When talking about breast augmentation, we are usually refer to bilateral breast augmentation (also known as BBA). Bilateral breast augmentation is the plastic surgery procedure that involves using breast implants to augment the breasts.The implants used are made out of silicone gel or saline solution.The bilateral breast augmentation targets both breasts while the unilateral breast augmentation only works on the smaller breasts. The unilateral breast augmentation can only be performed when there is a big difference in size between the two breasts. What types of breast implants are there and which one is most commonly used? Plastic surgery has greatly evolved, which is why we now have a wide array of implants. These differ in terms of the type of material used, size, models, and content. Furthermore, each material behaves differently in relation to its viability, qualities and diverse defects. It is essential to remember that there is no such thing as the perfect implant. However, there are implants that are the most suitable for you and your anatomy. There are two main types of implants to consider: 1.Saline solution implants: saline solution is used to fill this implant. Saline implants are recommended for women who need a breast reconstruction surgery. Its main advantage is that the capsule can be inserted empty, after which the surgeon begins injecting saline solution to fill the implant. However, the downside is that they don’t look very natural to the touch. If leaking occurs, they completely deflate, which makes your breasts look very unappealing. Fortunately, the saline has no negative effect to the body and is completely harmless. 2.Silicone implants: breast augmentation with silicone implants is more popular and commonly used. Unlike the implant with saline solution, the silicone gel is not liquid so it feels more natural to the touch. Even though the silicone gel is elastic, it doesn’t change its shape and model, nor does it deflate if it gets ruptured. Most plastic surgeons would say that the silicone implant is the best choice for most bilateral breast augmentations. Depending on the shape of the implant we have: – Round silicone implants can come as low profile or high profile. The low profile round silicone implant has a round shape with soft contents that will drop towards the inferior side of the breast. This implant is suitable for people who want a natural looking breast that is full and soft. The high profile round silicone implant is more visible on the superior side of the breasts. – Anatomical shape silicone implant (tear-shaped): it looks the most like a natural breast and is the latest development of silicone implants. This implant offers multiple choices and fittings. The shape of the implant is very similar to a natural breast, wherein it is narrow on the top side and wider at the bottom. The profile view shows that the breasts are filled from the bottom up. Overall, silicone can be modeled to achieve a highly natural shape and a texture very similar to a natural breast. We can also use silicone in different ways, such as a chin or cheek implant. The advantage of the silicone compared to other materials is that it offers an extensive warranty. Does silicone present any risks for women with breast implants? Numerous researches already prove that the silicone does not lead to cancer. It is a commonly used substance found in the sand and in many other natural ingredients. In modern medicine, we use a lot of objects made out of silicone for heart interventions, urological interventions, and other surgical procedures. Also, the great thing about these implants is that they are not easily damaged. So you don’t need to be concerned if you are going scuba diving or doing other sports, for example. Recovery after bilateral breast augmentation After the surgery, the patient will be under medical supervision for at least another 8 hours. The patient will then be able to go home, providing that someone else will drive and help out at home for the first few days after the procedure. The following day after the breast augmentation, the breasts will be swollen. After a week, you will need to go back to your doctor for a checkup. Mild discomfort and even pain are common side effects of the bilateral breast augmentation procedure, but they are easily manageable with the surgeon’s prescribed medication. Make sure to contact your doctor in case of excessive pain or extreme bleeding because you may need treatment. Antibiotics will also be prescribed after the surgery to keep the infections at bay. The patient will be able to resume their daily activities within a few days after the surgery. You can get back to work within two weeks. You must avoid strenuous physical activities after the bilateral breast augmentation. This includes sun exposure and smoking. Conclusion Bilateral breast augmentation is a plastic surgery procedure that improves the appearance of the breasts through the use of mammary implants. The breast implants come in multiple sizes, shapes and volumes, as well as surface textures and liquid content. Silicone implants are the most commonly used for bilateral breast augmentation since they have been tested and proven to be safe for decades now. While there is no such thing as the perfect implant, there is still a right implant for you. Consequently, your implants need to be chosen together with your plastic surgeon. This will enable you to choose accordingly your overall condition and expectations. Different types of implants provide different breast shapes that feel different to the touch. Ask your plastic surgeon to explain everything there is to know about the bilateral breast augmentation, types of implants as well as their recommendation for your particular case.