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Breast Augmentations & Implants
Hormone replacement therapy typically triggers breast development in trans women. Breasts will normally attain a size similar to those of other women in the trans woman's family, though this process can take years for fully developed breasts. That wait can cause a great deal of anxiety. Additionally, some women aren't satisfied with their breast size, even after years on HRT. There is also a small minority of cross-dressers and non-binary identified transgender people who want breasts, but do not desire taking hormones. For these and other reasons, breast augmentation may be an option to consider.
Types of Implants
The two primary types of breast implant currently on the market are saline and silicone gel.
Saline implants are made of a silicone shell that's surgically placed within the breast, then filled with a sterile salt water solution. Because they are filled after being implanted, they require a smaller incision. Unfortunately, they're also more likely to have cosmetic problems. Rippling in the implant or its outline being identifiable through the breast are the most common complaints. Women who have some breast tissue already present and have saline implants inserted beneath the muscle have the best results.
Far more popular across the world, the silicone gel implants commonly provide a more satisfactory look. As the implant is full of the gel when inserted, it requires a larger incision. Round and teardrop shaped implants (mimicking the shape of the breast when standing) are available.
The type of incision chosen will affect scarring, the potential for loss of sensation, certain complications, choice in implant, and general aesthetics.
The most common incision is the inframammary, where the breast is opened from below. This allows a larger incision for silicone gel implants, though the scarring may be visible and heal thickly. Women with larger natural breasts are more likely to be satisfied with this incision, as their breast tissue will naturally fold over the incision site and mask it.
Less common incision types are the periareolar and transaxillary. Periareolar incisions are around the border of the areola, which will help mask any scars. Because the incision is so small, it tends to be best for saline implants. Transaxillary incisions are through the armpit, which will leave no scars on the breast itself and provides an excellent approach to place the implants symmetrically.
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