Can anyone provide an argument against saline?
Ok, so here I am again.
My surgery is July 10th. I think I am going to get the implants. My surgeon had only really recommended saline. We hadn't talked much about it. I didn't do any research about saline vs. silicone. I have been looking through the topics on this forum and it seems that a lot of you have gone with silicone. I need help.
Thanks!
My surgery is July 10th. I think I am going to get the implants. My surgeon had only really recommended saline. We hadn't talked much about it. I didn't do any research about saline vs. silicone. I have been looking through the topics on this forum and it seems that a lot of you have gone with silicone. I need help.
Thanks!
I can't really argue but I am getting an aug on June 15th and went with silicone. With my research they seem more natural and supposedly work better with WLS patients. They are more costly but I hope worth every penny. Looking at before and after of silicone and saline it appears the silicone just look more natural.
To each their own.
Good luck in your decision.
To each their own.
Good luck in your decision.
Thank you all for your input. I hope I continue to hear from other people. I had a full body contour last summer. They gave me a breast lift and that surgeon also put tissue from other parts of my body in my breasts for volume. However, the tissue died and had to be surgically removed in April. They are offering me implants free of any extra charge.
Kelly V., do you know any good sites that have pics on them? Do you konw what kind of silicone was used for you? I keep hearing about some "memory gel" kind.
Kelly V., do you know any good sites that have pics on them? Do you konw what kind of silicone was used for you? I keep hearing about some "memory gel" kind.
I had breast aug. on April 7th. I went with saline and my husband and I are thrilled! They look very natural (I will try to post a pic tomorrow.) I had breast reduction and lift a year ago after all the weight loss, but just wasn't satisfied with the outcome. So I went for the aug this year and am lovin' 'em!
Just my experience. Good luck!
Just my experience. Good luck!
Lovelylady
start 308/goal 160/ curent 145 @ 5'9"
Hijack!.............the reason you waited for so long from your reduction to your implants was it because you wanted to see if you could use just your own tissue for your breasts and after they were healed you wanted more volume to them? My doctor now said he wont 'do a lift and implant at the same time and i have other surgeries which he and i feel are more important to improve first so we are just doing the tt and breast lift at this time. I am afraid i will be disappointed.
Wendy
Wendy
Yeah, exactly. I didn't initially plan on the implants but after I wasn't pleased with the outcome I started thinking about them. It just took me a while to decide for sure. I'm glad I went that route now...I am very pleased. If I had it to go over I would still proceed as we did (i.e. the reduction/lift followed by implants later.) Hope that makes since!
Best of luck to you!!
Best of luck to you!!
Lovelylady
start 308/goal 160/ curent 145 @ 5'9"
My doctor does all types of implants but for mammograms, he is partial to saline, especially if you don't have much breast tissue. I absolutely love mine and they feel and look very natural.
I'm sure you're doctor must have his reasons for recommending saline for your situation. I wanted silicone, but he said no for mine.
Mary
I'm sure you're doctor must have his reasons for recommending saline for your situation. I wanted silicone, but he said no for mine.
Mary
Arguments against saline:
1. heavier per volume as compared to silicone -> a BIG deal with people who's skin has less elasticity like post weight loss surgery patients. Saline will "bottom out" (stretch) the lower breast skin more because it's weight settles more inferiorly from gravity due to it's liquidity as well as opposed to a semi solid gel polymer.
2. Much more palpable, particularly under thinner tissue. There is no debate on this. Silicone feels much more like breast tissue.
3. More like to show "ripples" from the scalloping shape of the implant edges
Arguments for saline:
1. ~ $1000 cheaper per pair
2. easier to detect rupture & replace
3. may be a little less prone to capsular contracture (hardening), although it's debateable if that's true with more recent gel devices
The rest of the world by and large does not use saline implants whatsoever ( <2% world market) as most surgeons have considered them inferior devices performance-wise. The US has a little different experience from the restrictions that existed for almost 15 years on their use in cosmetic surgery outside clinical trials. There's a generation of surgeons who had little or no experience with their use and were content with their results with saline.
I use both kinds, but I personally think most weight loss patients do better with silicone due to the thinness of their tissues and the implant weight consideration. I'm particularly disappointed with palpability issues in the lower pole of the breast.
