Cons to IDEAL implant? To good to be true..?

Hi RS! Ive been looking to get breast implants for about a yr now. Doing tons of research I think saline will be better for me for health reasons. What are your thoughts on ideal? Cons to ideal? Sounds a little too good to be true.. A nurse pointed out to me that since these are so new, no one knows if they will succeed and stay in business so if something were to happen, there would be no warranty. Have also heard another doc say after working w them he prefers Reg saline. Anything helps Thanks!

Doctor Answers 8

IDEAL implant

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Natural feel is not the only thing women care about. The FDA approved intact silicone gel implants as safe. However, if a gel implant ruptures the implant and any gel should be removed including the surrounding capsule (capsulectomy). IDEAL® IMPLANT offers women natural feel without the risk of silent rupture. Women value the advantages of IDEAL® IMPLANT over silicone gel:
Rupture Advantages
  • No silent ruptures
  • Saline absorbed, free Silicone Gel remains
  • No MRI needed to detect ruptures
  • Look in the mirror to know implants are intact
  • Easy to remove and replaced if ruptured
Filler Advantages
  • Only saline inside for peace of mind
  • Safety of saline
  • No silicone gel in the body
Clinical Advantages
  • Youthful shape/contour
  • Lower capsule contracture rate
  • Higher rupture strength
  • Low rupture rate

IDEAL IMPLANT - to good to be true?

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The IDEAL IMPLANT was FDA approved in 2014 and has been out in the market since August of 2015.  These new generation saline implants feel more natural than the old saline implants because of their unique design of multiple shells and baffles with two chambers of saline.  At the same time, they don't have the risks of silent ruptures as silicone implants do.  Sometimes, silicone implants have ruptures that are clinically undetectable (silent ruptures).  This is why the FDA recommends getting an MRI every couple of years if you have a silicone implant.  This is a point that often goes overlooked when choosing a breast implant.

In addition, the design of the IDEAL IMPLANT allow it to maintain its contour very well, reduce the issues of wrinkling, control the movement of saline (sloshing) and fit better onto the chest wall because of its low edges.  If you hold the implant upright, the upper portion of the implant does not collapse as many other implants do.  The IDEAL IMPLANT clinical trial of over five years with over five hundred patients demonstrate a patient satisfaction rate of nearly 95% and the lowest deflation and capsular contracture rates compared to other implants.

In summary, this new saline implant really gives you the best of both worlds: a natural feel as with silicone without any concerns over silicone silent ruptures since it's saline.  Further, it has an excellent safety profile based on extensive studies.  At the end of the day, you are putting a foreign object into your body, potentially for the rest of your life.  Safety should be a top priority in addition to achieving an excellent result.  Having used all types of implants, this new implant has really become an excellent option to offer.  I can't really think of a significant downside.  The company is solid financially and has received significant investment from top investor firms.  Hope that helps.

Zachary Farris, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews


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Thanks for your question.  If you are not considering silicone as an option, there is now doubt that Ideal implants feel much more natural then saline.  They are definitely softer and ripple much less.  Hope that helps!

Jeffrey Umansky, MD
La Jolla Plastic Surgeon
5.0 out of 5 stars 45 reviews

Ideal implant

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I have been very happy with this implant.  See no cons at this point.  I can not imagine why anyone would choose a traditional saline implant over Ideal.  These implants feel much more natural than saline and have virtually no rippling.  Hope this helps in your decision making.  Jane

Ideal implant, and is it the right choice for you?

