What is the difference with silicone and sali…

What is the difference with silicone and saline breast implants? And which is better?

Asked by Leila in Hana, HI • 5 years ago

Larry Schlesinger, M.D., F.A.C.S. in Honolulu, HI

Silicone and saline breast implants are covered by the same material. Back in 1991, there was a question of whether silicone caused diseases such as Lupus. When the FDA let silicone filled implants back on the market, in 2006, all possible concerns of silicone gel being toxic to human beings, had been put to rest.
The filler in saline implants is salt water. The filler in silicone implants is a highly bonded silicone gel, which is a semi-solid and not a liquid. Therefore, even if the integrity of the outer silicone wall is interrupted, silicone cannot spread throughout the body as previously alleged. Silicone breast implants are softer than saline breast implants. The flow pattern of silicone breast implants is closer to natural breast tissue than saline implants. Saline implants are filled during surgery in the operating room, therefore, they have a valve. Overtime, all valves fail. Therefore, one has a greater chance of a re-do surgery with saline implants than with silicone implants. Saline implants have a faster flow pattern than silicone leading to the appearance of rippling on the surface of the implant and possibly on the breast. Silicone implants, after a time, take the configuration of a tear drop while saline implants have a more artificial appearance over time. All in all, silicone implants are the implants of choice in the second decade of the 21st century. Thank you very much.

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