1. heavier per volume as compared to silicone -> a BIG deal with people who's skin has less elasticity like post weight loss surgery patients. Saline will "bottom out" (stretch) the lower breast skin more because it's weight settles more inferiorly from gravity due to it's liquidity as well as opposed to a semi solid gel polymer.
2. Much more palpable, particularly under thinner tissue. There is no debate on this. Silicone feels much more like breast tissue.
3. More like to show "ripples" from the scalloping shape of the implant edges
Arguments for saline:
1. ~ $1000 cheaper per pair
2. easier to detect rupture & replace
3. may be a little less prone to capsular contracture (hardening), although it's debateable if that's true with more recent gel devices
The rest of the world by and large does not use saline implants whatsoever ( <2% world market) as most surgeons have considered them inferior devices performance-wise. The US has a little different experience from the restrictions that existed for almost 15 years on their use in cosmetic surgery outside clinical trials. There's a generation of surgeons who had little or no experience with their use and were content with their results with saline.
I use both kinds, but I personally think most weight loss patients do better with silicone due to the thinness of their tissues and the implant weight consideration. I'm particularly disappointed with palpability issues in the lower pole of the breast.
on the web at Plastic Surgery Specialists
blogging on all things plastic surgery at Plastic Surgery 101
blogging on all things plastic surgery at Plastic Surgery 101
Our kind doctor said the same thing my surgeon said:
Silicone is better for thin skin, and most WLS patients have that
It feels more natural
You can have a rippling effect with saline
My surgeon uses both, and 60% of his patients go with saline, but for me he recommended silicone. I have not had it done yet...June 19th! I would have to let you know if he was right!
Silicone is better for thin skin, and most WLS patients have that
It feels more natural
You can have a rippling effect with saline
My surgeon uses both, and 60% of his patients go with saline, but for me he recommended silicone. I have not had it done yet...June 19th! I would have to let you know if he was right!
Thank you all for your responses! This is really helpful for me.
Yes, they originally put my own tissue in thinking we could get around the implants. That surgeon thought he could build Rome in 1 day (or 11 hours to be exact, heh). I lost 175 starting 6 years ago in a 12 step program. I didn't have any WL surgery. I have stayed in the program and maintained my goal of 150 (you can look at my pictures) for the whole time. Last year, I finally decided to get the skin removed. I had breasts, arms, butt, stomack and upper thighs all in one surgery. Though he was a high profile Boston surgeon, it turned out he had been on drugs. The hospital is walking on eggshells with me. Once they discovered that the tissue in my breasts was dead, they agreed to implants at no further cost.
I have been struggling with the decision to do it. I have to have my stomach redone on July 10th and that is when they are doing the breasts. Now I think I am going to do the implants... but obsessing over silicone vs. saline.
It looks like silicone is the way to go, but aren't there health hazards? Doesn't it look like silicone has been linked to diseases like lupus?
Dr. Oliver, do you know anything about the silicone memory gel? I read somewhere that those are proving to last longer and don't need to be replaced as quickly?
Thank you all!
Yes, they originally put my own tissue in thinking we could get around the implants. That surgeon thought he could build Rome in 1 day (or 11 hours to be exact, heh). I lost 175 starting 6 years ago in a 12 step program. I didn't have any WL surgery. I have stayed in the program and maintained my goal of 150 (you can look at my pictures) for the whole time. Last year, I finally decided to get the skin removed. I had breasts, arms, butt, stomack and upper thighs all in one surgery. Though he was a high profile Boston surgeon, it turned out he had been on drugs. The hospital is walking on eggshells with me. Once they discovered that the tissue in my breasts was dead, they agreed to implants at no further cost.
I have been struggling with the decision to do it. I have to have my stomach redone on July 10th and that is when they are doing the breasts. Now I think I am going to do the implants... but obsessing over silicone vs. saline.
It looks like silicone is the way to go, but aren't there health hazards? Doesn't it look like silicone has been linked to diseases like lupus?
Dr. Oliver, do you know anything about the silicone memory gel? I read somewhere that those are proving to last longer and don't need to be replaced as quickly?
Thank you all!
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