Pasadena Plastic Surgeon Daniel J. Casper, MD Discusses the Impact of the FDA’s 3 Year-Old Decision to Approve Silicone Breast Implants

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In 2006, the U. S. Food and Drug Administration lifted a 14-year moratorium on silicone breast implants after a series of highly publicized lawsuits created speculation regarding the safety of silicone implants. Following years of rigorous testing and clinical trials, the FDA has approved the use of silicone implants in breast augmentation procedures for women over age 22, and breast reconstruction procedures in women of any age. Following the three year anniversary of the FDA’s final approval, Dr. Casper offers his views on the decision as they relate to his Pasadena plastic surgery practice.

The biggest concern about silicone implants is the past history of leakage and rupture. But with the new 'cohesive gel' or 'memory gel,' implants do not leak or rupture.

Three years ago, the U. S. Food and Drug Administration approved the use of silicone breast implants in women over the age of 22, and breast reconstruction for women of any age. The approval came after a 14-year moratorium on the use of the implants in breast surgery procedures in order to study them further after a series of complaints raised concerns regarding their safety. Dr. Daniel Casper is a board-certified plastic surgeon and has been offering reconstructive and aesthetic breast augmentation in Los Angeles, CA for over 10 years. According to Dr. Casper, approximately 90% of the Los Angeles breast implant procedures he performs use silicone implants instead of saline. When asked about concerns commonly expressed by his patients regarding the use of silicone, Dr. Casper says, in addition to the FDA’s approval of silicone breast implants three years ago, advances made over the years have addressed some of the major concerns. “The biggest concern about silicone implants is the past history of leakage and rupture. But with the new ‘cohesive gel’ or ‘memory gel,’ implants do not leak or rupture.” According to the American Society of Aesthetic Plastic Surgery (ASAPS), the cohesive gel is the latest filler innovation involving silicone breast implants and is much thicker, allowing the implant to hold its shape and avoid leakage even if the implant’s shell is compromised.

This is good news for patients considering breast enhancement in Los Angeles and across the country, according to Dr. Casper. He believes silicone implants are both the most natural-feeling and natural-looking option for breast augmentation because silicone does not wrinkle or ripple, as has been known to happen in some patients with saline implants. Coupled with Dr. Casper’s belief that the new generation of silicone implants does not cause any ill medical effects, further supported by statistics from ASAPS showing 51.7% of the 311,957 breast augmentation surgeries performed in 2009 used silicone, Dr. Casper is very happy that silicone implants are available for primary breast augmentations. “With their use I am able to achieve a much prettier, more natural feeling breast augmentation result that doesn’t deflate.”

Of all the breast enhancement procedures Dr. Casper performs, he finds the majority of his patients prefer silicone. Furthermore, Dr. Casper says those patients that have had revision surgeries to replace saline implants with silicone have been especially satisfied with the eventual results because of the more natural feel and better appearance.

Overall, Dr. Casper says, where breast augmentation is concerned, silicone is far superior to saline because they do not wrinkle or ripple, do not deflate, and they are equally as safe as saline breast implants.

About Dr. Casper

Daniel J. Casper MD attended the New Jersey Medical School, and completed his General Surgery Residency at the University of Massachusetts. He completed his Plastic Surgery Residency at the University of Southern California. Dr. Casper is certified with the American Board of Plastic Surgery and the American Board of Surgery. He is an active member of the American Society for Aesthetic Surgery, the American Society of Plastic Surgeons, the California Society of Plastic Surgeons and is a Fellow of the American College of Surgeons.

Dr. Casper’s practice is located at 10 Congress St. Suite 407 in Pasadena, CA 91105 and can be reached at (626) 796-7158 and


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Loryn Wilson