Implant type for family history of breast cancer - what is the safest option?

Question

My mother had breast cancer in her early 40s. I am 23 and recently had a consultation. I was told that saline implants would be best for future detection. I believe mainly due to capsular contracture. I hadn’t decided yet but I was leaning towards silicone for the most natural look possible. I really appreciate his concern for my risk and safety but I’m just curious to see if other doctors agree that saline might be my safest/only option or if anyone thinks silicone could still be a safe option

Camille Cash, MD · Answer

There are pros and cons to both silicone and saline implants.  It's important that you discuss each with your surgeon in order to make the best decision for you.  Both are safe to use.  Mammograms can detect cancer with either in place.  It is suggested you go behind the muscle., which will also give you a more natural look.  You may also want to look into BRCA testing.  This simple blood test can help detect your risk for certain breast cancers.

Martin Jugenburg, MD · Answer

Hello, thank you for your excellent question. If there is a family history of breast CA(cancer) then there are several factors to consider. The first is if there is a family history of breast CA have you thought about genetic testing for the BRCA  gene, secondly you will have to go for mammograms and early screening prior to the age of which your mom was diagnosed. The main difference between saline and silicone for the purpose of detecting breast CA is obtaining an MRI with silicone implants vs saline the ultrasound alone will be helpful in early detection. As time goes on and hoping medicine/science advances, maybe they will improve the ability to detect breast CA early on. You will want to consider the pros and cons of each option. Overall you will have to choose what is the best option for you. Consider speaking to your Plastic Surgeon and your family doctor.

Daniel Barrett, MD · Answer

Dear BaileySmith06,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @BaileySmith06 thank you for your question. I understand your concern. However, without a proper assessment an expert opinion is not possible. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Connie Hiers, MD, FACS · Answer

Both saline and silicone are safe and both are placed behind your breast tissue. Going behind the breast does not obstruct in future X-rays or exams. Since saline implants' only foreign material is the bag, they may be somewhat safer.  Also, saline implants do not block X-rays.  Saline implants are more firm and may show ripples. If you have minimal breast tissue or want to go with a large size, you will probably be happier with silicone.

Implant type for family history of breast cancer - what is the safest option?

Answers (9)

Answer: Implant type for family history of breast cancer - what is the safest option?

Answer: Implant type for family history of breast cancer - what is the safest option?

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Augmentation

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Implant type for family history of breast cancer - what is the safest option?

Answers (9)

Answer: Implant type for family history of breast cancer - what is the safest option?

Answer: Implant type for family history of breast cancer - what is the safest option?

Answer: Implants

Answer: Implants

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.