How structurally sound is the silicone lining of the structured saline implants?

Dear Persistent681448,
implants shells are very durable and it is not easy to break them. The two main types of implants are silicone and saline. The shell of the implants can be either textured (which reduces capsular contracture) or smooth. A textured implant sometimes requires a larger incision. The shape of the implant can be either round or tear drop shaped (gummy bear). Both have their advantages and disadvantages.
The different types of implant offer different pros and cons. For instance, the pros of silicone implants are that they look and feel more natural and ripple less.
On the other hand, the pros of saline implants are that they do not require as large of an incision as silicone, less expensive, they have less incidence of capsular contracture (scarring around the implant), one can tell immediately if there is a rupture, the size can be slightly adjusted, and they can be used for women less than 22 years of age.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

All implants, saline and gel, have silicone shells or covers. I am not a fan of the Ideal implant, but prefer the smooth round saline implants. The Ideal implant has more silicone barriers and is heavier, but it still can have ripples. The silicone in implants today is not a liquid so it does not leak through the shell. It is more like Jello.

Hi and welcome to our forum!Although both silicone and saline breast implants are associated with breast-implant associated large cell lymphoma (BIA-LCL), the risk is very small. 1/50,000 breast augmentation patients will develop BIA-LCL, and of those patients, 96% had previously placed textured implants. (P.S. Put it in perspective: Your lifetime risk of death from a motor vehicle accident is 1/107 )Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...