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What are breast implants?

February 13, 2014

After a couple decades of turmoil, it seems that the world of breast implants surgery has finally stabilized. We now have two major categories of breast implant types to choose from: saline (salt water) and silicone gel (cohesive gel / gummy bear). Major research has been done with respect to the safety of both types of implants and the conclusions are quite definite. Both types of implants are safe and neither lead to cancer or connective tissue disease. Some women choose saline due to cost considerations or simply because they still prefer to avoid silicone products. This is reasonable and saline work well although most would consider them to be less natural in terms of appearance (rippling and waviness is more common) and feel. Saline implants also leak more frequently and this can lead to revision surgery and implant replacement. Silicone gel implants feel and look more natural and have no leaking tendency since the gel inside is semi-solid, much like jello or a gummy bear. This means that even if the outer shell of the implant somehow punctured, the internal contents of the implant wouldn’t leak out and a patient would likely never even know a puncture had occurred. One drawback of silicone gel implants is that they often require a larger incision to be made and may not be conducive to insertion through the areolar or armpit (axillary) incisions because they are pre-filled.


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Robert S Backstein, MD STEELES AVENUE COSMETIC SURGERY
5109 Steeles Avenue West, Unit 13 Toronto, Ontario, M9L 2Y8
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