Saline or Silicone Gel? The Results May Surprise You...

A recent survey published in the Aesthetic Surgery Journal shows what the current preferences are for breast augmentation surgery. According to a survey of 1746 board-certified plastic surgeons and members of the ASAPS:

- Sixty percent of surgeons are still using saline implants, and the vast majority of them are using them 75-100% of the time.

- The majority of surgeons (64%) preferred an incision near the breast crease, while 25% preferred an incision around the bottom half of the areola.
- The average implant size reported by 81% of surgeons was 300 to 400 cc (which is approximately a small to a full "C" cup bra).
- Smooth implants, rather than implants with a textured surface, were most often preferred by 92% of respondents because it was the surgeon's preference, less wrinkling, or overall better results for the patient.
- Ninety-six percent of surgeons used round, rather than anatomically-shaped, implants.
- The most common position for implant placement was under the muscle (62% of surgeons).

With the exception of the majority use of saline implants, these statistics reflect what I see in my practice. I estimate that I use saline implants only 25% of the time, since most patients seem to prefer gel. I utilize three incisions (underneath the breast, around the areola, and the armpit), with the most common being underneath the breast. My average size implant is probably 350-375cc, and I usually use smooth round implants placed under the muscle. I find that these choices usually minimize any complications and revisions.

To view a breast augmentation I performed on Fox News, click here.

Statistics source

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

National Breast Cancer Awareness Month

October is National Breast Cancer Awareness Month. Each year over 175,000 women (and 2000 men!) are diagnosed with breast cancer. Approximately 1 in 9 women will be diagnosed with breast cancer in their lifetime. Aside from skin cancer, it is the most common cancer in women. So how does this affect you if you have breast implants?

It's estimated that over 5 million women have breast implants today. If you have breast implants, how do you screen yourself for breast cancer, and how is this different from someone without implants?

The major rule is that you should follow the American Cancer Society guidelines for the early detection of breast cancer. Here they are:

Women ages 20-39: Monthly breast self-exam, clinical exam by your physician every three years.

Women ages 40 and up: Monthly breast self-exam, clinical exam by your physician every year, mammogram yearly.

Women at high risk (close family history of breast cancer, etc.) should discuss with their physician whether a yearly MRI may be indicated.

- When the FDA lifted the ban on silicone gel breast implants in November 2006, they recommended that anyone who undergoes silicone gel breast augmentation undergo an MRI three years after surgery, and every other year thereafter.

If you have breast implants, here are some other things to consider:

1. Breast implants can limit the amount of breast tissue that can be seen on a mammogram. If you have implants, then make sure your mammogram center takes extra pictures (called the Ecklund technique) to allow the radiologist to see as much of your breast tissue as possible.

2. Some physicians believe breast implants can actually facilitate (or improve) the ability to detect a breast mass on examination.

3. Studies show that breast implants do not increase your risk of breast cancer, delay your diagnosis of breast cancer, or worsen your prognosis once breast cancer is diagnosed.

4. If you are unsure how to perform a breast self-exam on implanted breasts, be sure to ask your plastic surgeon.

For more information on breast cancer and screening, visit http://www.cancer.org/.

Thanks for reading!

Michigan-based Plastic Surgeon
Anthony Youn, M.D.: