Silicone health risks?
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Doctor Answers 7
Breast Implant: Information
Thank you for your questions.
Fortunately ALL breast implants sold in the U.S.A. are highly regulated and have undergone extensive and rigorous testing by the Federal Drug Administration (FDA) and and are deemed "safe" for human implantation.
In addition breast implants have been implanted for over 50 years with no long term health issues yet identified from the filler material (silicone or saline).
Silicone and Saline filled implants are both devices that have their inherent differences
and each associated with their own known nuances.
I suggest you make out a list of your questions and select several nude "model" photos of what your desired goals/look would be and then schedule several different consultative appointments with experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and who are ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
My best wishes,
R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
4646 Brockton Ave
Riverside, Ca 92506
Saline vs silicone, some advices:
In my practice i recommend using - Cohesive Gel - Silicone Breast Implants with textured cover.
They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.
Dr. Emmanuel Mallol Cotes.-
Silicone Health Risks
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Silicone health risks?
Newer silicone implants contain a semi-solid gel type of silicone, older implants from the 70's and 80's contained a liquid silicone. So, with newer silicone implants, the gel will stick together even if the outer shell ruptures.
The older liquid silicone implants had a higher rate of capsular contracture and rupture than the newer ones.
As far as silicone migrating in the tissue, this won't happen unless the capsule around the implant is torn and the implant is also ruptured. This rarely happens with the newer style implants. With the older liquid implants, doctors would sometimes squeeze the breast to break up the scar tissue as it was forming around the implant. This procedure is called a closed capsulotomy and when this was done with the older implants it often ruptured the implant and the capsule and could cause some liquid silicone to leak into the tissue.
Closed capsulotomies are rarely done anymore and the newer semi-solid gel implants are much harder to rupture.
Silicone health risks?
The health risks of silicone implants are very well known
With regard to your question about migrating silicone gel, it is worth noting that all of the currently used silicone gel implants are solid gel, meaning that they don't leak or run like a liquid would. Essentially, they stay together in one unit, even if the implant ruptures. Thus, in the very unlikely event that such an implant would rupture and then the capsule around the implant also ruptured, it would be very unlikely for the gel to escape both the shell of the implant and the capsule and enter the surrounding tissues. If that were to happen, you would likely see the formation of a granuloma, or scar capsule, around that bit of silicone, just like we get around an implant. This would probably feel like a firm mass, but it would not be dangerous or subject you to any increased risks, including systemic disease.
If you are considering breast augmentation, be sure that you consult with only board certified plastic surgeons, as they will be in the best position to inform you about all of your options and the risks of those options. In addition to being certified by the American Board of Plastic Surgery, your surgeon should also voluntarily participate in the Maintenance of Certification program administered by that board. This is the best way to know that your surgeon not only has the best training and experience for the procedure, but that he or she has maintained currency in the certification requirements as opposed to practicing on a "lifetime" certificate which has only been reviewed once at the beginning of his or her career. For more information on this you can visit ABplsurg.org or ABMS.org. Good luck.