There is always the chance
of implants occasionally getting hard, distorted or causing local complications
– and does need to be considered by every prospective patient. However, every
study, without exception has shown there is no association whatsoever between
silicone gel filled breast implants and any systemic diseases.
In 2006 breast augmentation
was the most commonly performed cosmetic surgery procedure. With anything to do
with your body there is always going to be risks involved, so making an informed
decision on whether this surgery is going to be right for you is so important.
Always do your research before any surgical procedure.
2. Silicone gel is currently
In 1992, the FDA put a
moratorium on use of silicone gel filled implants –
not because there was
evidence they were dangerous – but because there was lack of evidence they were
That evidence is now available to prove that there is not any
correlation whatsoever between silicone implants and the safety factor.
Silicone implants are now currently for use for any patient who is over the age
Also if the patient is below the age of 22 years and she needs
breast reconstruction or treatment of a breast deformity – silicone is available
for use for those specific cases.
3. The implant is always
best placed below the muscle rather than over the muscle
Many patients have heard
that placement of the implant is always best if the implant is placed below
(sub-muscular) the muscle rather than
sub-glandular (over the muscle). This
is far from the truth, as there are specific roles for both methods of
With four different choices (completely under
the muscle, partially under, over the muscle, or
sub-fascia placement) there are
pros and cons to each placement. Everything is predicated on your own
individual body type and the look you are trying to achieve.
4. There is a “best” incision approach
Incision approach depends on
the implant that is chosen as well as the surgeons capabilities and methods.
Certain implants have fewer incision options than others, and with that, it may
have different and slightly larger scaring. With saline implants the incision
is going to be smaller as the implant is placed into the pocket that was made
for the implant deflated, and once it is inserted then it is filled with saline
through a tube. With silicone, the larger you go with these pre-filled implants
the larger the incision site is going to be.
TUBA -Trans-umbilical Breast Augmentation (belly-button)
TABA - Trans-abdominal Breast Augmentation (incision used when
performing a tummy tuck)
5.Implants rupture all of the time
Studies have shown implants
are on the contrary, to be very strong. However, these implants are not to be
meant to be lifetime devices – with an average lifespan of approximately between
10 – 16.4 years. The older the implants are – the greater the risks of a
Saline breast implants
gradually lose the saline that fills the implants because of filling port
failure, shell perforation, creasing and material deterioration.
The reported deflation rate
for saline implants is 7% at 7 years, according to the Institute of Medicine/and
the FDA Breast Implants Handbook 2004. It is also estimated that saline
implants have a deflation ratio of 1 to 3% during the first year alone – and
would slowly increase thereafter.
The rate at 10 years for
saline implants to rupture is approximately 5 to 10%.
Silicone however was less than 10% for ruptures at 5
years, and again that rate would slowly increase as time continued.
interesting factor here is that there are many women who have had their original
silicone breast implants for 25 + years and counting with no problems at all.
6.Any patient can have any shaped
Each patient’s body is
different and how implants are going to appear depends on what the person has
going into this surgery. Bringing photos to a consult is good to communicate to
the Plastic Surgeon what size you would like approximately, however, you cannot
bring in photos and say I want those breasts! Your body is like an artist’s
canvas……everyone is different and each one has their own set of flaws that the
Plastic Surgeon has to work around.
7. Breast implants will make your
breasts sag earlier
or without breast implants – a patient’s own body and its reaction to gravity,
weight, and loss of elasticity as your skin ages contributes to breast sagging.
A natural breast of the same weight will show sagging just as much as an
implant. The best thing you can do is counter this with always wearing a good
supportive bra as much as possible.
8. It is dangerous for women with breast implants to breastfeed
Although there are no
current methods for detecting silicone levels in breast milk, there is
convincing evidence that infants breast-fed by mothers with breast implants
receive no higher silicon intakes from breast milk than infants breast-fed by
mothers without breast implants.
One concern with
breast-feeding is that when the implants are inserted into the breast, the
milk-ducts will be cut. It is very important to relay this information to your
Plastic Surgeon so that he might offer another incision approach so that the
milk ducts will not be cut – (such as
You can get a fungus infection from a
saline-filled breast implant
This is a
very rare situation, and there are no documented cases of a Plastic Surgeon
removing implants that have been infected with fungus. A fungal spore is too
big to permeate the shell of the saline implant, and at one time it was thought
that this process happened during the filling stages of saline implant. Today
this is completely impossible to happen, as Plastic Surgeons only fill the
saline implants from a sterile bag of saline. If the saline implant is
completely sterile and has been handled appropriately during the surgical
process then for something of this nature to occur is very rare.
implants are safer than silicone gel-filled implants
Both saline and silicone
implants are approved by the U.S. Food and Drug Administration (FDA). Approval
means that an implant has been rigorously researched and tested, and reviewed by
an independent panel of physicians for safety.
