|   In the history of breast 
                    augmentation, the silicone implant has been the most controversial topic of 
                    all.
 In 1992, the Food & Drug Administration (FDA) greatly
 restricted the use of breast implants filled with silicone 
                    gel and Health Canada soon followed. Silicone implants were removed as there was no evidence to confirm their safety, not that there was proof that the implants were a risk to 
                  a patient. Since then only saline filled implants have been openly available to patients.
   Since the year 
                  2000 Silicone Implants have been available in Canada through special approval byHealth Canada. In Oct 2006 Health Canada announced  they had granted licences with conditions to Inamed Corporation (now Allergan) and Mentor Medical Systems to market their silicone gel-filled breast implants in Canada.
   A silicone implant is a silicone 
                  elastomer shell filled with silicone gel. The consistency of the newer silicone gel is thicker and more cohesive than previous generations of silicone implants. If you had cut into an old silicone gel implant, the silicone gel escaped from 
                    the implant shell. Now when you cut into a silicone gel implant, 
                      the implant fill maintains it shape.    Silicone implants are very 
                  soft and natural to feel, and have a natural shape which make 
                  them veryappealing to women seeking augmentation. With cohesive gel 
                  implants the consistency of the fill
 makes the implant maintain its shape, therefore there is less 
                  chance of rippling of the implant.
 There are many sizes, heights and projections available in 
                cohesive gel implants.
 One disadvantage is that 
                    silicone implants come pre-filled and so you need a slightly 
                    larger incisionto insert them. Typically this incision is 4.5 - 5 cms. and 
                    is usually placed in the fold under the breast.
 Occasionally they can be placed through an incision around 
                    the areola. They cannot be placed
 through an armpit incision.
 
 If you are interested in silicone implants talk 
                    to a plastic surgeon to see if you are a candidate
 for them.
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