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Saline dominates despite the silicone comeback
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Saline dominates despite the silicone comeback

Posted Wednesday, August 18, 2010

The vast majority of plastic surgeons have seen an upswing in the request for silicone breast implants since the FDA re-approved them in 2006. However, you may be surprised to learn that surgeons who still use saline implants recommend them to 75% to 100% of their patients.

These trends were uncovered through a survey of more than 1700 members of the American Society for Aesthetic Plastic Surgery.

"Although the reintroduction of silicone gel implants was accompanied by expectations of a sharp increase in their use, this survey revealed that, among Aesthetic Society members, saline implants are used more often than silicone gel implants," the study authors stated. "However, both saline and silicone gel implants are used frequently, safely and reliably."

If you're debating about whether to choose saline or silicone for your own future breast augmentation, it's important to remember that results rarely rely on just the implant material.

"Obtaining favorable patient outcomes is usually not dependent on the type of implant," says ASAPS president Alan Gold, MD, "as much as the use of patient-appropriate techniques by a qualified and experienced surgeon."

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Dr. Michael A. Epstein | Plastic Surgeon
There is no question that when making decisions about the details for breast augmentation surgery, the most important factors are sizing and positioning of the implant of choice. There are pros and cons to many of the choices that are made during preoperative planning with an individual patient who desires breast augmentation surgery. Incision placement, depth (submuscular vs. subglandular), silicone vs. saline, are just some of the decisions that are made prior to a patients surgery. The patient's surgeon should discuss all of these things during the consultation and preoperative planning process. There is no one right answer, but there are best choices for each individual patient depending on desires and anatomy.

Posted August 18, 2010 12:15 PM

JoAnne W said...
Dr Epstein is correct when he writes that the complications in using either implant are technician dependent. The statistics collected by the largest manufacturers show this to be the case. Capsular contracture seems to be one of the most common problems. Silicone dominates in our office and we have no problems with them. For anyone who is considering this procedure, please do your homework and know the doctor's board certifications and his skill level.

Posted August 23, 2010 10:49 AM

Dr. Richard A. Baxter | Plastic Surgeon
Our approach is to educate the patient about the options and help them make an informed decision, rather than making a specific recommendation on saline vs. silicone. There are circumstances however where one type of implant has advantages over the other. I have been using silicone implants for more than 15 years (as part of the adjunct study prior to FDA approval) and so we are very comfortable with them. It's about 75% silicone in my practice.

Posted August 26, 2010 12:14 PM

3 Total Comments | Post a comment

Dr. Michael A. Epstein
Plastic Surgeon
Dr. Michael A. Epstein, with offices on Chicago’s North Shore, knows what cosmetic surgery can do for a person’s self esteem. From the initial consultation to the postoperative visit, he and his staff strive to create a truly beautiful experience for each and every patient. A recipient of Castle Connolly’s “Top Doctor” award for plastic surgery, Dr. Epstein is an active member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. He has been a featured guest on numerous television programs and quoted in dozens of newspapers and magazines nationwide.

Visit Dr. Epstein's NewBeauty profile.

Dr. Richard A. Baxter
Plastic Surgeon
An art major in college at UCLA, Dr. Richard A. Baxter combines his creative talents with his scientific, medical aptitude to provide refined aesthetic results for his patients. Certified in plastic surgery and in practice for almost two full decades and as a member of the International Society of Aesthetic Plastic Surgery, he is always seeking to evolve his techniques and expand his available procedures. He participates in numerous clinical trials and is driven by the challenge of alternative techniques, which allow for more advanced methods and individual creativity. As a surgeon, artist, researcher, presenter and lecturer—and having performed several thousand breast augmentation surgeries throughout his career—Dr. Baxter believes a multiplicity of corresponding talents helps make for more inclusive, guided care.

Visit Dr. Baxter's NewBeauty profile.

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