11. Silicone breast
might leak out and spread through my body
Today's silicone gel
implants are much more cohesive than any liquid. The particles found in the
newer type of silicone implants are gelled together so that they move together
as a sticky mass – not flowing like the older style silicone implant that
appeared more like a liquid. As a result, if the silicone implant should get a
large tear or a rupture of its shell, the mass of silicone will sit inside the
capsule that has formed around the implant.
The silicone molecules are too big
to permeate the capsule in which the implant sits. If you should squeeze on a
silicone implant that has been cut with scissors, it tends to bulge out of this
opening only to be retracted back into the implant when pressure is removed. Chemically speaking, we all have some silicone particles
throughout our bodies in microscopic amounts due to a lifetime of expose to the
element. However; in studies that have been conducted, women with silicone
breast implants today do not have substantially higher levels than those who do
not have implants.
12. Breast implants make it very
difficult to detect breast cancer or women with breast implants can’t have
At age 35 and over mammograms are important to have done
on a yearly basis. Most technicians now are trained to work with women with
breast implants and there has also now other forms of having a breast screening,
such as a SonoCine.
The technicians know that
more views of women with implants are needed for a mammogram analysis and that
they also have to know how to manipulate the breast tissue to move the implant
out of the way.
13. The implant’s
Silicon Elastomer Shell can make a patient sick
There are no proven tests
available showing that silicone can physically make a patient sick. The FDA
(United States Food and Drug Administration) allowed silicone shell breast
implants back onto the market after many years of having them unavailable due to
a moratorium. The FDA has had the implant manufacturers submit many years of
research proving silicone implants are indeed safe. There are many other types
of surgical implants that are made of silicone and seem to have no problems at
all, including hip replacements, joints, chin and cheek implants.
Actual silicone filled
implants which has been under scrutiny for so many years
failed to ever make any correlation to any form of
as this has been studied and analyzed on hundreds of thousands of women.
This factor alone has been thoroughly evaluated and dispelled by the FDA, in
which this is the main reason why they allowed silicone breast implants back
onto the market. Silicone breast implants are one of the most extensively
studied medical devices in the history of mankind.
There have been numerous
claims against silicone breast implants and the fact that they did actually
contribute to developing autoimmune diseases, however there has never been any
foundation with these claims.It has been stated that this
rate of occurrence is no greater than that of women who have never had breast
The facts are that autoimmune diseases occur in much higher numbers in women
mostly in the
same age ranges where breast augmentation is actually being performed (20-45
years). Autoimmune diseases are genetically linked by hereditary, and they tend
to lay dormant in your system until there is some sort of trauma that is
experienced by the body. Any surgical procedure could make these symptoms
active – so whether it is breast augmentation or gall bladder surgery, this
disease becomes active when there has been something to compromise the body’s
the studies and testing that has been performed on these devices has all
concluded that silicone breast implants do NOT cause autoimmune diseases.
14. Silicone breast implants
become hard over time
Hardening of a breast
implant is known as capsular contracture. This is caused when the natural scar
tissue around the implant start to thicken and get hard over a period of time.
Older style silicone breast implants were not as cohesive as today’s. The
silicone was very liquid, in which there was a significant amount of “gel bleed”
from the actual implant shell. It was this gel bleed that was thought of
contributing to the formation of
capsular constriction and the thickening of the
capsule wall. With the newer style silicone implants, the silicone is so
cohesive that there is very minimal if any gel bleed anymore, thus lessening the
chances of capsular constriction. Not all silicone breast implants contribute
to capsular constriction.
15. Your health insurance benefits will be denied or will be dropped if you have
insurance *might* pay for surgical removal of breast implants caused from a
complication (severe capsular constriction), but will not pay for new implants
if the patient elects to have this done, but this all has to do with what type
of policy you have.
proactive thing to do is to call your health insurance company and ask if having
this surgery will affect the current policy.
The Food and
Drug Administration’s Breast Implant Consumer Handbook, “For some women,
companies may increase premiums, drop coverage, or deny future coverage
following breast implant surgery or following complications from the breast
implants or surgery. Policies on coverage may also change from year to year.”
It is always
best to check with your individual policy and its limitations.
implants cause cancer
data have NOT been able to link Breast Implants to Cancer.
Institute of Medicine/FDA Website report clearly states that breast cancer is no
more common in women with breast implants than those without breast implants.
More information on cancer and breast implants is available at the National
Cancer Institute website at: