While the FDA has declared silicone gel implants “safe” for sale to the general public, there are a number of pros and cons with both silicone and saline, which patients need to understand. First of all, patients seeking answers in the arena should be wary about web sites that have advice on them by non-scientists or people who are non-professionals in the plastic surgery field. The best advice concerning the relative safety and advantages and disadvantages of any implant is best obtained from those professionals which clearly understand the scientific relevancy of all issues associated with the implants. I will briefly summarize these issues in this paragraph but patients should familiarize themselves with other sites where they can find out more information on this, including the website for the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgery, as well as manufacturer websites Allergan and Mentor. In addition to saline and silicone there are new innovative implants that will be coming on the market within the next year or two. One of these is called the Ideal implant, which actually is a saline implant that is dual lumen and has the looks and feel of a silicone implant in many ways. Trials for this new implant, which Dr. Core will be participating, will be underway sometime within the next year. In addition, there are now silicone implants that are “form stable”, which have been used fairly extensively in countries outside the United States due to more relaxed regulatory practices by the federal agencies involved. The jury is still out on form stable implants; however, we still have excellent choices with our cohesive gel silicone implants which have served us well already.
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