Saline or Silicone Gel? The Results May Surprise You…

A recent survey published in the Aesthetic Surgery Journal shows what the current preferences are for breast augmentation surgery. According to a survey of 1746 board-certified plastic surgeons and members of the ASAPS:
– Sixty percent of surgeons are still using saline implants, and the vast majority of them are using them 75-100% of the time.
– The majority of surgeons (64%) preferred an incision near the breast crease, while 25% preferred an incision around the bottom half of the areola.
– The average implant size reported by 81% of surgeons was 300 to 400 cc (which is approximately a small to a full “C” cup bra).
– Smooth implants, rather than implants with a textured surface, were most often preferred by 92% of respondents because it was the surgeon’s preference, less wrinkling, or overall better results for the patient.
– Ninety-six percent of surgeons used round, rather than anatomically-shaped, implants.
– The most common position for implant placement was under the muscle (62% of surgeons).
With the exception of the majority use of saline implants, these statistics reflect what I see in my practice. I estimate that I use saline implants only 25% of the time, since most patients seem to prefer gel. I utilize three incisions (underneath the breast, around the areola, and the armpit), with the most common being underneath the breast. My average size implant is probably 350-375cc, and I usually use smooth round implants placed under the muscle. I find that these choices usually minimize any complications and revisions.
To view a breast augmentation I performed on Fox News, click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

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Posted in: Plastic Surgery News


  1. Doctor,

    I plan to have a breast augmentation, but I am not entirely sure yet.

    Fort this new generation of gel implants, what about the risks of silent rupturing and potential formation of nodules? It is pretty scary! It's fun to be beautiful and have natural feeling breast, but not only for five years.

    I considered the gel ones but changed my mind after a visit to a surgeon.

    Comment by Sophie, french girl from Montréal on November 1, 2009 at 12:27 pm

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