Both silicone gel and saline filled implants have been available. Extensive studies have been carried out, and there has, so far, been no evidence that the implants or silicone have any relationship to breast cancer, or systemic illnesses in patients. At the present time, in the United States, surgeons and patients are restricted to the use of saline filled implants for primary augmentations. Many recent studies have confirmed the safety of silicone breast implants. Specifically, patients with breast implants have no higher incidence of auto immune or connective tissue disease such as rheumatoid arthritis, scleraderma or lupus, in comparison with the general population.
Breast implants are available in a round or teardrop shape, with a smooth or textured surface.
The procedure may be performed using intravenous sedation with local anesthesia, or with general anesthesia. The implant is placed under the breast tissue and on top of or under the pectoralis muscle. You and your surgeon will make the final decision regarding which approach, or which placement to use. After the procedure, you will be advised regarding wound care, bra selection, and follow-up. You may be asked to take it easy and remain quiet the night of surgery as bleeding around the implant can occasionally occur.