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Breast Enhancement at Nashville Cosmetic Surgery Center

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Breast Implant Information: Silicone Gel vs. Saline

The FDA recently approved a new generation of silicone-filled gel breast implants for women who are at least 22 years of age giving women more choices than ever before in breast implant surgery. There are a number of differences between saline and silicone breast implants which Dr. Griffin will explain thoroughly to you during your consultation. A summary of the pros and cons of both types of breast implants follows:

Silicone Gel Breast Implants

Advantages

  • Silicone gel implants feel more like natural breast tissue
  • Silicone implants are less likely to ripple
  • Silicone gel implants are available in a variety of sizes, profiles, and textures
  • Lifetime replacement guarantee from the manufacturer

Disadvantages

  • Silicone breast implants come pre-filled, meaning that the exact volume must be determined before surgery
  • Because silicone breast implants are pre-filled, the incision will be slightly longer to allow for insertion of the implant
  • Pre-filled implants do not allow for correction of small asymmetries in breast volume between the breasts
  • If a silicone breast implant ruptures (which is less likely with contemporary silicone implants because of the multi-layered shell), silicone is not absorbed by the body, but can cause capsular contracture (scar tissue formation) in the breast
  • Rupture of silicone implants is more difficult to detect

Saline Breast Implants

Advantages

  • Saline breast implants are filled after they are inserted so that exact volume can be customized during surgery and the incision length can be shorter
  • If a saline implant ruptures, the saline (salt water) filling is safely absorbed by the body and a volume change becomes noticeable in the breast
  • Saline implants are available for women of all ages
  • Saline implants are available in a variety of sizes and profiles

Disadvantages

  • Saline implants are not as soft or natural-feeling as silicone gel implants
  • Saline breast implants are more likely to have palpable and even visible rippling