Breast augmentation using silicone gel-filled implants

The author provides pointers for using silicone gel-filled breast implants. Technical differences between the use of silicone gel-filled and saline implants include the need for a longer incision for insertion of gel implants. The author discusses patient selection, noting the variety of patients for whom gel implants may provide significant benefit including those with implant rippling, minimal breast tissue, minimal ptosis, and breast deformities such as tubular breast. The need for proper size selection considering breast base diameter is emphasized. The author provides his views on smooth versus textured gel implants and the role of hemostasis in avoiding capsular contracture.