Silicone Gel Implants in 2012
According the latest statistics of The American Society for Aesthetic Plastic Surgery (ASAPS), in 2011, 316,848 women underwent breast augmentation of which 69% of those procedures used silicone gel implants. As we reach the 50 year “anniversary” of introduction of silicone gel breast implants, we are at a position to make some significant conclusions. They are a good device and they are safe. However, we, as plastic surgeons, have also learned that there is need for diligence in the collection of data and are constantly striving to be a part of the research process.
Perhaps no other device in medicine has been evaluated so intensely. In 1992, Food and Drug Administration (FDA) placed a moratorium on the silicone gel implants and it was not until 2006 that these were reintroduced to the U.S. market. During this time significant research was done that determined that silicone gel implants are safe and add to the quality of life of a patient. As plastic surgeons we were instrumental in the reemergence of these devices by dedicated date collection, and participation in clinical research.
Today, most of us use silicone implants as our primary tool. We feel that they are more natural, safe and resilient. The latest generations of implants are natural in their appearance and versatile in their use. There are variety of shapes and sizes that suit just about any candidate. The new gel implant is semi cohesive and has a very viscous quality, and thus in case of rupture, cannot grossly spread.
In the horizon of breast implants lies the new form-stable, anatomically shaped silicone breast implants. These devices are solid but soft. In case of disruption they will not spread at all. These cohesive implants are currently not available for general use. Further areas of research include new shapes and sizes, new polymers to replace silicone, and improved management of patient expectation regarding outcome.
At Egrari Plastic Surgery Center we are at the forefront of research and are constantly striving to bring the latest and the safest options for you. Stay tuned.