Breast Procedures

The Right Implants For Your Reconstruction

January 8, 2018

Breast reconstruction surgery can be challenging to navigate. If you are in need of breast reconstruction, you may be confronted with decisions you never thought you would have to make. Unlike women who voluntarily seek cosmetic breast surgeries, you may never have put much thought into rebuilding your breasts. At Advanced Aesthetics, it is our mission to make this process as easy as possible and help restore your breasts in a way that looks natural, seamless and balanced. The best way to achieve beautiful, long-lasting and low-risk results is by choosing the right kind of implants for your body and your goals.

Saline and Silicone

The two materials for breast implants that you’ll encounter are saline and silicone. These classifications refer more accurately to the substance with which the implant is filled since both types use silicone to form the implant casing. Saline implants are designed with a small nozzle on the side, which is used to fill the silicone shell with a sterilized saline solution (salt water). Silicone implants use silicone gel, which is injected into the saline shell and sealed. Which type is “better” is a hotly debated topic in the world of cosmetic surgery; in the end, it comes down to the kind of results you want, whether you are prepared to accept certain risks and your plastic surgeon’s skill with each type.

Achieving a Natural Look

Many surgeons and their clients agree that silicone implants more frequently appear and feel like a natural breast. Since the texture of the silicone gel is more forgiving, it is often more versatile when it comes to creating less perfectly-spherical breasts and has more give to the touch than a saline implant. This is not to say that it isn’t possible to create a natural-looking breast with a saline implant; however, it does require more skill on the surgeon’s part and is often better achieved when there is remaining breast tissue or muscle to complement the implant. Additionally, some women prefer the perkier, rounder and more firm appearance of saline implants. Ask your surgeon for examples of their work using both types of implants. These examples will allow you to understand what your outcome will look like with your particular surgeon, and help you decide which type may be better to achieve the aesthetic you want.

Results That Won’t Fade

When it comes to longevity, the good news is that both types of implants can last many years -- much longer than the ten-year shelf life of older models. There is no reliable research showing that either saline or silicone implants last longer than the other, and most of the recommendations for getting replacements or finding longer-lasting implants are based on research that has not caught up to the latest implant technology. It is true that most women eventually need to replace their implants or have a second surgery, but this is generally due to natural changes in the breast and skin over several years, not because the implants failed on their own. The chances of complications requiring replacement are very low with both types of implants

Your Safety Comes First

However, if you are concerned about possible complications, there are two main risks to consider: implant rupture and capsular contracture. It is worth noting that saline implants are thought to be much safer in the event of rupture: since they are filled with salt water, the body safely and quickly absorbs any leaks. Saline rupture requires removal of the damaged casing and a replacement implant. Silicone implant ruptures, on the other hand, are more difficult: the gel filler spreads into the breast tissue without absorption and needs to be carefully cleaned out before the implant is replaced.

During capsular contracture, the scar tissue that naturally forms around the implant becomes abnormally hard and tight. It can cause the affected breast to harden, feel slightly painful and sit higher on the chest, and requires surgery to remove and replace the implant. Risk of capsular contracture is quite low and has more to do with the texture of the silicone casing of the implant than the implant’s fill; however, past studies have shown that silicone implants may be slightly more prone to this complication.

Learn More

Choosing the right implants for your breast reconstruction may seem like a daunting task since there is no clear answer about which kind of implant is better. However, a consultation with your plastic surgeon can make your decision easier. Expert advice can help you understand whether saline or silicone implants will make more sense for your body, your shape and your desired outcome. At Advanced Aesthetics Plastic Surgery Center in Atlanta, we are dedicated to providing our breast reconstruction clients with beautiful, natural-looking breasts that can help restore confidence after a harrowing health journey. To learn more about breast reconstruction options with Advanced Aesthetics, call us today at 770-461-4000 to schedule a consultation.

Reviews & Testimonials

karelys medina
5 stars

Perfect 🤩

Oct 20, 2022
Marsha Schubert
5 stars

Dr.Stewart has been wonderful to work with. Would refer him to anyone!

Oct 07, 2022
Cinda Lott
5 stars

Dr. Stewart is such a professional physician. He is very caring and very thorough and explains everything to you. His staff is also very knowledgeable and they put you at ease. I would highly recommend them.

Oct 07, 2022
Keisha Blackwell
5 stars

Dr. Gronka was great and patient enough to answer all my questions.

Oct 04, 2022
Tonya Pattillo
5 stars

Dr Gronka is wonderful! He has awesome bed side manner and answers any questions I have.

Sep 22, 2022
Trisha Fietsam
5 stars

The whole staff was welcoming and made me feel at home from the beginning. I am so pleased with my decision to use advanced with this procedure! My expectations were met and more. From the front desk staff, back office staff and surgery center every person I came in contact with was helpful and made the experience much easier. I love my results! Would absolutely rate 5 stars!

Sep 21, 2022
Sishma Barner
5 stars

Great Visit With Dr Gronka!

Sep 07, 2022
Caroline Bradberry
5 stars

I just got the absolute best mommy-makeover from Dr. Raniere!I have wanted to do this for over twenty years! I finally got the courage and I have been more than pleased! Everyone was super helpful and nice and friendly. Thank you for amazing service!!

Aug 29, 2022