breast plant or behind the muscle. and i think one of the most popular ones are right through the trans exscilla because there is no scar. there is a lot of debate in the field, but in the hands of experienced surgeon, these are safe procedures and work really well. if you re on silicone implants, get an mri every three years to make sure there is no leak. if you re on silicone. if you have silicone implant, get an mri every three years to make sure there is no leak. you may have it and not know about it. you can t it is not supposed to get a silicone implant if you re under the age of 22. the fda says 22 or above. there is ways around that. fd ax says 22 or above. three out of the four silicone i ve seen disastrous cases where the silicone ruptured and that becomes a major surgical problem. most of the time it is very safe. they have never been prove en t be associated with cancer. everyone is on the lookout for that. they re coming out with a
procedure in 2014 alone. and about three-quarters of those surgeries used silicone implants. dr. samadi, what is safer, silicone versus saline? no good answer. it all depends on what you re looking for and what kind of breast size you re looking for and the mileage that you re going to get out of the implants. silicone has been around for a long time. it was gone for about a decade because of all of the leak and some of the scarring and some of the issues. but it is back again. and as we said, most of them are silicone. silicone lasts longer. when you put the implant, you have a capsule around it, and as long as the capsule is not ruptured, it is actually long lasting implant. saline, it is probably may feel a little more natural, but only lasts 12 to 13 years and you may end up with a flat tire and it can burst. and that s a big problem. if that happens, we can take the ole implant out and put a new one in. there is a big debate whether the implant should be under the
long way and the silicone implants used to leak and cause a lot of problems, inflammation, change of the figure of the breast, etc. now in the last two years, we have saline implants and also we have the silicone implants. the saline most of the time is used on younger women because it s easier to handle and in case they change their mind, they can also like get bigger or smaller size, but this silicone one which is now being done is mostly done transactional. there s really no incision. what does that mean? it goes through the axe illa, and it looks more natural. it really has come a long way. like i said, in the hands of experienced surgeons, these work really well. you re saying leakage leading to immune disorders no longer an issue? it s not much. what they have done is they have put in a silicone shell around it. even if there s a rupture, with saline obviously it gets absorbed and they have to replace it. with silicone, even if there s a rupture, it won t be messy.
even if you squeeze it, it will go back to the shell, so it really has become and these are all fda approved. it s ambulatory. that s good it s come along way. dr. siegel, i want to ask you about women having mammograms and whether or not implants affect the ability to diagnose problems later on. usually not. usually you can have mammograms with both. now, in terms of patient satisfaction here, jamie, women are more happier with silicone implants, but they have more local complications, even with the advances david s talking about. with saline if there s some leakage, it s easier to spot. with the silicone, you actually have to do mri scans regularly to make sure they re intact. you follow people with mri scans. you look for infection or scarring occurring. about 20 to 40% of the silicone ones have to be replaced be within ten years. that s something we watch very carefully. should you ask for saline? i think it s a matter of popularity. women like the feeling and look
of silicone implants better. the saline ones have less complications. women need to know there s never been a study that show the silicone implants lead to breast cancer. that s really important. okay. good advice, doctors, thank you. eric. it s not just for teens any more. the age range for americans getting acne is getting broader. coming up, we ll tell you about dermatologists that are actually revising the guidelines. we ll look at who s battling the blemishes and what you can do about it. [ male announcer ] this is betsy. her long day of pick ups and drop offs begins with arthritis pain. and a choice. take up to 6 tylenol in a day or just 2 aleve for all day relief. all aboard. you have to let me know [ female announcer ] when sweet and salty come together,