I have had children and have breast tissue. I am around a b cup. I saw a surgeon who although said i would be a good canidate for either saline or silicone, actually recommend saline due to cost and the fact that I have enough breast tissue to disguise any rippling and have a natural look and apperance. He said i would also be able to avoid having to get mris and that they are cheaper and still very safe. What are other professional opinions on this?
February 1, 2017
Answer: Why don't many doctors recommend saline implants anymore? Both the saline and silicone implants have the same type of outer rubbery silicone shell. The inner fill is different: sterile saline solution in the saline Implant and silicone gel in the silicone Implant. There are advantages and disadvantages of each type of implant. Both are utilized by surgeons across the country with satisfactory results. They are both safe and approved for usage by the FDA. Currently there are more silicone gel implants used in the U.S. While either implant can produce excellent cosmetic results in the appropriate patient, most patients prefer the feel of the silicone gel implant. The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that you discuss the options with your plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful
February 1, 2017
Answer: Why don't many doctors recommend saline implants anymore? Both the saline and silicone implants have the same type of outer rubbery silicone shell. The inner fill is different: sterile saline solution in the saline Implant and silicone gel in the silicone Implant. There are advantages and disadvantages of each type of implant. Both are utilized by surgeons across the country with satisfactory results. They are both safe and approved for usage by the FDA. Currently there are more silicone gel implants used in the U.S. While either implant can produce excellent cosmetic results in the appropriate patient, most patients prefer the feel of the silicone gel implant. The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that you discuss the options with your plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful
January 31, 2017
Answer: Not recommending saline implants.... Saline implant results are relatively poor compared to the awesome results with silicone. Saline implants ripple more, sag more and have a higher risks of revision surgery for a variety of additional reasons. When patients have a poor outcome they tend to blame the doctor and not so much the poor decision they made to go with a poor product. It's hard as a plastic surgeon to recommend an implant that leads to more headaches...
Helpful
January 31, 2017
Answer: Not recommending saline implants.... Saline implant results are relatively poor compared to the awesome results with silicone. Saline implants ripple more, sag more and have a higher risks of revision surgery for a variety of additional reasons. When patients have a poor outcome they tend to blame the doctor and not so much the poor decision they made to go with a poor product. It's hard as a plastic surgeon to recommend an implant that leads to more headaches...
Helpful