Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS

5 Things You Never Knew About Breast Implants

Breast implants are one of the most popular elective cosmetic procedures available. Every year, hundreds of thousands of women in the U.S. augment their breasts. Despite the popularity, there are some fun facts you may not know about: 1. Tax Breaks for Breast Implants While elective plastic surgery, including breast implants, cannot be deducted as a medical expense on your taxes, implants can be deducted if the procedure falls under one of two narrowly defined categories: • Reconstruction after a mastectomy • Business expense That second category may have caught you by surprise, but it’s true! In 1994 a U.S. tax court judge ruled in favor for an adult entertainer who argued the enhancement was a business expense akin to a stage prop. 2. Microchips Aren’t Just For Identifying Fido It’s pretty common knowledge that microchipping your pets can save you a lot of future heartache and trouble. The same concept applies to some breast implants. When outfitted with microchips, some breast implants can tell you the lot number and serial number with the wave of a small handheld device. This tech-savvy solution allows for higher patient safety levels. Chipped implants can be easily identified in the rare event of a recall. 3. Oil Implants Were Tested Back in the early 1990s, the quest was on to find a more transparent breast implant filler option than saline and silicone. Developers sought to innovate for the benefit of mammogram screening. Highly purified soybean oil was tested as implant filler. However, it never made it passed clinical trials. Although the oil was clearer in mammogram screenings, British women reported numerous incidents of swelling and inflammation. MRIs ultimately showed the implants absorbed water, and creator LipoMatrix™ voluntarily recalled the product in 1999, after The British Department of Health recommended discontinuing use of the implants. 4. Your Implants Can Glow In The Dark While they won’t glow on their own, if you shine a flashlight beneath or next to your breasts particular saline and silicone implants will cast a faint glow, revealing the veins beneath the skin. The effect is similar to when you shine the light against your hand. 5. Candy Inspired Nickname Saline and silicone implants have been offered for decades with beautiful and natural results. In 2012, a new FDA approved option entered the market, form-stable silicone gel. The gel earned its nickname from the behavior it mimics when it’s cut in half. Like candy Gummy Bears, the nature of the gel is to maintain its shape and form even when cut, pulled or pushed. Though neither edible nor colorful, the breakthrough implant is an advance for women needing implant revisions where the pocket is already stretched.

An Oil Change for Breast Implants?

Many people believe that breast implants must be removed and replaced every ten years. This misconception has nearly become common knowledge and is simply not true. It is based upon one study that showed that breast implants grow weaker over time. As time passes they have an increased risk for rupture. Specifically, there is a cumulative 1% risk each year that breast implants will fail (break). That means that three years after breast augmentation there is a 3% chance of them breaking, and after ten years a 10% chance of them breaking. While the study implies that it might be a good idea to replace ten year old breast implants it does not suggest that doing so is a medical necessity. If you have breast implants that look good and feel good leave them alone. It doesn’t matter if they are brand new, ten years old or even 30 years old. Every patient is different and should be treated individually. You don’t need to treat your breast implants like your car – you don’t need to get ten year oil changes!

Are Silicone Gel Breast Implants a Safe Choice?

Breast Augmentation in Miami, FLThe simple answer is yes. Silicone implants are approved by the United States Food and Drug Administration.  When it comes to safety and risks of breast augmentation, silicone implants and saline implants are basically the same. However, should a breast implant rupture occur, there are differences to consider.  If a saline breast implant breaks, patients say it’s like “getting a flat tire.” You realize it very quickly. With the latest silicone gel breast implants, the breasts may not look any different if a rupture occurs. The best way to positively know is to get an MRI if you suspect that your implant is compromised. In my practice I recommend silicone breast implants in most cases because they produce results that look and feel very natural.  To conclude, breast augmentation with silicone implants is just as safe as with saline implants.  It comes down to your preferences and which implant type you are comfortable with.  If you have any reservations at all about silicone gel, you should probably stick with saline.

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