SILICONE VERSUS SALINE BREAST IMPLANTS

For your breast augmentation, Dr. Zuckerman will help you decide between saline breast implants and silicone breast implants when you visit him for your consultation in New York City.

For your breast augmentation, Dr. Zuckerman will help you decide between saline breast implants and silicone breast implants when you visit him for your consultation in New York City.


When undergoing breast augmentation, Dr. Zuckerman will help you decide if you would like to have him place silicone breast implants or saline breast implants. If you do not have a preference, he generally recommends that patients select silicone breast implants for their breast augmentation, because they have a more natural feel and lower incidence of wrinkles and rippling. However, saline breast implants are less expensive and are approved for younger patients. Both kinds are FDA-approved, and both are made by all three major breast implant manufacturers. As your surgeon, Dr. Zuckerman is happy to use either kind after discussion with you about your goals. Below is a list of facts and risks for each type of breast implant with two important disadvantages of saline implants emphasized in bold.


Silicone Breast Implants

• Silicone outer shell, inner shell filled with thick, silicone gel
• Rupture or leakage must be detected via MRI
• FDA-Approved for use in patients 22+
• Approximately $1,300 per set
• Requires larger Incision
• Pre-filled by manufacturer
• Softer, more natural feel
• Lower risk of implant wrinkles & ripples
• “Silent Failure“
• FDA-Approved since May 2000
• Advantageous if exceptionally thin
• Advantageous if undergoing breast reconstruction

Saline Breast Implants

• Silicone out shell, inner shell filed with saline solution
• Rupture or leakage is easily absorbed by the body
• FDA-Approved for use in patients 18+
• Approximately $800- $900 per set
• Requires smaller Incision
• Filled by surgeon
• More firm, less natural feel
• Risk of implant wrinkles & ripples
• Deflation is visible
• FDA-Approved since Nov 2006

Silicone Implant Leaks: A Rare, Non-Toxic Event

What happens if a silicone implant leaks or ruptures while placed inside the breast? Is it toxic? This is the most common question Dr. Zuckerman receives from prospective breast augmentation patients with regard to silicone breast implants. Today’s breast implants are extremely safe; the major manufacturers of breast implants are currently on the fifth generation of silicone breast implants. Leak or rupture is a very low probability event. When a breast implant of either silicone or saline is placed into the body, fibrous tissue known as a capsule forms around the implant. For a saline implant, leaks are easily reabsorbed by the body. For silicone, most often, leaks or ruptures are contained within the capsule, which is called a “silent failure” or “silent rupture”. It is possible, however, for this capsule to then become inflamed causing the patient pain, swelling, soreness, or changes in breast firmness. If this case, a patient would possibly need to have the implant replaced. Leaks or rupture can be detected via an MRI scan. (Breast implants of either type are not intended to be lifetime devices and may need replacement later in life.) In the very rare case that the silicone gel from an implant escapes the fibrous capsule, which would require a blunt force trauma to the chest of similar intensity to a car accident without seatbelt, the silicone gel has been shown to be biologically inert. It has been shown not to increase the risk of breast cancer and not to increase the risk of autoimmune disease. And, it doesn’t leach out into breast milk while breastfeeding.

Dr. Zuckerman speaks with a cosmetic surgery patient.

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ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic Botox and Juvederm treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


Copyright 2017 Joshua D. Zuckerman, MD, FACS, P.C. All rights reserved.