Breast implants are used in cosmetic and reconstructive surgery to increase volume and improve symmetry. They are breast-shaped sacs that are either filled with silicone or saline.
Before November 2006, patients seeking breast augmentation could only use saline type. The use of silicone implants was only approved as part of a clinical study when patients underwent an augmentation and a lift simultaneously.
At the time, Dr. Egozi was one of the study investigators contributing to the clinical study. His participation allowed him to use silicone implants, making him one of the only plastic surgeons in the Tampa and Palm Harbor, Florida area to use silicone implants before 2006.
In November 2006, the FDA once again granted the use of silicone implants for cosmetic surgery to patients aged 22 and up. Silicone are now Dr. Egozi’s preferred choice.
Saline and silicone implants are made out of the same silicone shell, providing the same shape. The difference is that saline is full of with salt water (saline) instead of silicone.
Saline allows surgeons to alter the size to the shape that best suits the patient. The use of saline also allows surgeons to overfill them slightly, which eliminates wrinkling. Additionally, it is easier to detect ruptures and leaks in saline breast implants.
The problem with saline is that they do not feel as natural as silicone do. Wrinkling and rippling are also more frequent in saline than silicone, which is why Dr. Egozi prefers to recommend silicone to his patients.
However, a certain stigma surrounds silicone breast implants. In the 1990’s, safety concerns surfaced and the FDA unapproved the use of silicone implants. Trepidations arose after some speculated that silicone might cause autoimmune diseases such as lupus, rheumatoid arthritis, and scleroderma. Silicone implants were entered into a clinical trial to investigate these safety concerns.
During this time, silicone implants were only eligible for use in breast reconstruction procedures. However, after 14 years, the data determined that there was no definitive link between autoimmune diseases and silicone. Subsequently, the FDA re-approved silicone implant use.
Silicone implants differ from what they were in the 1990’s. In the past, they resembled a liquid gel that tended to leak. Now, they are a solid, cohesive gel, similar to a Gummy Bear rather than Jell-O.
To learn more about breast implants or to schedule a consultation appointment, contact Dr. Egozi.