Are there any breast implants that don't have a silicone outer layer?

Question

Hello, I have wanted a breast augmentation for years but I'm concerned about developing symptoms of ASIA. From what I have read it's the silicone outer layer that could be causing it. Is there an alterative option to silicon? Are there any implants that are TGA approved? Thank you

Donovan Rosas, MD · Answer

When considering breast augmentation silicone is unavoidable. The shell of both saline-filled and silicone-filled devices are composed of silicone.

That being said, silicone is exceedingly safe and is a component of nearly all implantable medical devices.

The only alternative is fat transfer. However, this is a much less reliable option.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Azita Madjidi, MD, MS, FACS · Answer

Both saline and silicone implants have a silicone envelope. Fat grafting is an alternative with its own set of potential issues such as oil cysts, scarring, fat absorption, calcifications etc.

Connie Hiers, MD, FACS · Answer

No, all implants have a silicone shell. There is no actual proof that the silicone is the cause.  However, you might consider fat injections if you have donor fat.

Hilton Becker, MD · Answer

The only option besides breast implants  is fat grafting.
There are several new techniques that are being used to enhance fat grafting including
External expansion ,tempory mesh  support,,PRP,PRF .Renuva  and stem cell enhancement,.

Are there any breast implants that don't have a silicone outer layer?

Answers (4)