Kent V. Hasen, MD: Aesthetic Plastic Surgery & Med Spa of Naples
3699 Airport Pulling Road North
Naples, FL 34105
Phone: (239) 262-5662
Monday: 8:00 a.m. – 6:00 p.m.
Tuesday - Thursday: 9:00 a.m. – 5:00 p.m.
Friday: 8:00 a.m. – 4:00 p.m.
Breast Implant Options
Board-certified plastic surgeon and breast augmentation specialist Kent V. Hasen, M.D. offers his patients a variety of options when it comes to choosing breast implants at his practice in Naples. Women from Fort Myers, Bonita Springs, Estero, Cape Coral, Marco Island, and surrounding southwestern Florida cities appreciate having the latest choices in saline and silicone implants, as well as flexibility in implant size and placement.
To review your breast implant choices with Dr. Hasen at his practice in Naples, Florida, request a consultation online or call (239) 262-5662 today.
Breast Augmentation
Before & After Photos
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Breast Implant Fill Options
Implants can be filled with either sterile saline solution or silicone gel material. Dr. Hasen offers only smooth-surface, round, FDA-approved implants, including:
- Motiva SmoothSilk® Round and Motiva SmoothSilk Ergonomix® breast implants have an innovative implant surface and highly cohesive silicone gel for enhanced comfort, safety, and satisfaction. (Learn more.)
- Natrelle® INSPIRA® SoftTouch and Natrelle® INSPIRA® Cohesive (sometimes referred to as “gummy bear” implants) silicone gel implants provide different degrees of doughiness.
- Mentor® MemoryGel® cohesive silicone implants provide a soft, natural feel.
- Mentor® MemoryGel BOOST™ highly cohesive silicone gel implants have a specialized implant shell design that maintains upper pole fullness.
- Mentor® saline implants, filled after placement with sterile saltwater, feel firmer than silicone gel.
There are benefits and drawbacks for each implant fill type.
Special Offers & Events
Learn MoreSilicone Implants
- Advantages: There is less palpability, wrinkling, and ridging of the implant compared to saline-filled implants. For this reason, silicone implants look and feel more natural. Additionally, they can be placed in a more superficial plane (i.e., under the breast, but above the muscle) without the same issues of visibility as saline breast implants.
- Drawbacks: They have higher rates of capsular contracture and implant rupture, present a risk of silent rupture, and require larger incisions since they are pre-filled. With silicone implants, it’s also harder to detect implant shell ruptures.
Saline Implants
- Advantages: Can be placed through a smaller incision because they are rolled up and filled after insertion, the size can be adjusted intra-operatively, they have lower complication rates of capsular contracture, and ruptures are very obvious since they are filled with sterile saline solution.
- Drawbacks: Feel firmer than silicone implants, slightly more palpability than silicone, and a slightly higher chance of showing wrinkling and rippling. Many people feel that those drawbacks are a small price to pay for the added piece of mind of not having silicone gel implants in their body.
| Silicone Gel Breast Implants | Saline Breast Implants | |
|---|---|---|
| Looks Good | Yes | Yes |
| Feels Natural | Yes | Firmer than silicone |
| Rupture is “Silent” | Yes | No |
| How Rupture is Detected | MRI scan | Look at breast |
| FDA Recommended Monitoring for Rupture | MRI at 3 years, then every 2 years for life | None |
| FDA Recommended Removal if Rupture Detected | Yes | Yes |
| Rupture Removal Surgery | Complex (possible capsulectomy) | Simple |
| Material Contacting Tissues | Silicone gel | Saline |
| Material is Absorbed | No (sticks to tissues) | Yes |
| Rupture Warranty (Lifetime replacement) | Yes | Yes |
| Capsule Contracture Warranty | Yes | Yes |
| FDA Approved for Ages 18-22 | No | Yes |
| Incision Length | Longer | Shorter |
*8yr FDA Core clinical trial results for primary augmentation; MRI Cohort; 7yr for Allergan capsule contracture since 8yr results not published.
Breast augmentation with Natrelle® gel breast implants has its perks!
Natrelle PERKS℠ is available to Allē members who have Natrelle gel breast implants during breast augmentation. Eligible patients can receive a complimentary BOTOX® Cosmetic (onabotulinumtoxinA) or JUVÉDERM Ultra XC treatment.
Motiva®: a Truly Unique Silicone Breast Implant
Motiva breast implants, FDA-approved in October 2024 for patients 22 and over, are made with a variety of innovations, including:
- SmoothSilk® implant surface minimizes inflammation, leading to a thinner capsule around the implant.
- TruMonobloc® bonds the implant shell to the inner silicone to reduce leaks and ruptures significantly.
- BluSeal® gives the implant a soft blue coloring to highlight imperfections before implant placement.
Advantages include:
- Results that look and feel natural
- Low rates of capsular contracture and rupture
- No cases of ALCL (as of 10/2024)
These round silicone implants come in two types to meet different preferences:
- Motiva Round has a slightly firmer silicone gel to hold its shape and maintain fullness in the upper breast.
- Motiva Ergonomix® has a softer, more adaptable silicone fill that forms a teardrop shape, with less fullness at the top when the body is upright. The implant base is round, so unlike shaped implants, these implants don’t have a specific orientation or textured shell.
