Silicone and saline breast implants

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Inmore thanwomen and teenagers underwent surgery to have their breasts enlarged with silicone or saline implants and more thanbreast cancer patients had reconstruction after mastectomy, often with implants. Many women are justifiably confused by the conflicting information they hear. Here are the facts about what is known and not known about the risks of breast implants.

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Inbreast augmentation plastic surgery was the most popular surgery in the United States. If you're a candidate for receiving breast implants, there are many decisions to be made. One of the most important decisions you will have to make is deciding between silicone and saline breast implants.

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Withbreast augmentations performed each year in the United States, it's a question physicians and surgeons get asked a lot. Today, most women choose silicone. Indeed, silicone gel breast implants have dominated the marketplace since Novemberwhen the Food and Drug Administration lifted its moratorium on their primary cosmetic use.

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Saline-filled breast implants contain a silicone outer shell filled with a sterile saltwater saline solution. Some are pre-filled and others are filled during the implant operation. Saline-filled implants come in different sizes and have either smooth or textured shells.

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A breast implant is a prosthesis used to change the size, shape, and contour of a person's breast. In reconstructive plastic surgerybreast implants can be placed to restore a natural looking breast mound for post— mastectomy breast reconstruction patients or to correct congenital defects and deformities of the chest wall. They are also used cosmetically to enhance or enlarge the appearance of the breast through breast augmentation surgery.

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In the s, silicone implants were vilified and eventually pulled off the market because of fears of a link to silicone implants and autoimmune disease. But after years of studies, no link was established between silicone implants and an increased instance of any systemic disease. Insilicone breast implants were once again approved by the FDA for use in cosmetic breast augmentationand they are now available to the general public.

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Author information: 1 Baltimore, Md. Implant-based reconstruction has been reported to impact quality-of-life outcomes. Therefore, the authors sought to evaluate the cost-effectiveness of saline versus silicone implants.

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Wonder about the differences between saline and silicone breast implants? The risks of breast implants? What happens if an implant ruptures?

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On Monday and Tuesday, the FDA will convene to discuss breast implants and the risks associated with them. The meeting follows a letter the FDA sent to doctors asking them to watch out for a rare form of cancer associated with the implants. Nine of those cases resulted in death. Additionally, the FDA issued warning letters to two breast implant manufacturers on Sunday after learning they were not running long-term studies to better understand the potential risks of breast implants.


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