TY - JOUR AU - Spear, Scott L. AB - Aesthetic Surgery Journal 31(2) 266 Author’s Response © 2011 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: http://www .sagepub.com/ journalsPermissions.nav DOI: 10.1177/1090820X10394830 Scott L. Spear, MD www.aestheticsurgeryjournal.com We offer many thanks to Dr. Dowden for his thoughtful after saline augmentations is more discretionary. In our and interesting comments on our article, “Breast Implants: case, we do not see women after saline augmentation as a Saline or Silicone?” Regarding his first point that replace- routine except during the first year following surgery. ment of silicone ruptures can be scheduled more electively Finally, regarding fill volumes, we are unaware of any than saline deflations, this has never struck us as being a data that show that overfilling beyond a certain amount significant issue. In either situation, we schedule the sur- increases longevity. It is generally accepted that significant gery at a mutually convenient time; it is often the patient underfilling does decrease longevity. In the meantime, who needs more time to arrange her schedule. Our experi- labeling of saline implants is much more accurate than it ence with both types of implant failure is that the proce- was 15 years ago, when those studies were undertaken. It dure TI - Author’s Response JF - Aesthetic Surgery Journal DO - 10.1177/1090820X10394830 DA - 2011-02-01 UR - https://www.deepdyve.com/lp/oxford-university-press/author-s-response-FslmE1h0Kj SP - 266 EP - 266 VL - 31 IS - 2 DP - DeepDyve ER -