The primary benefit of saline implants is that, because they are filled following insertion, they can be placed via a much smaller incision than is needed for silicone breast implants. In order to place a 350 cc saline implant, Dr. Greenwald need only create a 2.5 cm incision in the inframammary crease (the fold at the bottom of the breast). To place a silicone implant of the same size requires a 4 cm incision in order to ensure the integrity of the implant.
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In general, saline implants seem to have fewer risks associated with them than silicone implants. With saline implants, we are able to change or fill volumes of the bags; this offers more flexibility for women who have significant asymmetry. You can adjust the volumes to even out the breasts and make them more symmetrical.
Though saline implants may rupture, the patient will know within a few weeks that her implant is deflated. Fluid from a saline implant is quite safe. It is usually normal saline solution, which will be absorbed into the body, and the patient will just eliminate it through natural body functions.
Should this happen to you, it is important to have the implant replaced sooner, rather than later. The longer you wait the greater your chance for additional scar tissue forming around the bag, requiring surgical intervention to restore a normal appearance to that breast.