The IDEAL implant: Any opinions?
Doctor Answers 14
The #IDEALIMPLANT contains no silicone gel,has a natural feel because of its unique design with an internal structure for optimal shape. The 5 year data indicates a lower capsular contracture rate than most saline or silicone implants available. The peace of mind factor concerning a silent rupture with silicone implants is significant for many of my patients. Instead of a MRI scan they just need to look in the mirror to know that their implant is intact.
Ideal Structured Saline Implants - the closest we have to the "perfect" breast implant
Ideal implant avoids silicone problems
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Opinions on the IDEAL structured saline breast implant
It indeed has a more natural feel than the traditional saline, although not quite as soft as most silicone gel implants.
The ideal implant may be “ideal” for you, if you are concerned about silent rupture of silicone gel implants, but did not like the less natural feel of traditional saline implants. They are more natural in feel than saline but still not quite as soft as silicone.
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
tissue capsule that has formed around the implant. SO there may be no visible or palpable 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.
A saline implant had the advantage of being much easier to tell if it has leaked. You can “look in the mirror” and tell if it is intact. When it leaks, 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. The 6 year data shows a lower failure rate that the other silicone and saline implants currently on the market, including the highly cohesive “gummy bear” implants. No 10 year data yet- the study will not be completed until 2019. But the 6 year data looks good so far.
The IDEAL implant
I believe that the IDEAL implant provides a good option for women considering breast augmentation. Traditional saline implants have the problem of being too firm, or having visible wrinkling along the edges of the implant. I think that both of these problems are significantly reduced, or even eliminated in some cases with the IDEAL implant. I think that when you compare the IDEAL implant to a silicone implant under the skin you would have a very difficult time determining which is which. Additionally, patients with saline filled implants do not need to get MRI screenings every several years to check for possible rupture. For a patient that is concerned about silicone implants (even though these devices have been proven to be very safe), the IDEAL implant offers a great option. I would recommend talking to a Board Certified Plastic Surgeon who offers several different kinds of implants so you can compare the pros and cons for yourself. Best of luck!
Ideal Implants offer many advantages
The Ideal Implant is a new class of implants called Structured Saline Implants. Compared to traditional saline implants, which have a single layered outer shell, the structured saline ideal implants, have multiple shells or layers providing a more natural structure to the traditional saline implant.
This is a game changer in many ways. The layered shells eliminate the wrinkling or rippling that is so problematic with traditional saline. In addition, the implants look and feel the same as a silicone cohesive gel implant that we commonly use today. I often place both implants under a cloth towel and ask the patients to differentiate the silicone from the structured saline ideal implant. Unanimously, patients cannot feel or see a difference. Hence, in clothing, the look and feel of these ideal implants replicates silicone implants, and it does not wrinkle or ripple, as traditional saline implants do.
Lastly, many women will find comfort in not having to worry if their silicone implant is ruptured, or having to spend money every 2 years to obtain an MRI to test their implants. With saline implants, the deflation is immediate and obvious to the patient, making it easier to address the rupture and lessen patient anxiety. Plus, the saline fluid that constitutes your implant is the same saline fluid used when a patient gets iv fluids. Hence, your body absorbs it quickly and immediately.
The IDEAL implant is a very nice and well-studied saline implant. Yes, it has a much better feel than traditional saline implants. Find a board certified plastic surgeon with expertise in cosmetic breast surgery to give you all the options for your breast augmentation - know before you go!
A Viable Alternative to Silicone Gel Implants
Ideal Implants have been available to the general public for some time now. Although I was not one of the original investigators, I have been intrigued with the idea of a new breast implant that can satisfy the need for a very natural looking and feeling breast, without the significant drawbacks of silicone gel implants. What drawbacks? Silent (asymptomatic) rupture is the biggest problem with silicone breast implants. The FDA states that an intact silicone breast implant is safe and effective, but a ruptured silicone implant should be promptly removed from the body. Unfortunately, there is no definite way to determine if your silicone implant is ruptured, since the size remains essentially the same following rupture. Because rupture rates of silicone implants rise according to the length of time they are inside of the body, the FDA has recommended that all women undergoing silicone breast augmentation, undergo an MRI exam after 3 years and then every 2 years after that for as long as they have silicone implants in. Even MRI can miss over 10% of ruptured silicone breast implants, and a positive MRI for a ruptured implant can be wrong up to 10% of the time.
The Ideal Implant is specially constructed to perform similar to a silicone gel implant, with a soft, consistent natural feel, and less likelihood of visible or palpable rippling. The major advantage over silicone is that the Ideal Implant is filled with natural saline solution, which will simply be safely absorbed by your body if the implant should rupture.
In conclusion, I think that you are wise to consider the Ideal Implant as a viable and actually better alternative to silicone gel breast implants.
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.