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New Hampshire Cosmetic Plastic Surgeon Discusses Silicone Breast Implants after Breast Augmentation becomes No. 1 Cosmetic Surgery Procedure
Date:4/2/2009

Dr. Zeff says he typically uses the word ‘gel’ when describing silicone breast implants to patients because saline implants, the type that were still available for use during the silicone implant moratorium, also have a silicone exterior. “That alone is often surprising to some patients. Patients are also comforted by the fact that the newer implants are ‘cohesive’ so they hold together if cut or ruptured. They might bulge, but they won’t drip or run.” The issue of implant leakage was at the heart of the silicone implant controversy. Saline implant leaks are more noticeable because the breast often takes on a deflated appearance; whereas silicone implant leaks are not as easy to detect without an MRI or an examination by the plastic surgeon. However, today’s silicone gel implants are known for their strength and durability, and Dr. Zeff says, while he always explains the intricacies of both silicone and saline implants, the controversy over silicone implants may have actually helped in making patients understand that they are indeed safe. “For some patients there is still a residual fear based on memories of the controversy rather than on the facts. I try to explain the history and the facts. I feel that the controversy was constructive because it provided the opportunity to prove scientifically that gel implants are safe.”

Dr. Zeff feels that one of the major benefits of silicone ‘gel’ implants over saline is that they have a more natural look and feel. He says that he advises each of his New Hampshire breast augmentation patients on the basis of what their ultimate goals are, and what may best suit their individual needs. “The difference between gel and saline is much more noticeable in some patients than in others.
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