Silicone implants under 22. Is it true that it is illegal to get them under the age of 21?

Question

I have been researching getting a breast augmentation. I’m 19 and do not want saline. I read that it is in fact legal the FDA just doesn’t recommend but you can get them off label. However I recently called a plastic surgery center I was interested in and they said it’s illegal to do under the age of 21. Is this true and if so is it a state law because I’m willing to go out of state?

Camille Cash, MD · Answer

Patients under the age of 22 can receive silicone breast implants.  This is not illegal, but is rather considered "off label" use.  Schedule a consultation with a board certified plastic surgeon near you to learn more.

Gerald Minniti, MD, FACS · Answer

You are correct, they are FDA approved for those 22 and older. The decision to approve by age was not medically based. Regardless, you can rest assure that it's legal and you will enjoy the full manufacturer's warrantee.

Daniel Barrett, MD · Answer

Dear Luminous643303,
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

Connie Hiers, MD, FACS · Answer

The FDA recommend that silicone implants be used in women who are at least 22 years old. However, it is not illegal to use them under age 22. Some physicians may not choose to do so in women under 22. Some will have you sign a release stating that you know it is not recommended, and you choose to use silicone anyway.

Samir Shureih, MD · Answer

Dr. Blinski gave you a very good explanation and advice.
In my practice, more than 30 years of plastic surgery, I would not do an off label breast implant.
If a complication occur are you willing to take full responsibility?

Silicone implants under 22. Is it true that it is illegal to get them under the age of 21?

Answers (8)

Answer: Implants

Answer: Implants

Answer: Breast Augmentation

Answer: Breast Augmentation

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Everything you need to know about Breast Augmentation

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Silicone implants under 22. Is it true that it is illegal to get them under the age of 21?

Answers (8)

Answer: Implants

Answer: Implants

Answer: Breast Augmentation

Answer: Breast Augmentation

Browse related questions

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.