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Good Advice Saline or Silicone Breast Implants? Which Is Right For You? by H. Sasson, MD, FACS Good question. This goes back to one cunning feature of saline implants: their adjustWhen I talk to patients about this basic breast augmentation decision, my first priority is to focus on their desires. How do they picture ability. Saline implants are placed in the breast empty, then filled after they’re in place. This their ideal breasts? What is the fantasy? That comes first, because that is what I’m giving them – a new sense offers surgeons a terrific opportunity to get my patients’ breast size exactly right during of self based on their idea of how they want to look, feel and pres- surgery. I can fill the saline implants within a specified range. My patient and I have the ent themselves to the world. As for the practical differences between whole gamut of sizes to choose from. Silicone implants, on the other hand, come in 25-30 saline and silicone implants, that comes second. Both types are safe. ml increments, so they offer fewer options. Bonus: With saline, women with breast asymmetry can finally get their breasts evened out! Both are FDA-approved. At the end of the day, the practical differSmaller incision: Because saline implants are collapsed when they go in, they require a ences are quite minor. smaller incision than silicone implants. But this is rarely a factor in my patients’ decisionTexture, Texture, Texture making. I place incisions where they can barely be noticed. And they fade This is the big question. How will the breasts feel? And of course, which a year or two anyway. So this is kind of a non-issue. offers the most natural look? A new sense of self after The risk of rupture is about equal with saline and silicone. Silicone implants have a reputation for having the best texture. The gel in If a saline implant ruptures it will deflate (harmlessly). You‘ll know about silicone implants mimics human breast tissue extremely well, while saline based on of how you it right away. With silicone, your breast won’t change shape so tests such implants can leave the breast feeling harder than real breasts. want to look and feel. as an ultrasound or MRI may be needed to diagnose the rupture. To guard Silicone blends in with natural breast tissue so seamlessly that it doesn’t against unnoticed ruptures, the FDA recommends MRI screenings three ripple. What I mean by that is that it doesn’t create a surface irregularity years after surgery and every two years after that. where the implant meets real breast tissue. Neither implant is designed to last a lifetime. The longer a woman has either, the likelier Saline implants have a reputation for rippling. As they succumb to the pressure of surrounding breast tissue , a “seam” of rippling skin can appear on the surface. This is espe- she’ll be getting a replacement at some point. A consultation can answer further questions cially true when they’re placed above the pectoral muscle. Dr. Sasson is a board certified plastic surgeon trained at UCLAand Yale University HosI always let my patients feel both types of implant under a range of simulated circumpitals and is the chief of plastic surgery at two Long Island hospitals. He has many years stances. That way they can decide for themselves which feels more natural. of experience in cosmetic surgery and will be happy to formulate the proper plan for Why Saline? At this point you’re probably wondering: If silicone implants are so superior in texture, you. Please call our Great Neck (516) 487-5017 or Manhattan (212) 249-0066 office to schedule your consultation. why isn’t everyone getting silicone and ignoring saline? advertisement

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September 2014 • LONG ISLAND WOMAN • 13

LIW September 2014  

Sarah McLachlan

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