Tuesday, January 28, 2014

Breast Implant Revision - The Difference Between Silicone and Normal Saline Breast Implants

Breast Implant Revision - The Difference Between Silicone and Normal Saline Breast Implants

Breast augmentation revision surgery san francisco
Dr. Miguel Delgado
Breast Revision Specialist

No "perfect" breast implant exits.  All breast implants have their advantages and disadvantages. There are essentially two breast implants used today: saline-filled breast implants and silicone-filled breast implants. Both breast implants have an outer pliable envelope, or shell, which is made of silicone. The contents of the shell are either saline (saltwater) or silicone gel. For saline breast implants, the silicone shell is filled with saline at the time of surgery. Saline breast implants have been used for decades: they are safe and effective.  The silicone breast implants come pre-filled.  Both come in similar sizes and shapes.

The advantages of saline breast implants are:

  • If a leak does occur, the saline (saltwater) is safely absorbed
  • Saline breast implants are filled after insertion, therefore, more adjustments can be made for volume discrepancies
  • In general, slightly smaller incisions can be used
  • Saline breast implants are less expensive

The disadvantages of saline breast implants:

  • Slightly firmer than silicone breast implants when fully inflated
  • Mild rippling or scalloping (of the bottom edge of the implant)
  • In general, not ideal for over the muscle in small breasts, thin women, due to more potential obvious rippling
Silicone breast implants have been approved for general usage since November of 2006. The restriction is that a woman must be at least 22 years of age. In addition, it is suggested by the FDA (Federal Drug Administration), though not required, that an MRI (Magnetic Resonance Imaging) be done at the three year mark after augmentation and every two years thereafter, to rule out potential silent leakage.

Silicone breast implants have evolved into a safer product as a result of two major improvements. Today’s silicone breast implants have a much thicker outer shell and they contain a much more cohesive gel than earlier versions. The latter means that the silicone contents are more solid or viscous, as opposed to the more liquid versions of their predecessors. For example, if a modern silicone breast implant is cut with a pair of scissors and squeezed, the silicone material will go out and then retract back inward into the silicone shell.

The advantages of silicone breast implants are:

  • A softer, more natural feel (the greatest advantage)
  • No wrinkles or “scalloping” of the edges; therefore, they can easily be used on top of the muscle.

The disadvantages of silicone breast implants are:

  • A leak or rupture may occur unknowingly
  • Silicone implants are prefilled and, therefore, the size cannot be adjusted
  • An MRI may be required in the future
  • They are more expensive than saline implants
Both breast implants are time tested and are great.  Each women has to weigh the benefit of each.

Dr Miguel Delgado is a breast revision specialist.  He has performed hundreds of these surgeries and has a dedicated breast implant revision website.  Also view the many before and after photos of Dr. Delgado's patients and the breast revision videos.
Dr. Miguel Delgado has offices located in San Francisco Bay Area and Marin County-Novato.  Also serving Sonoma and Napa County since 1988.
Call today 415898-4161 or email for a consultation.

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