I was talking to a doctor, and he told me that i must go with saline first?? (without seeing me first)
Why is this?
I hear silicone looks better, but more of a health hazard?
Does saline have a "rippling" effect?
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I was talking to a doctor, and he told me that i must go with saline first?? (without seeing me first)
Why is this?
I hear silicone looks better, but more of a health hazard?
Does saline have a "rippling" effect?
because in order to get silicone, you need to have had horrible rippling with saline first or be part of a silicone study. Maybe the doctor does not participate in a silicone study? Not many of them do.
So if you end up having bad rippling, you have to pay another 8k for a revised surgery even when you wanted silicone in the first place?
Which docs use silicone? Is it a state thing?
In your opinion which is better, saline or silicone?
Tampa,
If you want to prevent rippling you can request saline implants to be overfilled. I have 390cc implants that are overfilled to 420cc. I have never had any rippling. I'm getting my breast redone this Winter.
I am not sure if I'll go saline or sillicone. it will most likely be saline, I am still leary of the whole silicone scare.
I'll PM you with my PS info.
I don't believe any states in the U.S. are using silicone typically. I've heard of some docs in Salt Lake City using them, but haven't been able to confirm that info.
To have that choice available the first time around, you need to go abroad. The closest country that does the cohesive silicone implants is Canada.
Most PS's overfill their saline implants, but it's a good idea to mention it nonetheless.
There use to be a list of surgeons in the Silcone study but you have to qualify under some standard. I'll look for it and PM you if I find it.
Okay I found something that might be a good start...
http://www.justbreastimplants.com/im...ne_studies.htm
ok yup I heard saline first too - and yup canada does cohesive but ya still have to have saline prior.
About that overfill? I did that with the last breast job b4 this one now - overfill does eliminate rippling but oh my makes the breast considerably harder and very globular looking.
I went back to a bigger bag filled properly and couldnt be happier.
I have enough natural breast tissue so rippling isnt a factor.
its a trade off.
Can you please PM me that info too, if you don't mind. Thanks. :)Quote:
Originally Posted by Muyaha link=board=5;threadid=12962;start=msg168582#msg168 582 date=1094129175
~I currently now have my first salines & I want to replace them with silicone too. I see a little rippling & I think i'd be more satisfied with Silicone. Don't get me wrong, i'm happier with these than prior to my first surgery though. My tops look so much better & they make the rest of my body look great, proportioned.~ :)
BTW, does anyone know how much more or less do silicones cost here in the US & in Canada? I know in Brazil you pay like around $3,000.00. But I rather much do it in the US(preferably) or in Canada, so I can communicate with the PS better....LOL. And I want to know who is the best in the practice too.
It's a bummer to pay lots of money again. My first set of boobs left me broker than broke. And to pay almost double for the second go round is going to be nuts.
well you'll be paying upwards 7000 in Canada - depending upon the province but thats what my girlpal paid for cohesives up here. They arent cheap, nope uh uh.
The price premium for buying silicone versus saline implants from the manufacturer is typically around $1000.
In the US silicone implants are available again, but under the terms of the FDA study. First this means that you must use a doctor who is participating in the study (which is maybe like one plastic surgeon in 10). Second you must have a 'condition' which is listed by the study as sufficient 'grounds' for using silicone implants. While a couple of these 'conditions' (like tubular breasts) allow the doctor to use silicone implants during your first BA, most of these 'conditions' involve poor cosmetic results from a first BA with saline implants.
It is much easier to get silicone implants during your first BA from a Canadian doctor than an American one.
