Saline vs. Silicone
Breast augmentation patients have a choice between breast implants filled with saline (salt water) or silicone gel. Silicone breast implants have become the implant of choice in the U.S. because they provide results that are more natural looking and feeling than saline. In fact, in the majority of breast augmentation procedures Dr. Sorokin performs, patients choose silicone breast implants. In New Jersey, women trust Dr. Sorokin to provide pleasing results without compromise to their safety. He uses strictly FDA-approved silicone implants made by reputable manufacturers.
After a long and troubled history, silicone breast implants returned to the U.S. market as FDA-approved medical devices in 2006. Dr. Sorokin was delighted because his New Jersey and Philadelphia breast augmentation patients had more choices when it came to implant type. The FDA has declared that silicone gel implants from both Allergan and Mentor are safe and effective medical devices – no short or long term link between silicone implants and disease was found.
After years of extensive research, the Institute of Medicine of the National Academy of the Sciences determined that, “evidence suggests diseases or conditions such as connective tissue diseases, cancer, neurological diseases or other systemic complaints or conditions are no more common in women with breast implants than in women without implants.”
Breast implant manufacturers continue to refine their products to improve safety and enhance quality. The silicone breast implants that Dr. Sorokin uses today are safe and provide high quality results. Patients age 22 and older (and reconstruction patients of any age) can choose from:
- Cohesive silicone gel is soft, thick and gooey. These implants, which include Mentor MemoryGel® and Allergan Natrelle®, have an elastic silicone outer shell that is resistant to ruptures or tears.
- Form stable silicone gel is also soft, but not gooey. These implants, often called “gummy bear” implants, retain their shape when cut, much like the namesake candy. FDA-approved options include Sientra® Silimed-brand implants, which have been available in Europe since 1995, and Allergan Natrelle® 410 implants as well as more recently Allergan’s Inspira Cohesive® and Inspire SoftTouch®. Each implant has different pros and cons and Dr. Sorokin will discuss specific advantages based on your starting breasts and desired goals.
Saline breast implants continue to be available as well, and can be an appropriate choice in certain instances. At your consultation, Dr. Sorokin will evaluate your individualized needs and help you to make the most satisfying implant choice.
Silicone vs. Saline Comparison
There’s no right option when it comes to choosing silicone or saline breast implants. Each type option offers its own advantages and disadvantages which include:
- Advantages: Provide a natural look and feel; provide good results for patients with little natural breast tissue; hold their shape with larger implants (gummy bears)
- Disadvantages: Make ruptures difficult to detect; more expensive than saline
- Disadvantages: Can ripple, wrinkle and slosh; feel firmer than silicone
- Advantages: Require a small incision; less expensive than silicone; leaks are immediately noticeable