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Breast Augmentation - Should I Have Saline or Silicone Implants? Ask Dr Sessa in Sarasota FL,

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Uploaded by on Jan 19, 2010

http://www.SarasotaSurgicalArts.com
Dr. Alberico Sessa
941.923.1736 for a free consultation
Sarasota Surgical Arts
4143 Clark Road, Sarasota, Florida 34233
Most of my patients come in, and one of their biggest questions is should I have saline? Should I have silicone? However, with the age of the internet, most women that are looking at getting breast implants already have read about it. They understand the pros and the cons of silicone versus saline. A lot of my patients choose saline, number one, because financially, it's cheaper. But number two, because they like the fact that it's filled with saltwater. This is an example of one of these implants, and you could see that you're not gonna have all bubbles inside of it. These implants are devoid of bubbles when they're filled, so you're not going to hear, like I just drank a big glass of water, and you're going to hear blub, blub, blub in your stomach. You're not going to hear that. But saline is still very, very natural, and I tell my patients it's a great choice.

Whether you're looking at saline versus silicone, saline is still an excellent choice, and it's very, very safe. The way that I place my implants, I usually place them underneath the muscle. And the one thing that we do have to watch out for, though, and very, very thin people, sometimes you can see the outline of these implants. And we really want to try to avoid that. So, one of the things that we could do to protect that and protect against things like rippling, like here, you could barely see some rippling here on the sides. We want to avoid that, because that really tells everybody, these are fake. We want-- I pride myself in doing very natural-appearing implants, and most of my patients come to me because of that. Because they say, Doctor Sessa, your patients look really natural. One of the things that I really abide by is, you really have to overfill these implants slightly.

So, let's say you're looking at a 375cc implant that you tried on that you really like the look of. So, more than likely, we'll probably fit you with like a 330cc implant. And then we overfill it, so if we give you a 330cc implant, and let's say you look at this implant, it's sort of flacid a little bit. What we want to do is to make sure that we don't have any of these ripples. We overfill it, so if we push it out a little bit and overfill it, you could see that those ripples just disappear. And that's what we really want to do. We
want to overfill it a little bit, stretch the casing of the implant a little bit. This way, those ripples will just disappear, and it will be nice and smooth at the edge.

Saline initially, may feel slightly more tense than silicone. But as time goes on and the skin stretches and acclimates to the new size, it feels very, very natural. And most of my patients, they love it.

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