Patients seeking breast implants should discuss with their plastic surgeon differences between saline- and silicone-filled implants, including feel, shape, recommendations for rupture monitoring and symptoms of adverse events, say Dr. Binita Ashar and David Krause, from the FDA's Office of Device Evaluation. Surgeons need to be aware that newer silicone-filled implants can fracture, and they should use longer incisions to insert them, Ashar said. Studies have not shown a link between silicone-filled implants and connective tissue disease or reproductive problems, and cases of lymphoma immediately surrounding the implant are very rare, Krause said.

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