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Breast Implants

The women from Oahu, Maui, Kauai, and throughout Hawaii who visit Dr. Shim Ching for breast augmentation usually have an image in mind when they discuss their cosmetic goals with him. He understands that the breast implants his Honolulu breast augmentation patients choose play a big part in the outcome of their surgery. Because there are so many choices to make, including size, shape, and implant material (silicone or saline), Dr. Ching takes the time to help each patient select the options best suited to her cosmetic goals.

If you’re considering breast augmentation, Dr. Ching encourages you to request a consultation to meet with him in Honolulu and review your choices for breast implants. You can also call (808) 585-8855 to schedule an appointment.

Breast Augmentation Before & AfterBreast Augmentation Before & AfterBreast Augmentation Before & After


Choosing Implant Size

Size is one of the first decisions patients ask about when choosing their breast implants. You should be aware that Dr. Ching may suggest a smaller breast implant size than you want. His advice comes from years of experience and knowledge in breast augmentation. He understands that when choosing the size of your breast implants, it’s important to take into account your:

  • Body type, including general size and unique characteristics
  • Personal goals for your breast augmentation
  • Lifestyle

Implants are measured in cubic centimeters (denoted as “cc”), but Dr. Ching suggests discussing the cup size you desire during your consultation to help him visualize your goal.

Your Body Type

Many women bring in “wish photos” as an example of the look they want. Those are helpful guidelines, but it’s important to remember that your body type and the amount of existing breast tissue you have will influence the choice of implants. The same sized implants in one person can produce very different results in another patient.

Dr. Ching’s opinion may also be that your body type wouldn’t properly support the size implant you want. A petite body type, for instance, will not support as large of an implant as a medium or larger body type. The implant can be inserted, but there is a much greater chance of rippling. That’s something your plastic surgeon should steer you away from in order to give you the best breast augmentation results possible.

Personal Considerations

Your breast augmentation goals and your lifestyle will be your main contribution to the consultation. Questions to consider include:

  • Do you want a slight enhancement or a more noticeable increase in breast size?
  • Do you want to lift and restore volume lost after breastfeeding or weight loss?
  • Will your new breast size affect the activities you enjoy?
  • Are you considering breast augmentation for your own personal reasons or those of someone else?

In these matters, Dr. Ching will only be aware of what you tell him. It’s important that you have thought these things over before coming in to our office. You will have the opportunity to try various sizes of implants during your consultation to help you decide.


Implants can be either round or teardrop shaped, with the latter also known as anatomically shaped. Round implants generally produce a fuller appearance that creates more cleavage. Teardrop-shaped implants have more volume in the lower portion and more closely resemble the slope of natural breasts.

Implant Material

Natrelle®/Allergan® Breast Implants

Implants can be filled with either saline or silicone gel. Each type of implant has unique benefits, but may limit choices for incision placement. Many women believe that the latest generation of cohesive silicone gel implants look and feel more like natural breasts than saline implants. The highly cohesive gel implants, often called “gummy bear” implants, are very popular.


A breast implant’s profile refers to how much it projects outward from your chest. A low-profile implant is wider at the base, but doesn’t project very much. Moderate, moderate plus, and high profile implants have narrower bases and project out more from the chest.

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Dr. Shim Ching's exceptional qualifications and results draw patients to his Honolulu plastic surgery practice from across the Hawaiian Islands including Maui, Kauai, and the Big Island. Select a location for driving directions to our practice.

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Shim Ching, MD