Is it really worth the health risks?
but isnt saline encased in a silicone shell?Quote:
Originally Posted by Farrah_Holiday link=board=5;threadid=12962;start=msg168135#msg168 135 date=1094068075
That's why I may rather go to Canada. I'm still gonna research.Quote:
Originally Posted by Melonie link=board=5;threadid=12962;start=msg169178#msg169 178 date=1094213968
yes, all implants have a silicone shell. It used to be if liquid silicone leaked into the body it could not be removed. Now the cohesive gels are like gummy bears, so they can't "leak". If the implant ruptures, the gel can easily be removed.Quote:
Originally Posted by ami link=board=5;threadid=12962;start=msg169181#msg169 181 date=1094214355
My friend got cohesive gels in mexico (mexicali) for $3000 american dollars.
yes, all implants have a silicone shell. It used to be if liquid silicone leaked into the body it could not be removed. Now the cohesive gels are like gummy bears, so they can't "leak". If the implant ruptures, the gel can easily be removed.
My friend got cohesive gels in mexico (mexicali) for $3000 american dollars.
How did they come out? I so want to get those instead.
~Anyone know of the side affects cohesives have? I Heard it's gonna take like 5 years for them to get back into market here in the US., that sucks.~
You can get silicone for your first BA if you have a qualifying condition like tuberous breasts, uneven breasts, concave chest, etc. Some PS's are willing to fudge a little on the qualifying condition. You could ask the girls on the breast augmentation forums like implantinfo.com or breastimplants4you.com if their PS's gave silicone for a first time BA. Or you could go on as many consults as possible in your area until you find a PS willing to give you what you want.
I heard that Canada passed a law that said that their PS's could no longer give US patients silicone implants. I don't know how well this law is being enforced, though.
All silicone implants are cohesive in nature, but there are different degrees of cohesiveness. What's referred to as regular silicone are the implants that are filled with a more liquid silicone, it has the consistency of hair gel. What's referred to as cohesive silicone implants are the implants that are less liquid silicone, it has the consistency of a gummy bear or hard set jello. Cohesive silicone implants have less gel bleed (the amount of liquid silicone that leaches out through microscopic holes in the imlant shell), less chance of capsulare contracture, and less chance of rippling. Plus, they are a lot easier to remove from the body in case of rupture.
When someone says they have a 390cc implant, what they REALLY have is a 390-420cc implant, which means their implant has a minimum fill of 390cc and a maximum fill of 420cc. Anything under 390cc would be underfill and could lead to severe rippling. Anything over 420 would be overfill. If someone has a 390cc implant filled to 420cc, they have a 390cc implant filled to it's maximum fill, not true overfill. Too much overfill can cause implants to be too firm. See
dr-dowden.com/faqs/implspec.html
^that's faq (as in queen)^
If all else fails and you have to get saline, get high profiles, particularly the Mentor 3000 series. They have a different shape than most implants (a regular implant laid on a table would flatten out and look like a donut, the high profile would be more peaked and not as flat, sort of like a hill). They are said to have less chance of rippling than regular implants.
Does anyone know if McGahn's do cohesive, or is it just Mentors? The thing I like about McGahn is the width, you get no gap between the breasts.
My plastic surgeon participates in the FDA silicone study (one of the few) and I am going with saline still. Why? Well my PS said if you have sufficent breast tissue before surgery to adaquately cover the implant (saline) there will not be rippling. Plus since the jury is still out about the safety of silicone I figure I'll stick with saline. I'm getting them done this Wed. so I will let you know how they look. I am going from a 36B to a large C/small D.
Good luck & hope everything turns well. :)Quote:
Originally Posted by ladysummer link=board=5;threadid=12962;start=msg169977#msg169 977 date=1094341778
Ok, I just found out that McGahns do the cohesives too. Still in research here. :)
If you have a breast lift in conjuction with your first BA, it is considered "breast reconstruction" and you can get silicone implants.
Also to consider: unlike saline implants which are inserted empty, the silicone implants are inserted at full fill volume. Therefore, the incision has to be longer to accomodate the size of the implant, which could result in a bigger scar.
The law passed in Canada in January '04, has something to do with malpractice suits from foreigners. You just have to find a PS who has his own malpractice insurance.