This is one question every prospective patient has to ask, do I want saline or silicone? I guess I’ll sprinkle my almost 40 years of experience into my answer to the question.
My personal preference is and has always been to go with silicone. I’m sure the majority of plastic surgeons would echo those sentiments. The FDA says you can only get silicone implants if you are over 22 years of age, 18 for saline. Regardless of choice and depending on one’s age, the implants will need to be revised or replaced at some point in time.
Floating on the internet is the magic number of 10 years. As long as a patient is fine, asymptomatic, then keep on going. I have had patients who had saline or silicone implants replaced after 20 or 30 years. I tell most of my patients, the older an implant is the greater the likelihood it is or soon will be ruptured. When a saline implant ruptures there’s almost an immediate deflation…not with silicone. I tell my patients if your silicone implants are 20 or 25 years old there is a high probability that they are ruptured. In most cases the capsule around the implant will contain the free silicone but small molecules can migrate into the lymph nodes. Study after study has shown silicone to be safe.
So the question remains: why would anyone choose saline over silicone? One big factor is cost. Saline implants are about half the price of silicone. Cohesive gel or gummy bear implants are far more expensive than regular silicone implants and for that reason I don’t do many of them. Also, cohesive gel implants are not as soft as regular implants. One advantage of saline implants is that you can adjust the size to help correct any asymmetry. You can put in an extra 10, 15 or 20 cc’s more to try to equal any size difference between the breasts. One big reason some women may choose saline is because they have a “fear” of silicone – asilicone implant rupturing and going throughout their body. This is without proof. Silicone implants have been studied many times and they are safe.
My personal preference is to place the implant under a patients’ own breast tissue if possible. In someone who has zero breast tissue and distensibility I may put it under the muscle.
So in the end, all things considered silicone is the way to go. Questions? You can call my office at 239-244-2329 to set up your FREE consultation.