IDEAL IMPLANT Structured Breast Implant has combined the best parts of saline and silicone gel breast implants so women can feel confident and worry free after their breast augmentation in New Jersey.

Remember these things when considering IDEAL IMPLANTS for your breast augmentation:

  • IDEAL IMPLANT Structured Breast Implant is FDA approved for women 18 and over.
  • It is filled with saline, which is naturally absorbed if the implant ruptures.
  • Ruptures are easily detected by simply looking at the breast, there is no need for expensive MRIs.
  • They are filled after placement for a smaller scar and less asymmetry.
  • The internal structure gives the implant a natural look and feel.
  • It has one of the lowest rates of rupture and capsular contracture on the market.

What You Should Know About Breast Implant Complications

Breast augmentation, like any surgery, comes with risks. For many women, these risks are outweighed by benefits like increased self-esteem, confidence, and the freedom to be themselves. It is important to know about the risks so that you can set realistic expectations and plan for your future. Your risks will vary depending on your choice of saline implants, silicone implants, or IDEAL IMPLANTs. The most common complications include rupture and capsular contracture.

The FDA recommends removal and replacement of any ruptured breast implant, whether saline, silicone gel, or structured. For saline implants and the IDEAL IMPLANT, a removal is as simple as removing the implant shell. Silicone gel breast implant removal can be messier, especially if the silicone gel has traveled outside of the breast pocket. How likely are you to encounter this complication? According to FDA clinical trial data silicone gel breast implants have rupture rates as high as 13.6% in the eight years after a primary augmentation. IDEAL IMPLANT Structured Breast Implants have one of the lowest rupture rates of any breast implant at 2.1%, in the eight years after a primary augmentation.

Capsular contracture happens when the tissue around the breast implant begins to tighten and harden. This can cause the breast to look misshapen and feel painful. It is not known what causes capsular contracture, but different breast implant types have different rates of capsular contracture. In the top silicone gel breast implants, capsular contracture rates range from 11.2%-16.2%, in seven-to-eight years after a primary augmentation. IDEAL IMPLANT Structured Breast Implant has a capsule contracture rate of only 6.6%, 8 years after a primary augmentation.  Knowing these statistics before your breast augmentation in New Jersey will help you make an informed decision.

Increased Peace of Mind with the IDEAL IMPLANT® Premium Protection Plan

The IDEAL IMPLANT Structured Breast Implant already offers beautiful results and a lower rate of complications. But now women can have increased peace of mind with an optional protection plan. The IDEAL IMPLANT Premium Protection Plan gives women best-in-class financial protection after a breast augmentation with the IDEAL IMPLANT Structured Breast Implant. Most insurance companies do not cover cosmetic surgery, or any complications that occur after a cosmetic surgery. This means if you encounter complications such as infection or rupture you will be responsible for paying for them out of pocket.

With the IDEAL IMPLANT Premium Protection Plan you receive the following benefits:

  • $10,000 in financial assistance during the first 60 days after your breast augmentation to address complications such as bleeding, infection, and more.
  • $5,000 in financial assistance during the first year, and each renewal year, for capsule contracture, deflation, insertional scar revision, and related events.
  • Replacement implant after a deflation for life, and 10 years for capsular contracture.

The IDEAL IMPLANT Premium Protection Plan is renewable yearly for life. It costs only $189 for the first year after a primary augmentation, and is renewable annually for $79. With this one of a kind plan you are ensuring peace of mind for years to come. More details can be found at This plan is only available through board-certified plastic surgeons. Talk to Dr. DiBernardo to enroll before your breast augmentation in New Jersey.

Learn More About Your Options At New Jersey Plastic Surgery®

Learning about your breast implant options can feel overwhelming, and that is normal. Even with all the facts and statistics, you may feel unsure about which breast implant to choose. Dr. DiBernardo reassures his patients, “when we meet with you as a patient we go through all options as we customize all procedures for you and we welcome you to come in for a consultation.” At your consultation with Dr. DiBernardo, you will be able to see and feel each breast implant for yourself. It is also helpful to look at before and after pictures of women with similar body types to you so you can set realistic expectations.

Whether you choose saline implants, silicone implants, or IDEAL IMPLANT Structured Breast Implants, the most important thing is for you to feel comfortable with your decision. Your breast augmentation should allow you to feel freedom, not anxiety or discomfort. When you’re ready to make this positive change for yourself, call Dr. DiBernardo to learn more about your options.Considering breast implants in Montclair? Contact Dr. Barry DiBernardo today to discuss your options. Simply call 973-509-2000, or visit Dr. DiBernardo’s office is located at 29 Park Street, Montclair, NJ 07042. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.