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Breast Augmentation - Cohesive Gel Implants
Dr Carman has performed thousands of Toronto breast augmentation
cases at his beautifully appointed and state of the art plastic surgery facility in Toronto. One of the more common questions by patients considering breast implant surgery is that of the implant type. Many patients who are interested in cohesive gel breast implants carry out their own research prior to their breast augmentation consult with Dr Carman and find the plethora of available information overwhelming and even confusing.
Saline implants and cohesive gel implants are constructed differently. While saline breast implants are filled with sterile salt water, gel implants are pre filled to various shapes and sizes by breast implant manufacturers. Some women prefer gel implants, others are more comfortable with an implant that is filled with sterile saline solution. It’s really an individual choice as both styles of implant can give a very natural result.
Cohesive gel filled implants are superior to older style silicone breast implants since cohesive gel will never leak out if rupture occurs. In fact, if gel implants are ruptured, the cohesive gel will retain its shape and stay within the outer shell. This cohesive property tends to reduce instances of implant rippling that can sometimes occur. Rippling tends to be more common in women who are very thin and who have relatively large implants. If it occurs, the problem of rippling can be a stubborn one and the solution requires an individualized approach. Fortunately, instances of rippling or rupture of gel implants are indeed very rare. Nonetheless, ruptured gel implants can be replaced without any threat of leakage since cohesive gel material is more solid than liquid.
In 2006 Health Canada deemed silicone gel breast implants safe for general use. Previously, if silicone implants were determined to be suited to a patient’s needs, an application was required to be submitted to Health Canada for each individual case. This application process is no longer required.
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