Should I Replace My Breast Implants? By Constance M. Barone, M.D. on April 24, 2019

What You Should Know About The Safety Of Silicone Implants, Saline Implants, And Structured Implants

When undergoing a breast implant revision, most women choose to replace their implant with a new one, though some decide to remove the implant without replacing it. Even if you chose one breast implant type for your primary augmentation, you do not need to choose the same type for your revision. In fact, some women have revision surgery specifically to switch their implant type. When you are considering implant types for your revision, make sure you think about your long-term peace of mind and consider statistics such as rupture rates and capsular contracture rates. Compare these rates in the most popular breast implants by visiting


  • Saline breast implants: these breast implants are filled with saline, the same liquid used to hydrate patients through an IV. Because saline is a natural substance many women feel peace of mind knowing if they encounter problems with the implant their body will naturally absorb the saline. Some women, especially those without much natural breast tissue, complain that saline implants feel unnatural and are prone to rippling.

  • Silicone gel breast implants: silicone gel is thick and sticky, giving this breast implant a natural look and feel. Unfortunately, silicone gel is not natural like saline and could cause complications if the implant ruptures. Occasionally, women choose to remove and replace their silicone gel implants at 10 years to avoid problems that may occur after their warranty has expired. The FDA recommends women with silicone gel implants get MRIs every few years to check for “silent ruptures”, a condition where the implant has ruptured without showing symptoms. Learn more about the safety of silicone implants by visiting the FDA website here.

  • IDEAL IMPLANT® Structured Breast Implants: structured implants are the newest type of implant approved by the FDA for women 18 and over. They are filled with saline, giving women peace of mind in case of a rupture. However, they are made with an internal structure which provides stability, avoids rippling, and gives women the look and feel of natural breast tissue. Dr. Barone is one of the exclusive plastic surgeons in the San Antonio area to offer IDEAL IMPLANT. She has also been named an IDEAL IMPLANT Premier Surgeon, because of the extensive experience she has using this implant.

To learn more about the breast implants offered at Barone Plastic Surgery click here..


Breast Implant Associated Anaplastic Large Cell Lymphoma

Recently, the FDA held hearings on breast implant safety after receiving reports of Breast Implant Associated Anaplastic Large Cell Lymphoma, or BIA-ALCL. Some women have experienced this immune system cancer around their breast implants. Though the FDA is still gathering information in an attempt to find the exact cause of BIA-ALCL, they have stated “most data suggest that BIA-ALCL occurs following implantation of breast implants with textured surfaces rather than those with smooth surfaces.” (source). Based on these findings, some women with textured surface breast implants are choosing to remove and replace their implants before a problem occurs. If you have a textured surface breast implant, talk with your plastic surgeon about the most recent data concerning BIA-ALCL, and whether you should consider revision surgery. Silicone gel and saline implants are available in both smooth and textured surfaces. IDEAL IMPLANT Structured Breast Implants are only available as smooth surfaced implants. At your consultation, Dr. Barone will provide you with the most up-to-date information on BIA-ALCL, along with information about the safety of silicone implants, saline implants, and structured implants.


Choosing The Best Breast Implant For Your Body And Peace Of Mind

If you think you need to replace your breast implants, make an appointment with Dr. Barone today. Breast implant revision is a positive experience for most women, especially when they choose a skilled and experienced board-certified plastic surgeon. When choosing a new breast implant, make sure you factor in the data on complications, long-term maintenance requirements, and your own peace of mind. Dr. Barone is ready to help you make the best decision for your future. Call 210-202-4392 today to schedule your complimentary consultation at Barone Plastic Surgery.

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Dr. Constance Barone

Dr. Constance Barone

Dr. Constance Barone in San Antonio, TX, and her team pride themselves in delivering safe, compassionate care tailored to your individual needs. She has been voted one of the Top Plastic Surgeons in America and her professional affiliations include:

  • American Society of Plastic Surgeons
  • American College of Surgeons
  • American Academy of Cosmetic Surgery

To schedule a consultation and learn more about how Dr. Barone can help you achieve your aesthetic goals, contact our office online, or call (210) 614-0400.

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