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Making the Decision with your Plastic Surgeon These are general concepts and not necessarily absolute preferences, and many additional factors are evaluated when selecting the best implant for each patient. For more information on breast implant surgery, contact a surgeon from our network of board-certified plastic surgeons. In some cases the preoperative level of the inframammary fold needs to be lowered, and in those instances it is important to use careful preoperative planning to determine exactly where the incision should be made — as one is planning an incision that is below the existing pre-operative fold. The FDA also recommends that patients with a ruptured silicone gel breast implant have the implant removed and replaced. A multitude of breast shape and symmetry issues can be improved during breast augmentation, and in essentially all cases it is possible to produce an aesthetically desirable breast profile. The definition of the inframammary fold can be enhanced via the inframammary fold incision. The truth is that all four of the currently FDA-approved implant manufacturers make good products, and the differences between them are, with some exceptions, fairly subtle.