Although many patients do request a cohesive gel silicone implant, the saline implant also has its merits and with the proper patient, is more ideal than its silicone counterpart. If a patient has almost no breast tissue, very small areola and have not had children, a saline implant might be recommended.
The saline implant will act as a tissue expander so it will
expand the breast cavity.
At this time there is no implant designed to last a lifetime. All implants
generally lose their wall of integrity somewhere around 10 years or so. Therefore, in patients that originally started with saline implants and has
moved on to have children, a cohesive silicone gel implant maybe recommended
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