Multiple factors can influence the decision of whether to use either saline-filled or silicone-gel-filled implants for cosmetic breast augmentation. There are differences in implant performance and appearance; differences in patient anatomy, desires, and concerns; and differences in surgeon preference. The rate of capsule contracture should be considered. The softness of the implant is of greatest importance when the amount of native breast tissue under which it is placed is less voluminous. The size of the implant and the position of the pocket, under or over the muscle, will affect the end result. In general, the gel-filled implants have the advantage of a more natural feel in the case of the softer gels, which is important for patients with less robust soft tissue coverage.
KeywordsBreast Augmentation Breast Implant Capsular Contracture Silicone Breast Implant Capsular Tissue
Unable to display preview. Download preview PDF.
- Weinzweig J, Schnur PL, McConnell JP, Harris JB, Petty PM, Moyer TP, Nixon D: Silicon analysis of breast and capsular tissue from patients with saline or silicone gel breast implants. II. Correlation with connective-tissue disease. Plast Reconstr Surg 1998;101(7):1836–1841PubMedCrossRefGoogle Scholar
- Bondurant S, Ernster VL, Herdman R: Safety of silicone breast implants. Committee on the Safety of Silicone Breast Implants, Division of Health Promotion and Disease Prevention, Institute of Medicine 2000Google Scholar
- U.S. Food and Drug Administration: Breast implant questions and answers. Washington, DC, U.S. Food and Drug Administration 2006Google Scholar