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My Blog


Breast Augmentation, Saline or Silicone

Posted on March 2, 2012 at 11:43 PM Comments comments (318)
Lavender's Lair  HOT TOPIC FOR MARCH...Breast Augmentation  Saline or Silicone.  Most frequently asked questions.
Are they safe?  Yes.
Are you able to breast feed afterwards?  Yes  ( although, placement through the aereola my conflict with breast feeding ).
Are you at risk for losing sensation?  Possibly, but chances are increased if placement is through the aereola.
Where is the safest and best location for implant placement and why?  I personally believe that the safest area to place the implants is the inframmary crease, otherwise directly underneath your breast at the fold.  Placing the implants through the armpit leads to the implants gravatating to the side because they will typically migrate back to the original incision site leaving less cleavage.  As well as your lymph nodes are in that area and not a great idea to cut into them.  Placement through the areola tends to lead to a larger risk of infection, poor scarring, loss of nipple sensation and disturbs the milk glands.  If and when implants need to be exchanged they are removed through the inframmary crease, so why not start there?
Is it true that you need to replace them every ten years?  No.  If it's not broken leave them alone!  Typically the idea is for you to replace them prior to the manufacturers warranty runs out.  But if they are not ruptured the manufacturer will not replace them anyway.  With Saline it would be best to purchase the extended warranty package that the manufacturer offers.
How long do implants typically last?  Saline implants, unfortunately are very unpredictable and I have witnessed situations where they have ruptured in two years and have also seen patients continue on with them for as long as 12 years.  The key is to understand going into this, that it is NOT a one time surgery.  Silicone implants however now outlast the saline almost indefinitely and should have a life time warranty.  Therefore the extended warranty really isn't needed.
How safe are implants?  Both Saline and Silicone implants are safe.  Saline implants are filled with saline which our bodies naturally consist of anyway.  Therefore if the implants were to rupture our body just naturally filters the saline through our bodies system with no ill effect.  Silicone ( the gummie bears ) are no longer the free flowing silicone with the thin casing that when it did rupture traveled throughout our breast and encapsulated all the tissue it came into contact with.  Now the new "Gummie bear" silicone implants are a cohesive (solid) which means that you can actually cut one in half and you then have two solid halves, no liquid filling to travel.  Therefore, no ruptures.
Which implant gives you more of a natural looking breast?  That would be silicone.  It tends to give you more of a tear drop effect.  Saline implants tend to look firmer.
What are the negatives to breast implants?  Capsular contractions.  Which means scar tissue has grown in excess around the implant compressing it, shifting it, causing discomfort and making the breast feel abnormally hard.  What happens is that our body heals itself ( fortunately ) so, when we have a cut or a wound our body naturally repairs itself.  When we create a pocket within our chest wall to place an implant, our body may recognize that as a wound and feel it needs to repair, therefore growing scar tissue over the implant itself.  Breast compressions are crucial!  Make sure that you press your implant into your chest medially DAILY & forever.  Think of it as a piercing that may close in a week or in a year or never, the body is unpredictable.  And as with all surgeries the risk for infections and poor wound healing is always possible.
And last and most not take this surgery lightly.  Do your homework!  Make sure your doctor is a Board Certified Plastic Surgeon.
Until April,