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Sientra, one of the three manufacturers of breast implants, has just received FDA approval for their new plant in Wisconsin, hearkening great news for both plastic surgeons and their patients. After a fire erupted in their major production facility in South America, Sientra’s ability to provide implants to their clients was severely restricted as they had to rely solely on existing inventory. Plastic surgeons who were not already long time clients could not get access to this fantastic line of devices. Now, Sientra is back to full capacity. Dr. Bruce Van Natta of Indianapolis, IN is a leading expert in the field of breast augmentation and Sientra manufacturers his favorite breast implants. He discusses why having them back to full speed is such exciting news. CHOOSING THE RIGHT BREAST IMPLANT The decision to finally go ahead and get the breasts that you have always wanted is the first in a long line of decisions that a patient must make when it comes to her breast augmentation. These include: type of implant (saline or silicone) shape (round or anatomical) size fill placement (above or below the pectoral muscle) additional support, such as GalaFlex mesh Many patients come in for the consultation with a pre-conceived notion of the size and shape that they want. Oftentimes, however, this is based on faulty information, such as what a friend or family member received. The important thing to always keep in mind when it comes to breast implants is that the right one for you is going to depend primarily on your individual anatomy. WHY ANATOMY IS IMPORTANT WHEN CHOOSING A BREAST IMPLANT Every plastic surgeon wants to deliver on a patient’s desired outcome; no one wants an unhappy patient, especially the patient! When it comes to the breasts, your anatomy can often be at odds with your goals. Since any breast implant must be centered behind the patient’s own nipple, if your nipples are far apart, for example, and you want a lot of cleavage, it is going to be a problem. There are ways to “trick” the anatomy, within reason, and one of these is knowing the ins and outs of every different implant on the market. This is why it is so vital that you see a plastic surgeon with a lot breast augmentations under his or her belt. He or she will have extensive experience with each manufacturer’s implants and how they work within a specific anatomy.