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How Do Other Patience Make the Decision Between Saline and Cohesive Gel Implants?

asked 8 months ago by kricket88 in Canada
Latest answer by Tom J. Pousti, MD
Question viewed 176 times
Tags: saline implants, silicone implant, choices, cohesive gel

Hello, I am having a breast lift and would like my saline implants exchanged at the same time as I've had them for 16 years. I was attracted to the idea of cohesive gel for the way they feel but i've also had a good experience with my current saline. Either way, I will switch to high-profile as I feel they look less matronly but am unsure of what to do about the actual implant. Is one type better to choose when combining with a lift? Thank!

14 answers to How Do Other Patience Make the Decision Between Saline and Cohesive Gel Implants?

+1

Type of Breast Implant?

Either type of breast implant may be used in combination with breast lifting. However, the type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. ... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Silicone or Saline Implants?

The bottom line is that both can give very good results. The choice is very individual and many factors can enter into it as you can see from the other answers to your question. You should discuss the pros and cons of each with your board certified surgeon who should be willing to help you make your decision. Good luck to you.
Margaret Skiles, MD

Sacramento Plastic Surgeon

www.featherriverplasticsurgery.com

+1

Saline or gel implants?

In my practice, the choice between using saline or gel implants usually comes down to two things: cost and feel. While silicone gel implants more closely approximate the feel of real breast tissue, they are also more expensive. I think most plastic surgeons prefer the silicone gel implants and, if it is in your budget, that is the implant that I would prefer. Still, I think that saline implants can also give you a nice result. I don't think that one is... more
Edwin C. Pound, III, MD

Atlanta Plastic Surgeon
+1

Choosing Between Saline & Silicone Implants...

When patients are given a choice between Saline or Silicone breast implants, I see an ever increasing number opting for the new silicone gel type. Marketing and "word of mouth" have led to this shift of thinking over the past several years, after saline implants had been in that position for over a decade, under federal mandate. In spite of this, there continues to be a small percentage of women, however, who continue to gravitate toward choosing saline implants. The arguments... more
Charles Gruenwald, MD

Baton Rouge Plastic Surgeon
+1

How Do Patients Make Decision Between Saline & Gel Implants? Answer:

I tell all of my patients that there are Psycho-Social reasons (saline is cheaper, fear of silicone, fear of deflation on a Hawaii vacation, difficulty detecting a leak, MRI’s?, etc) and there are Physical reasons (thin skin/thick skin, no breast/lotsa breast etc) in picking one implant type over the other. Discuss your comfort with your doctor BUT warning! If you feel both in your hand, you’ll pick silicone every time. It’s really not fair! In the body they can be very... more
John J. Corey, MD

Phoenix Plastic Surgeon
+1

Deciding between saline and silicone implants for breast lift and implant exchange

Deciding between saline and silicone implants is a personal decision that needs to be based on multiple factors. There are too many issues to consider to present over internet communication. Some of these include feel, durability, cost, concerns about rippling, shape and its maintenance, detection of rupture, and effects on the soft tissues. Everyone weighs the various factors differently. You need to see one or more reputable board certified plastic surgeons, feel the implants and... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon

www.turkeltaub.com

+1

How Do Other Patience Make the Decision Between Saline and Cohesive Gel Implants?

It comes down to a very personal decision as to the "feel" of the implants, the look, and the costs comparison.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

How do others choose silicone or saline

In our office we still use saline and silicone gel breast implants. For our patients many will come down to the 'hassle factor' between the two as both implants in properly selected patients can give very nice results. The silicone requires vigilance for leaks, MRI's, and at ten years the leak rate becomes significant, and the silicone is more difficult to replace after a leak and capsules occur. The saline you can wear until they leak, no 'hassle', and replacement is... more
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

Silicon gel implants feel and look more natural than saline implants

When discussing the choice of breast implants with my patients I always recommend the use of cohesive gel implants over the saline filled implants. For over a decade we only had saline implants for cosmetic breast augmentation and these patients were almost all extremly please. If you want the most natural feeling and looking breast, then go with cohesive gel implants. Since you are having a breast lift I would plan to remove your sailine implants which I imagine are under your... more
Carl W. "Rick" Lentz III, MD

Daytona Beach Plastic Surgeon
+1

Silicone versus Saline

Since 2006, silicone implants have become more and more popular with our patients. The big advantage of them is that they feel more natural. The downside is the capsular contracture rate. 1 in 10 women will develop this after implantation. The breast will start to get hard and may need to be exchanged in the future. With saline, this is very rare, 1 in 100. Both implants are good and both are used throughout the world still. Every patient is different and you have to assess each patient... more
Leo Lapuerta, MD

Houston Plastic Surgeon
+1

Deciding Between Saline/Gel Implants

I definitely feel that silicone gel implants give a better result than saline implants and convey this to all of patients. Many still choose saline for essentially two reasons. First of all, there is still a cconcern about the safety of silicone even though the FDA would never allowed their return to the market if they had any significant concerns. The other reason that patients choose saline is strictly economical since the silicone implants cost roughly twice as much as... more
John Whitt, MD

Louisville Plastic Surgeon
+1

Choosing Between Saline and Silicone Implants

The choice of silicone vs.saline implants is highly individualized. There are advantages and disadvantages to each. Saline implants cost less, do not require long term follow up by an MRI, and can be individual fine tuned at the time of surgery with different fill amounts if you have breasts that are unequal in size. The down sides of saline is that they look less natural in a woman who has very little breast cover, may show more wrinkling or implant edges, and they fell a... more
Mary Lee Peters, MD

Seattle Plastic Surgeon
+1

Should I choose saline or silicone?

Silicone implants are much more common in my practice, but this is a decision that you will need to make in conjunction with your plastic surgeon. I highly recommend that you feel both types of implants, and possibly talk with other women that have silicone implants. The current FDA-approved silicone gel implants are much more cohesive that prior generations. They feel softer and more natural and often have less problems with rippling compared to saline. There is... more
Michelle Spring, MD

Marina Del Rey Plastic Surgeon
+1

Choosing saline or gel implant for breast revision

The decision on what type of implant to have for a breast revision is different then when making it the first time. If you currently have saline implants and are happy with them you can replace them with saline again or upgrading to a gel implants. There are advantages and disadvantages to each but in your case if you already have implant the most tangable one will be how they feel. Ask to feel implant sample implants and compare them in your hands. If you already... more
Adam Hamawy, MD

Westchester Plastic Surgeon

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