One Year After FDA Approval of Silicone Breast Augmentation: San Francisco Plastic Surgeon Reports

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Local plastic surgeon reports a dramatic increase in requests for silicone implants for breast augmentation surgery. Are saline implants obsolete?

In my mind, there is really no 'right' answer regarding which breast implant is best…only which implant choice is best for a particular patient.

On the first anniversary of the US Food & Drug Administration's re-approval of silicone breast implants, San Francisco plastic surgeon Dr. Scott Mosser reports what the impact has been on his practice and offers advice to women considering which type of breast implant to choose for their breast augmentation.

It's been a year since the FDA reversed its 14-year ban on silicone implants for cosmetic breast augmentation, and at least one plastic surgeon has already seen a big change among his breast augmentation patients. Dr. Scott Mosser is a San Francisco-based board certified plastic surgeon with a busy practice, performing breast augmentation surgery on a wide variety of women of various ages and body types. Up until November of 2006 he was largely restricted to using saline implants for cosmetic breast enhancement procedures, but one year ago that all changed.

"There was a really dramatic upturn in the requests for silicone implants," says Dr. Mosser, "Literally, all of a sudden 80% of my patients were requesting silicone." When asked what he feels is the reason, he replied, "Here in Northern California a natural look and feel is a top priority for my patients, and believe it or not, silicone is the best way to achieve that goal."

Dr. Mosser is quick, however, to reassure potential patients that saline breast implants are still a perfectly viable option. "In my mind, there is really no 'right' answer regarding which breast implant is best…only which implant choice is best for a particular patient." Experts report that the patients who benefit from saline implants are those who usually have a good amount of breast tissue to begin with, while a patient without much breast tissue could experience a problem later with a rippling appearance of the skin if they chose saline implants.

"A few patients, but only a very few, still have concerns about silicone's safety, and so I recommend saline implants for those individuals," Dr. Mosser reports, "Most patients, however, are confident in the very solid scientific evidence we now have that supports the safety of silicone implants."

Dr. Mosser finds that his plastic surgery patients are more knowledgeable and better informed about plastic surgery procedures than ever before, probably due to the Internet and to the openness in discussing cosmetic plastic surgery. He feels that this is a positive thing as he's a great advocate of full and open communication between doctor and patient. In his mind more information is better, as it arms his patients with all the facts they need to make fully informed and intelligent decisions.


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Scott Mosser

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