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Silicone vs Saline Breast Implants

Both saline and silicone implants are FDA approved for cosmetic breast augmentation in the United States. Clinical trials demonstrate similar infection, failure and re-operation rates. Neither type of implant causes breast cancer. Despite lawsuits, and internet horror stories, medical studies do not link silicone implants to autoimmune disease like lupus, scleroderma or rheumatoid arthritis.

Saline vs. Silicone Implants

The major difference between saline and silicone implants is how the implants look and feel. In general silicone implants are softer, lighter and will feel more "natural." Saline implants are firmer, rounder and gives a more augmented or fake look. These can be positives or negatives depending upon your goals. The main downside to saline is increased scalloping and rippling, meaning a higher likelihood of seeing (visibility) or feeling (palpability) the implant in thin patients. The only two things that control implant visibility and palpability are the device itself and the amount, and quality, of tissue above the implant hiding it. Therefore, the type of implant selected plays a large role in your result in terms of both look and feel. The vast majority of my patients select silicone implants.

Interestingly, when we refer to silicone or saline, we are talking about the inner fill material. Both saline and silicone implants have the same silicone shell, so the body is exposed to the exact same material for the majority of woman who never experience a failure. Only if the shell was to fail would the breast pocket and capsule be exposed to the fill material. Saline is absorbed and urinated out, silicone gel remains inert, and except in extraordinary cases, stays within the breast pocket.

One factor that should not be considered when considering the difference between saline and silicone breast implants is price. A few hundred dollars is a small difference upfront, for a device you may have for decades. Additionally, both implants carry a lifetime warranty against device failure, but the silicone implant includes a 10-year warranty to help pay some of the surgery fees (up to $3500) should the device fail. To put it simply, both have a lifetime “parts” warranty and silicone includes a 10 year “labor” warranty while that “labor” portion of the warranty is an additional $200 for saline, thereby negating most of the price savings.


THE ALLERGAN RECALL OF BIOCELL TEXTURED IMPLANTS AND TISSUE EXPANDERS

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This July Allergan announced that it was recalling BIOCELL® Textured Breast Implants and Tissue Expanders. With the recent coverage of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in the news, some of our patients are searching for more information about the safety of breast implants. Learn more about the Allergan recall, Bancroft Feldman's policy on using textured implants, and what our patients' options are.

What Our Patients Are Saying

ESJ, Houston, TX

"I really am unbelievably pleased with my breast augmentation results. They look and FEEL so real already and its only been a month! Compared to others experiences with different doctors I don't think anyone comes close to how amazing this experience has been for me."

DR, Gainesville, TX

" Dr. Feldman and his staff are so awesome, my experience is one that I will share with friends. I have wanted this procedure for many many years and now I am so satisfied with the way my clothes fit and the overall appearance of my breasts. I like the fact that Dr. Feldman was very knowledgeable about the procedure. He was familiar with surgery on African American women. He was honest in what would be the most desirable look. He was very professional and was not focused on money, but on giving me the best results. His staff was very helpful and knowledgable especially Jeannette. Lastly, the before and after photos that Dr. Feldman has posted were far better than some I had seen in the DFW area. So I chose to drive 5 ½ hours to see the best."

 

 

LG, Houston, TX

"I'm unable to think of a better word to describe the result of my breast augmentation result than "perfect". I'm literally IN LOVE with the outcome. I have named my left breast Sonya and my right breast Sally because, now, they actually look like beautiful sisters instead of EXTREMELY distant cousins...

The entire staff was incredibly amazing, knowledgeable, patient, and polite. Each staff member took EXTRA care to make sure I was comfortable and well taken care of. Everyone went ABOVE and BEYOND by always politely greeting me upon my entrance into the waiting area and the patient room, providing adequate amount of pain medicine - specifically the generic brand to cut cost, slightly numbing my hand with topical wipe to prevent sharp pain upon I V placement, answering any and all questions, and making specially arrangements to accommodate schedule changes.  

Upon entry to the surgical room, the nurses and the anesthesiologist provided EXCELLENT bedside manner with added humor, comfort, and positive personalities. The anesthesiologist even added medicine to my I V to help with my skin condition. ALSO, someone even made sure the pillow my feet were placed on was warm. OMG! AHHHHHHH-MAZING! 

Moreover, my breast are healing wonderfully. The office reverberates a youthful and inviting vibe and the staff seems like a tight-knit family that works well together. I returned Dr. Feldman's missed call last week just to say thank you; to him and all of his perfectly picked staff. Due to being the TOP breast surgeon in Houston, I understand he is busy so I figured I'd shoot a quick e-mail. 

Thank you EVERYONE for making my breast augmentation TOTALLY AWESOME in all aspects."