Saline And Silicone
Saline and silicone breast implants both have an outer silicone shell. The implants differ in material and consistency. The doctor fills saline into the implants often at the time of surgery. Some criticize implants for feeling hard or unnatural, but improved surgical techniques such as placing the implant behind the chest muscle and slightly overfilling it have lessened these complaints. Saline breast implants are available to women age 18 and older for breast augmentation, or women of any age for breast reconstruction.
Pre-filled Silicone implants contain a silicone gel. A thick sticky fluid closely mimics the feel of human fat. Some women feel that silicone breast implants look and feel more like natural breast tissue. Silicone breast implants are available to women age 22 and older for breast augmentation, or women of any age for breast reconstruction.
Implants are named based according to what fills them. In other words, fill saline implants with saline and fill silicone implants with liquid silicone gel, which has the consistency of molasses. Regardless of what breast implants filling are, they all have a solid silicone shell.
Implantation of solid silicone, or silastic, in millions of people in pacemakers, artificial joints, heart valves, penile implants, and artificial lenses for the eye. Solid silicone is a very different substance than silicone gel, which fills silicone gel implants.
It might be helpful to think of breast implants as being similar to balloons. Filling of a balloon with water, helium, or air, but has the same pliable plastic outer layer regardless of what is placed inside. There are currently two main options — silicone breast implants and saline breast implants. Both have their own set of advantages and disadvantages.
In general, silicone gel-filled implants are smoother and softer than their saline-filled counterparts are. Silicone implants feel like a semisolid gel, while saline implants are to water balloons. Many women prefer the softer, more natural-feel of silicone implants to saline breast implants, especially those with little breast tissue such as women undergoing breast reconstruction following breast cancer. Silicone-gel implants are also less likely to ripple than saline breast implants.
A breast implant can be filled with saline or silicone gel. Both silicone and saline implants have an outer shell made of silicone-rubber material. Breast implants also come in a variety of sizes, shapes and profiles. Another important variable is texture. Implants can be smooth or textured.
Gummy bear breast implants are also made of cohesive silicone gel, but the gel has the consistency of a gummy bear, meaning if cut it in half, it will not leak. These implants are only available to women who enroll in a clinical trial.
Some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. If saline implants rupture, the deflation is immediately noticeable. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Replacing a ruptured silicone gel implant is more difficult than repairing a saline implant. Silicone implants also have a higher rate of capsular contracture and a higher deflation rate.
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