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SUMMARY: Women considering breast augmentation have a number of decisions to make – from implant type to placement, and everything in between. Sifting through the wealth of information available these days can be a daunting and, at times, overwhelming task. Not all sources provide trustworthy information that is based on proven facts. Learn the truth behind 3 common breast implant misconceptions.


Breast augmentation is a popular cosmetic procedure among women wishing to enhance their breast shape and size. In fact, breast augmentation was the top cosmetic surgical procedure in 2012, according to data from the American Society of Plastic Surgeons®. Women considering breast augmentation have a number of questions and concerns prior to making their decisions. With the wealth of information easily available today, it’s important to know which sources to trust and which information is true. There are several common myths about breast implants that women should be aware of, so let’s take a look at some of the fake information out there.

Fake: Saline Implants Are Safer Than Silicone

It’s a common misconception that saline implants are safer than silicone. The truth is, each implant type has its own benefits. It was thought — but never proven — that silicone implants could cause medical problems. The myth likely originated with misuse of other kinds of silicone, such as the kind used in construction, by unlicensed practitioners pretending to be physicians. Both saline and silicone implants are FDA-approved. The main difference is that saline is approved for women 18 years and older, while silicone is approved for women 22 years and older.

Saline implants are filled with sterile saltwater. The shape, firmness, and feel of the breast can be affected by the amount of saline used to fill the implant. In the case that the implant shell should leak, the implant will simply collapse and the saline will be absorbed and naturally expelled by the body.

Silicone implants are filled with an elastic gel that feels and moves similarly to a natural breast. If a silicone implant is compromised, the gel can either remain in the shell or leak into the breast implant pocket.

Studies have shown silicone implants to perform equally, or even better, than saline implants. Saline require less surveillance, while silicone offer a more natural look and feel. The bottom line is that each implant has pros and cons. A surgeon specializing in breast augmentation, such as Sacramento board-certified plastic surgeon Dr. Wayne Yamahata, can help each woman choose the right implant type for her goals and lifestyle.

Fake: Submuscular Implant Placement Is More Natural Looking

Implant placement is largely dependent on each woman’s individual anatomy, as well as the type of implant being used. After the incision is made, the implant can either be placed under the pectoral muscle (submuscular) or over the pectoral muscle, directly behind the breast tissue (subglandular).

Again, a qualified surgeon can help recommend the best implant placement based on implant type, body type, and desired breast size. Every breast augmentation should be tailored to meet each individual’s needs.

Fake: Breast Implants Prevent Breastfeeding

Most women who have breast augmentation done with inframammary or transaxillary incisions have no problems with breastfeeding. ABC News did a story on whether women with breast implants are able to breastfeed successfully and found that in most cases, it’s not a problem.

The key is to avoid having implants placed through periareolar, or nipple, incisions. Women choosing breast augmentation with plans of breastfeeding in the future should be sure to communicate with the surgeon to make sure their implants are placed accordingly.

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