Breast Augmentation: Saline or Silicone?

liposuction south jerseyThe FDA approved silicone implants for use in cosmetic augmentation in 2006.  This has added a great option for many patients but also added some confusion as to which type of implant is best for a particular patient.  The most important difference between silicone gel and saline filled implants is the issue of rupture.  All breast implants, being artificial devices, have to behave in a friendly biological fashion to integrate appropriately in living tissue.  They also must have properties that make them desirable for their intended use.  Softness, pliability, and shape are important properties but these characteristics play a role in the longevity of the device.  Currently, the major manufacturers of breast implants in this country (Mentor and Allergan) list an anticipated longevity of ten years for their implants.  However, there is no guarantee that any implant will last for any specified period of time.  Although we discuss the rupture rate in terms of a percent each year, it stands to reason that the rupture rate for a breast implant is 100% – eventually.  Rupture is really where the 2 types of implants part ways in a practical sense.  The saline implant, filled with salt water, will simply deflate over a period of days following rupture.  The loss of volume is immediate and usually quite noticeable to the patient.  No special test is necessary to confirm what is obvious. The filler, salt water in this case, is simply absorbed by the body and excreted by the kidneys in the usual fashion.

Silicone gel filled implant rupture is another matter.  The filler in this case, a cohesive silicone gel, is not absorbed by the body.  Therefore, the volume of the breast changes little following rupture.  Although there is a chance of a slight change in the shape and/or feel of the implant following rupture, it is well known that this change is subtle, and will likely be missed by both the patient and her surgeon.  The FDA required labeling consistent with this problem, recommending MRI screening for silicone breast implants beginning at three years post implantation followed by every other year thereafter.  Unfortunately, the MRI is not without its own problems.  There is a significant false positive rate on screening (it sees a rupture when there isn’t).  It is also expensive, not being covered by health insurance when the implants were placed for cosmetic purposes.  I encourage all of my patients with silicone-gel filled implants to carefully consider the FDA recommendations for MRI screening.  As more information becomes available for these devices, modification of the current recommendation should follow.

So, why would a woman choose one implant over another?

While it is true that both saline filled and silicone-gel filled breast implants are effective in providing larger, more shapely breasts, some women benefit from the better texture and more natural feel of the silicone-gel filled breast implant. For example, smaller breasted women typically benefit most from the silicone-gel filled implant as the presence of any implant is more difficult to conceal. There is less fat and breast tissue to cover the implant, and so problems such as wrinkling can be more severe. In addition, women who have had children can experience involution of the breast gland, leaving a softer, thinner breast which may feel strange over a the typically firmer saline implant.

So how does a patient choose?

Except in the specific circumstances noted above, it is very hard to tell the difference simply by looking.  They are both good at making breasts round and full.  Most of the improvement in result is largely due to texture and feel.  This makes it a personal choice by the patient based on her own goals.  As proof to myself, I have been present at international meetings of plastic surgeons where photographs of patients with breast implants are shown on the screen.  The surgeon audience members are then asked to vote, “Saline or Silicone?”  We plastic surgeons cannot guess any better than chance!  Of course photographs are not the same as the real thing, but it certainly makes a point.  The bottom line is that the decision rests with the patient.  My job is to relate the facts and make recommendations based on sound surgical practice

Dr Franckle

Meet Dr. William Franckle Board Certified Plastic Surgeon

We know that you have many options when choosing a plastic surgeon. Dr. Franckle and his staff are dedicated to providing you with a caring and professional surgical experience. Time and time again our patients credit Dr. Franckle’s expertise and the kindness of our staff as the reason for choosing our practice. Dr. Franckle is board certified by the American Board of Plastic Surgery (ASPS), the only board recognized by the American Board of Medical Specialties to certify surgeons in the practice of plastic surgery. Attention to detail, meticulous skill, and an artistic eye make Dr. Franckle an expert in such procedures as rhinoplasty (nose job), breast augmentation (breast implants), abdominoplasty (tummy tuck), facelift, and non-surgical treatments (Botox and injectable fillers).

Dr. William Franckle Testimonials

What's a Rhinoplasty REALLY like?? →⁠ 👃🏽👃🏽

⇥ To begin the rhinoplasty procedure, Dr. Franckle will make the internal and external incisions⁠

(..depending on if it is an open or closed rhinoplasty)⁠

⇥ The placement of the incisions will also depend on your unique surgical goals, which will be determined during your consultation⁠

⇥ Once the incisions are made, Dr. Franckle can lift the soft tissues and gain access to the cartilage and nasal bones that create the shape of the nose⁠

⇥ From there, the small cartilages in the top and bridge of the nose can be reshaped, and small cuts in the middle nose bones may also be necessary⁠

⇥ Additional incisions are sometimes made at the outer base of each nostril if there is a desire to alter the nostril size or symmetry⁠

⇥ To complete the procedure, Dr. Franckle will finalize the placement of the underlying tissues and nasal skin and close the incisions. ⁠

