Silicone Breast Implant Update

A recently published Danish study of 190 implant patients, with 19 years follow-up showed 62% with contracture however the majority reported satisfaction and evaluated themselves positively. (Ann Plast Surg 2007;59:597-604). This corresponds to my experience doing revision procedures (replacement of gel with saline implants, breast lift [mastopexy], etc.). My practice uses saline implants for both initial augmentation and secondary procedures on patients with prior / old implants desiring another operation.