In the past silicone breast implant manufacturers have been brought to court and fined successfully on numerous occasions. The majority of these happenings were in the early 1990's, the manufacturers themselves had to work hard to change their products image and safety. In the US the Food and Drugs Administration decided to ban silicone implants from sales in 1992. Afterwards only saline filled implants were available. Up to 2005 the only women that were allowed to receive silicone breast implants were those undergoing revision or reconstructive surgery.
Implant Structure
Saline implants consist of a silicone rubber shell which is inflated with sterile saline solution to the size desired by the patient. As with most implants, there are sealable valves.
Two forms of saline breast implants are available. Fixed volume implants contain the final quantity of saline fluid on implantation. Adjustable volume implants are filled intraoperatively, and can be further adjusted in size after the operation.
Silicone breast implants also have a silicone rubber shell, and are filled with a final quantity of silicon gel. Every implant has a small silicon rubber patch hiding the valve used to put the gel in. McGhan and Mentor, two large US silicon breast implant manufacturers, produce implants with three layers to stop gel leakages.
Shell textures can be smooth or rough, their shape, profile, volume, thickness and lumen number also vary. The majority of gel-filled breast implants are unable to be adjusted in size or other feature.
Pro's and Con's
Saline breast implants are very safe in that should any ruptures occur the salt water filler fluid harmlessly seeps into the body. What is not so good is that saline implants are more likely to display implant rippling, they can also occasionally look less natural when inserted into reconstructive or small breasted women. Very thin women tend to have breasts that look particularly unnatural or rippled since they have little flesh covering the implants.
At present all the in depth scientific studies made to find links between silicone implants and autoimmune or connective tissue diseases have deduced there is no connection. Some research has concluded that these implants are in fact safe for use, the FDA is looking into these claims at present. Any pre-filled implants, especially those with the firmer textured surfaces, tend, size depending, to require a larger incision to be able to place them inside the breast, so if scarring is a big issue then saline implants may be the way forward.
Developed in 1984 by Dr. Hilton Becker, implants that have an expandable central lumen of saline and an outer lumen of gel exist, providing the benefits of both types of implant filler. At a hugely more expensive price per implant ($2000-2200) these have not had mass appeal.
Silicone Vs Saline Breast Implants
Silicone breast implants have become the implant of choice for many women in the United States. After the controversy raising health concerns about silicone breast implants in the 80's, the FDA banned them in 1992. Over a 14 year period silicone was only used in implants for purposes of breast reconstruction and in clinical trials. The result of the trials and improvements in the construction of the silicone implant prompted the FDA to approve them once again in 1992.
Many women prefer the silicone implant because it tends to look and feel more natural. As you consider your implant options, the following list will help guide you to discover the information you need to know:
Top 5 List of things to know about Silicone Breast Implants:
1) Rupture. The silicone implant is less likely to rupture compared to the popular saline implant due to its thick outer shell. Technological improvements in the structure of the implant have made a more durable implant. Additionally, with the cohesive gel silicone implant, popularly known as gummy bears, the silicone actually holds together upon its unlikely rupture.
2) Incisions. There are three typical incision methods with this type of implant. Women can choose to have the implant inserted through the armpit, under the breast fold or through the nipple. The limitation with silicone implants is that it cannot be inserted through the belly button (known as TUBA). And finally, the silicone implant requires an incision which is likely to leave a larger scar.
3) Natural look and feel. Perhaps the biggest benefit to this type of implant is that it will tend to look and feel more natural than saline. You not likely to have the rippling effect which can occur with the saline implant.
4) Expense. One important factor, of course, is cost. If you are interested in silicone you are likely to spend about one thousand dollars more due to the cost of the implant.
5) Implant Size. Silicone implants are available in a wide variety of sizes. Whether you are interested in a C cup, D cup, DD cup or larger, there is a silicone breast implant to fit you.
You should have a thorough discussion with your doctor regarding an appropriate implant size. The most common reason women go back for second or third surgeries is simply to change the size of their implant. With all the same costs and risks involved in second surgeries, please take your time to thoroughly investigate this decision.
I recommend the use of implant sizers to help you choose your size. While it is important to see before and after photos on the internet, nothing can replace the value of actual experience on your own body of various implant sizes. The best way is to actually live with the sizer over a period of at least two weeks. Try on different sizes until you feel comfortable that you have arrived at a size that works well for you and your body.
Silicone breast implants are an increasingly popular option in breast augmentation surgery. There are benefits to all implant types, but silicone should be given careful consideration. Make an informed decision about your breast implant type and size by wearing breast sizers and having a thorough discussion with your doctor.
Both Alex Rider & Ned James are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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