Since this is an outpatient procedure, you will be able to return home the SAME day of the surgery! ⁠

Call to schedule a consultation >> @ 856.391.9651⁠

#vorheesnj #njplasticsurgeon #vorheesplasticsurgery #njplasticsurgery #cherryhillsnj #njcosmeticsurgeon #njcosmetics #njrhinoplasty #njtummytuck #rhinoplastybeforeandafter #beforeandafter ⁠


We're ready to wind down for the night with a hot bath, face mask and some online shopping! ⁠

Have you ever thought of "shopping" for your plastic surgeon?💡💡💡⁠

→ Attention to detail, meticulous skill, and an artistic eye make Dr. Franckle an expert in these procedures:⁠

🤍 Rhinoplasty (nose job)⁠
🤍 Breast augmentation (breast implants)⁠
🤍 Abdominoplasty (tummy tuck)⁠
🤍 Facelift⁠
🤍 Non-surgical treatments (Botox /injectable fillers)⁠

🛍 To "shop" Dr. Franckle's work visit our website for a gallery of BEFORE & AFTERS of the procedures listed above. ⁠>> #LINKINBIO⁠

📲 Call us with any questions or to schedule your consultation with Dr. Franckle 📆 @ 856.452.4168⁠

#vorheesnj #njplasticsurgeon #vorheesplasticsurgery #njplasticsurgery #cherryhillsnj #njcosmeticsurgeon #njcosmetics #njrhinoplasty #njtummytuck #rhinoplastybeforeandafter #beforeandafter

Rhinoplasty BEFORE & AFTER by @wfrancklemd⁠

To see additional photos of our rhinoplasty patients, visit our website #LINKINBIO or schedule your personal consultation!⁠

Call to schedule a consultation >> @ 856.317.6924⁠

#njrhinoplasty #njcosmeticsurgery #vorheesnj #njplasticsurgeon

CHEERS to the weekend & to treating yourself to our REFRESH VIP membership! 🥂⁠


⇢ Botox Cosmetic, 30 units, every 4 months⁠
⇢ Juvederm Ultra Plus, 1 syringe, every 6 months⁠
⇢ Nicole ONLY pays $200/month !!!⁠

⚠️ If Nicole wasn’t a REFRESH member, she would pay $1,260 at her first appointment.⁠


1. What exactly is REFRESH?⁠

→ REFRESH is a VIP loyalty program for our patients. REFRESH members receive access to exclusive discounts on treatments and the flexibility of monthly payments.⁠

2. What is the Cost to Join REFRESH?⁠

→There is a $99 annual fee to be a member of REFRESH. Depending on your treatment needs, many of our patients see the cost of membership back in savings within their first injectable treatment.⁠

3. How Do I Join?⁠

→ The first step is scheduling a consultation with board-certified plastic surgeon, Dr. William Franckle.⁠

Call us to schedule your consultation at: >> 856.619.7516 ⁠

#NJinjections #NJbotox #NJcosmetic

**Please note** our phones will be down all day today, Tuesday April 6th.

We will be available by email:

Rhinoplasty can help patients achieve aesthetic goals, but it may also help those who suffer from nasal breathing problems such as sleep apnea. ⁠

Nose surgery may also be right for candidates who have suffered a nasal fracture and require reconstructive surgery to repair the shape and functionality of the nasal passage.⁠

In addition, if you are bothered by any of the following issues, then a nose job surgery may be right for you:⁠

1. A hooked or crooked nose that impacts facial symmetry⁠

2. A nose shape with a rounded, bulbous tip or disproportionately large nostrils⁠

3. An enlarged bump on the bridge of the nose, also known as a dorsal hump⁠

Read more on our website > #linkinbio ⁠⁠

Or give us a call ☎️ at >> 856.317.6924⁠

#plasticsurgery #cosmeticsurgery #plasticsurgeon #cosmeticsurgeon # #newjerseystyle #southjersey #voorhees #voorheesnj #cherryhill #cherryhillnj #medfordnj #medford #jerseygirls #jerseygirl #njboardcerifiedplasticsurgeon #njcosmetics #njplasticsurgeon⁠

#hereforyou 🖤 🖤 🖤⁠

#plasticsurgery #cosmeticsurgery #plasticsurgeon #cosmeticsurgeon # #newjerseystyle #southjersey #voorhees #voorheesnj #cherryhill #cherryhillnj #medfordnj #medford #jerseygirls #jerseygirl #njboardcerifiedplasticsurgeon #njcosmetics #njplasticsurgeon⁠

How Much Time Will I Need to Take Off Work after having a Rhinoplasty Procedure?⁠

→ The first seven days after surgery are the most difficult with pain, swelling, and bruising. Most people working in a sedentary profession find that taking one week of leave is sufficient. ⁠

→ However, anyone wishing to keep the surgery a secret or working in a profession that requires physical activity should take between two and three weeks off. ⁠

Dr. Franckle can provide specific recommendations for you during your pre-operative appointment.⁠


William Franckle, MD., FACS

| | 856.772.6500
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