Dear Dr. Man, What's the different between silicone and saline implants? Do plastic surgeons even use silicone anymore? I'm considering getting implants and I'm not sure how to choose. Signed, "Thinking about implants" in Boca Raton
Dear "Thinking," Before the FDA banned the use of silicone implants in the United States about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable, and are considered safe. However, after cases of some silicone implants rupturing, the FDA put a ban on use of silicone implants. Even today, surgeons are limited to using silicone implants on secondary breast procedures only. It is my belief, however, that at some point in the near future, patients will have a choice of silicone or saline.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for.
If you are a woman looking to switch your implants from saline to silicone, I suggest discussing it in length with your surgeon. Some surgeons may recommend that you keep your saline implants if you are happy with their appearance and they have presented no complications.
The type of implant that is best for you depends upon what you want and what your breast tissue will allow you to have. You and your surgeon should weigh the benefits and tradeoffs of both saline and silicone. If you are thinking about breast implants, I encourage you to discuss all of your options with your surgeon during your pre-operative consultation.
Studies have shown both saline and silicone implants to be safe and effective. An experienced surgeon will help you choose what is best for you. Next week, we'll review some guidelines that can help you choose a plastic surgeon.
Next topic: How to find a good plastic surgeon.
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Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life's work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.
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