American Society of Plastic Surgeons
For Medical Professionals
 
Amy Cali
2 years ago
Answered

Going from saline to silicone

I have had saline implants leak 2 x on me I am

Now switching to silicone I am worried about the health risks ans that they may look different because yeh are pre filled! I have 450cc saline what would be the closest size on silicone! I am also thinking of high profile because k am very flat on the top

Portion of my chest! My surgeon is of little help! I am

Nervous it will look different! Help pls

Procedure: Breast Implant Revision
Location: Roselle, IL

Replies 7

Mark Boschert
ASPS Surgeon

Sorry to hear your surgery is a little help. This should be a topic that you to discuss at great length. There are conversion books between Celine and silicone that can give you an exact size conversion. And don’t worry about the words high profile that really just describes the projection away from the chest or the height of the implant one is lying flat. There are dimensions which also describes the width and height and volume and all of those need to be considered. As for rupture rates they are about the same, but silicone is a Gummy Bear so it doesn’t come out and slate like your saline implants well. There is so much to discuss and have you understand I would suggest finding someone who can help you through this before trying to guess your way into a new implant. Best of luck! Dr. Boschert Renaissance Plastic Surgery Saint Charles Missouri

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Mark Boschert
ASPS Surgeon

Sorry to hear your surgery is a little help. This should be a topic that you to discuss at great length. There are conversion books between Celine and silicone that can give you an exact size conversion. And don’t worry about the words high profile that really just describes the projection away from the chest or the height of the implant one is lying flat. There are dimensions which also describes the width and height and volume and all of those need to be considered. As for rupture rates they are about the same, but silicone is a Gummy Bear so it doesn’t come out and slate like your saline implants well. There is so much to discuss and have you understand I would suggest finding someone who can help you through this before trying to guess your way into a new implant. Best of luck! Dr. Boschert Renaissance Plastic Surgery Saint Charles Missouri

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Debra Johnson
ASPS Surgeon

A 450cc saline implant weighs the same as a 450cc silicone implant, so there is no need to significantly adjust the size. Silicone and Saline implants also tend to look the same in a breast. As you have experienced, saline implants can break and deflate, but replacing them is a pretty easy procedure. Silicone implants also break at similar rates to saline, but because silicone cannot be 'absorbed' like saline, they can sit broken under your breasts without you knowing it. The FDA recommends ultrasound or MRI imaging of silicone implants starting 5 years after implantation, and every 2-3 years thereafter. If your silicone implants are found to be broken, replacing them requires removing the surrounding scar tissue capsule as well, to make sure the free silicone is removed. This can mean a 1-2 hour surgery under anesthesia, with additional expense and recuperation. If you've been happy with your saline implants, I'd stick with them, since replacement is far easier than silicone.

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Ellis Tavin
ASPS Surgeon
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The only thing I would like to add to what my colleagues have said is that if you want more upper pole fullness, the cohesive silicone implants maintain upper pole fullness more than the less cohesive silicone implants. This factor is more important than the implant profile. You need to find a doctor who addresses your concerns and shows you the different types of implants that are available.

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Ellis Tavin
ASPS Surgeon
Add to Favorites

The only thing I would like to add to what my colleagues have said is that if you want more upper pole fullness, the cohesive silicone implants maintain upper pole fullness more than the less cohesive silicone implants. This factor is more important than the implant profile. You need to find a doctor who addresses your concerns and shows you the different types of implants that are available.

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Curtis Wong
ASPS Surgeon

You should not have to be on this message board asking for advice when you have already chosen a surgeon. If your surgeon is of little help now, how will he/she be after your procedure is over??? The word on the street is that to achieve the same look as a saline implant, the gel should be a little fuller... doesn't make any sense but that is the wisdom learned from experience side talking. Nothing is wrong with saline if they have worked for you but yes, they can leak and deflate badly and they can ripple more. But if you're thin, gel implants will make your breasts noticeably colder. Keep checking with your chosen surgeon and if he/she continues poor customer service, consider getting a surgeon that really listens to you.

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