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The Ideal implant was approved by the FDA in November of 2014, but has only had limited availability until recently.  Initially only the 120 plastic surgeons who were investors in the company had access. They are now starting to release it to more board certified plastic surgeons.  It has a profile similar to a high profile implant.  I would say that it is much more natural in feel than a saline implant, but still not quite as soft and natural as a silicone gel implant.  So my patients that want the most natural feel are still choosing silicone.  The most common implant used in the country is a round smooth silicone gel implant.  And the FDA has shown silicone to be safe and effective.  The FDA recommends in their labeling instructions that you get an MRI 3 years after surgery and every 2 years thereafter to check for a rupture. One analysis in 2014 in the Archives of Plastic Surgery found that

silent ruptures occurred in 9-12 percent of cases eight years after implantation. In a silent rupture, the outer shell of the implant can rupture, but the cohesive gel stays inside the scar

  • Answer questions

tissue capsule that has formed around the implant. SO there may be no visible or palable change in the

breast- the rupture is silent. Is it harmful-


- in the short run not much is seen. Over years the silicone

can cause some irritation of the local capsule and thickening. But if we

know the implant is ruptured we generally like to replace it. 

So saline implants have the advantage of being easy to tell if they have leaked.  The saline is absorbed and the shell goes flat.  The American Society for Aesthetic plastic surgery, in 2014, reported that 20% of breast augmentations used saline implants.  But they do not feel as natural-some patients describe them as being like a water balloon, and they are prone to palpable and visible rippling and wrinkles. A recent survey of 300 patients by Allergan showed that 52% of patients were fearful of silent ruptures, with 45% being concerned that despite the science and FDA saying silicone gel is safe and effective it is still a foreign substance, and 34% of patients having a fear of silicone all together. 

So the Ideal structure saline implant will be a good option for some patients that like the idea of a more natural feel than saline with the advantages of being easier to detect a rupture.  The Ideal implant has two chambers and if one leaks it will lose volume that is harmlessly absorbed by the body.  If I had to predict I would guess that the majority of patients will still use silicone gel implants prioritizing the natural feel, but an increasing number of ideal structured implants will be used in patients that are concerned about silent rupture but didn’t like the feel of the traditional saline implant.


It is a small company, and warranty concerns are valid- but I would be surprised if they are not purchased by one of the larger main implant companies in the future. 

Jonathan Hall, MD
Boston Plastic Surgeon
4.9 out of 5 stars 40 reviews

Any cons to IDEAL implant?

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There are not any cons that I can think of.  I think the technology in the IDEAL implant with its multiple shells, or baffles, is a good step forward for saline implants.  It does feel much better than the traditional saline implants and effectively reduces the feeling of the saline sloshing back and forth.  There is a warranty for rupture through the company.  Best of luck!

Seriously Consider the Ideal Implant

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The Ideal Implant is here to stay.  In a pre-FDA approval study with more than 500 patients followed, this implant exceeded expectations with regard to rupture rates and rates of capsular contracture.  I have been personally very happy with the natural look and feel of these implants in my patients, and would highly recommend them to anyone considering silicone gel breast augmentation.  I do not know of any cons other than the fact that Ideal Implants are somewhat more expensive than traditional saline, however, I suspect that the price will come down as they become more popular and the company's sales volumes increase.

IDEAL Implants a Good OptionL

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Thank you for your question. I would definitely recommend the IDEAL implant. Both the original saline implants and the new IDEAL implants are made of the same materials. The IDEAL implant may feel more like a silicone implants, with less chance for wrinkling. However, wrinkling is really not a problem if a saline implants is done properly. All implants can wrinkle, but I think it is least likely with the new IDEAL implants. The new IDEAL implant has 2 chambers of saline and internal baffles that allow it to maintain its contour very well, with good projection, and has less chance off rippling. In the original clinical trail of over 500 patients, with a followup of over 5 years, the patient satisfaction rate is near 95% with deflation and capsular contracture rates lower than that of other implant makers. It was FDA approved in 2014 and became commercially available in September of 2015. I have an extensive clinical experience with saline implants and believe the new IDEAL Implant to be the first major advancement in implants during my career. The patients I have treated with the IDEAL implants have all been very satisfied. I think the IDEAL implant will be a huge success and is here to stay. I hope this was helpful, good luck.

Steven L. Ringler, MD, FACS
Grand Rapids Plastic Surgeon
5.0 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.