Dr. Lampert also had some facts about saline implants. “Saline implants must be filled by the surgeon. If there is contamination (even from the ambient air in the operating room), things like this fungus can occur inside the implant over time. Some people have hypothesized that saline is more dangerous for this reason, but to my knowledge, no large level I-II evidence-based studies exist to support this. Many of us agree now that textured implants are more dangerous due to their association with BIA-ALCL, a cancer of the immune system. I do not know anyone in the US who still uses them.”
