3 Myths About Breast Augmentation

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I've gotten countless questions and concerns from my patients over the years, however some of these worries are not based in fact. Here are 3 of the most common myths concerning breast augmentation, and what you really need to know if you're considering the procedure for yourself.

1. You need to change your implants every 10 or 15 years
This advice was given with the previous generation of implants many years ago, when the models generally had thinner shells and lower cohesiveness. In order to avoid rupture of the implants, some plastic surgeons recommended prophylactic replacement of implants every so many years. A lot has changed with the current generation of implants. The shell is stronger and silicone gel is much more cohesive. In addition, the implants are generally warrantied for a lifetime against rupture. For these reasons, I generally do not recommend my patients replace implants unless they want to change the size or implant material (silicone vs. saline), or if some revision of capsule is needed.

2. Saline implants are safer than silicone implants
Earlier silicone implants did have their fair share of problems, including higher rupture rate and more gel bleed. In the polyurethane implants, it's known that the envelope can delaminate. However, they were not found to cause rheumatoid disease, fibromyalgia, etc. Following an absence from the US market for 20 some years, silicone implants were allowed to re-enter the markets after extensive studies. The vast majority of plastic surgeons, as well as the FDA, feel silicone implants are as safe as saline implants. Silicone implants are gaining momentum. Most people who have seen and felt silicone implants prefer them to saline implants because they tend to feel more like natural breast tissue. They also have less chance of rippling. When presented with both types of implants, I have found my patients prefer silicone implants by a margin of 4:1.

3. High profile implants will give me a fuller upper chest
Given the certain volume of breast implants you have selected, a higher profile implant (more projection) will have a narrower base than a lower profile implant. Therefore, if we keep the breast crease location unchanged, the wider diameter (and hence the lower profile) implant will fill up the upper chest more.


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Albuquerque Plastic Surgeon