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.

Monday, January 27, 2014

PIP Breast Implant Scare

PIP Breast Implant Scar

San Francisco, California

There have been a lot of reports in the news lately about a French manufacturer of defective breast implants used for breast augmentation surgery. It was discovered that Poly Implant Prothese (PIP) a now defunct company had been using industrial grade silicone instead of the more expensive medical grade for their silicone implants.

In 1996, PIP was selling their saline implants in the United States including the San Francisco Bay Area, but saline and silicone implants were distributed to many countries worldwide. All silicone implants were banned in the United States from 1992-2006 due to health concerns but reintroduced after extensive testing proved them to be safe. Only two breast implant companies are approved by the FDA, Mentor and Allergan.
PIP became the third largest breast implant company in the world before being shut down in 2010 when the discovery was made. A Dutch company rebranded the implants with the name Rofil M-implants, and is also at risk as the contents are the same. In 2000 the FDA sent an inspector to the PIP manufacturing company and found many substandard practices thereby banning all PIP implants for the United States.
The American Society for Aesthetic Plastic Surgery (ASAPS) recommends women have the implants removed due to the high rupture rate and also due to the fact that the adverse effects of the impurities used in industrial grade silicone are unknown. The International Society of Aesthetic Plastic Surgery (ISAPS) supports this recommendation. Different countries have different recommendations. Several countries recommending removal besides the United States are; France, Germany, Venezuela and the Czech Republic. Some countries are setting up registries and hotlines but not recommending removal at this time.

Dr. Delgado is a breast implant revision expert.  He has performed hundreds of breast implant revision surgeries. If you are having issues you your breast implants call Today 415-898-4161 or email.   Visit Dr. Delgado breast implant revision specialized website for many before and after photos or visit his main website for other cosmetic surgery procedures.  Serving the San Francisco Bay Area, Marin County, Sonoma County and Napa Valley since 1988.