Both types are available in three profiles to personalize your results further.
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Breast Implant Shape
Dr. Hasen offers round implants exclusively. These implants are similar to the sizers that you can try on at the time of your breast augmentation consult to help you figure out the size that will provide the results you desire. Round implants increase overall fullness of the breast. The goal of breast augmentation is an end result that improves the appearance of your breasts with better shape and proportions that help improve your self-image.
Can Breast Implants Be Combined with Other Procedures?
For additional body contouring, many women combine their breast augmentation with a tummy tuck for a Mommy Makeover. You can also slim down areas of stubborn fat with the help of liposuction. Additionally, patients who are unhappy with the size or projection of their nipples, especially after breastfeeding, can have a nipple reduction at the time of the breast augmentation.
How to Choose the Right Implant Size
There is no perfect way to choose the size of the implants for your desires. A 300 cc breast implant will look very different on someone who is 5′ 0″ with no breast tissue than someone who is 5′ 10″ with a full B cup. Dr. Hasen uses many measurements of the breast including breast width and other factors to choose an appropriately sized implant. For each breast width, there are 3 different options of projection of the implant to give less or more implant size. Additionally, Dr. Hasen has used preoperative sizing with sample silicone breast implants you can place in a sports bra to get an idea of how the implant would look in clothes.
Dr. Hasen offers VECTRA® 3D patient imaging system, which enables you to see the outcome of breast augmentation surgery — on your body — before the operation. This computer simulation lets you experiment with breast implants of different types and sizes to find the one that best suits you. Dr. Hasen enables you to view the “new you” from any angle and easily compare before and after, side by side for a better understanding.
Dr. Kent V. Hasen
As a board-certified plastic surgeon in Naples, Dr. Hasen is dedicated to helping you love the reflection you see in the mirror. His exceptional surgical talent and decades of experience allow him to create beautiful, natural-looking results. He and his team have been delivering superior care and results for plastic surgery and medical spa patients from Fort Myers, Bonita Springs, Cape Coral, and beyond since 2002.
Credentials you can trust
Breast Implant Placement Options
Implants can be placed either above the chest muscle (the pectoralis major) called a subglandular placement or under the chest muscle called a submuscular placement. Dr. Hasen also offers a combination pocket called subfascial, which places the implant below the fascia (the thick coating over the muscle) but still above the chest muscle. Dr. Hasen will consider the type of implant you choose, the amount of existing breast tissue you have, your lifestyle, and other factors when recommending the best implant placement for you.
| Submuscular | Subfascial and Subglandular | |
|---|---|---|
| Pros | Better implant coverage Reduced rippling/wrinkling | Reduced pain at the time of surgery No motion with contraction of chest muscle |
| Cons | Initial pain after surgery Implant motion with contraction of chest muscle | May impair mammography Possibly more visible rippling |
Under the Muscle (Submuscular)
When an implant is placed under the pectoralis muscle, it mainly helps hide the implant edges in the top and medial aspect of the breast. Because the muscle is fan-shaped, it does not cover the implant’s outside edge. Furthermore, the bottom of the implant is not covered by the muscle either because the lower edge of the muscle has to be lifted off the underlying rib during the surgery to allow the implant to sit low enough. Thus, the problem areas of palpability and skin wrinkling or rippling in cases of implant placement under the muscle usually occur on the side and/or the bottom of the breast. The main drawbacks of placing the implant under the muscle are the initial pain after surgery and variable degree of motion of the implant and breast that occurs with contraction of the chest muscle that can be quite bothersome to patients.
Above the Muscle (Subglandular or Subfascial)
Placing implants above the muscle allows for less pain at the time of the surgery and no motion with contraction of the chest muscle. In the subglandular pocket, only silicone implants are suitable. However, in the subfascial pocket, the saline can be placed with excellent results because of the added coverage at the top of the pocket. Dr. Hasen is able to provide beautiful, natural-looking breast augmentation results using this placement.
The FDA warns that placement of the implant above the muscle may impair mammography more than below the muscle. Many mammographers and plastic surgeons contend this point. Many radiologists feel that the biggest limiting factor to getting reliable mammography with implants is the presence of a capsular contracture regardless of the breast implant being above or below the chest muscle. Mammography in patients with significant capsular contracture of the implants is difficult because the firm implant and capsule are adherent to the breast tissue and do not allow for displacement of breast away from the implant for the mammogram. In smooth, round silicone gel implants, data suggests that placement above the muscle has a higher capsular contracture rate compared with placement under the chest muscle.1
If you’re pursuing breast augmentation, you have other options, too. Dr. Hasen offers nipple reduction, a simple procedure that can easily be incorporated into breast augmentation surgery. View real before‐and‐after photos of some past nipple reduction patients to understand what’s possible.
1 Maxwell GP, Van Natta BW, Bengtson BP, Murphy DK, Ten-year results from the Natrelle 410 anatomical form-stable silicone breast implant core study., Aesthet Surg J. 2015 Feb;35(2):145-55. doi: 10.1093/asj/sju084. https://www.ncbi.nlm.nih.gov/pubmed/25717116
A Reputation Built on Results
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You deserve the highest caliber of service, care, and results, and at Kent V. Hasen, MD, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.
I have been going to Dr. Hasen for years. He is a perfectionist. His staff is friendly, professional...
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