Ruptures, leakage, and overall safety have been the FDA’s primary concern ever since they first approved the use of breast implants in cosmetic surgery. Depending upon the type of implant, some ruptures reveal themselves quickly, while others are very difficult to detect.
Breast implants have been a popular choice for cosmetic and reconstructive surgery in the United States. The two primary types of implants are saline and silicone gel. Saline implants are filled with sterile saltwater, while silicone implants are filled with a viscous silicone gel. The FDA banned silicone gel implants for 14 years due to safety concerns, but they were reapproved for unrestricted use in 2006. Another type of implant, known as the cohesive gel or "Gummy Bear" implant, is currently undergoing clinical trials in the U.S.
Implants can rupture for various reasons, including:
When a saline implant ruptures, it is immediately noticeable. The breast deflates within a day or two, and the saline solution is harmlessly absorbed by the body and excreted through urine. This makes saline implants arguably the safest option currently available.
Silicone gel implants present a different challenge. A rupture in a silicone gel implant is often referred to as a "silent rupture" because it is difficult to detect without an MRI. The patient and even the surgeon may not notice the leakage. The FDA recommends that women with silicone gel implants undergo an MRI three years after the implant surgery and every two years thereafter to check for ruptures.
The cohesive gel implant, or "Gummy Bear" implant, is designed to minimize leakage. If ruptured, the gel remains intact, similar to cutting a gummy bear in half. However, there is limited data on the long-term performance of these implants as they are still in clinical trials.
Women opting for silicone gel implants should be aware of the additional costs associated with regular MRIs. These costs are typically not covered by medical insurance unless the implants were placed for reconstructive purposes. The average cost of an MRI in the U.S. ranges from $400 to $3,500, depending on the facility and location (source).
American women have several options when choosing breast implants, including the newer cohesive gel implants. If you are interested in Gummy Bear implants, you will need to participate in an FDA clinical trial and commit to follow-up appointments for the next ten years.
For more information on reducing safety concerns in breast implants, consult a board-certified plastic surgeon specializing in breast augmentation. Many surgeons offer free initial consultations to discuss your options and address any concerns.
Note: This article is not intended to provide medical advice. Always seek recommendations from a licensed physician.
By understanding the nuances and safety concerns associated with different types of breast implants, women can make more informed decisions about their health and cosmetic choices.
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