Uploaded January 2026 | Updated September 2026, 1 hour ago
In this in-depth discussion, Dr. David Rapaport, board-certified plastic surgeon with over 30 years of experience and founder of Aethos New York, tackles a topic that is rarely discussed openly: saline breast implants — and why the conversation around them deserves more nuance.
Dr. Rapaport explains the two main types of saline implants:
• Traditional single-chamber saline implants
• Newer dual-chamber saline implants (formerly known as “Ideal,” now marketed as Serene)
He breaks down the real advantages and limitations of saline implants, including:
• Why saline can be an excellent choice for young patients
• The importance of the underarm (transaxillary) approach and scar avoidance
• What rupture really means for saline vs. silicone implants
• Why rupture rates for saline and silicone may be more similar than patients are told
• Why he has grown increasingly cautious about dual-chamber saline implants due to early rupture concerns
Dr. Rapaport also addresses the bigger issue of peace of mind in implant choice. While current science does not demonstrate a clear causal link between silicone implants and systemic disease, he emphasizes that science evolves — and what we believe today may change tomorrow.
Speaking candidly, he explains why, if advising his own daughter, he would likely recommend saline implants:
• Not because silicone has been proven dangerous
• But because long-term unknowns still exist
• And because saline offers transparency, detectability, and reversibility
This video is a thoughtful reminder that breast implant selection is not just about aesthetics — it’s about values, risk tolerance, anatomy, and long-term perspective.
🔹 Subscribe for honest, evidence-based discussions on breast surgery and implant safety
🔹 Contact Aethos NYC to learn more about individualized breast augmentation options
In this in-depth discussion, Dr. David Rapaport, board-certified plastic surgeon with over 30 years of experience and founder of Aethos New York, tackles a topic that is rarely discussed openly: saline breast implants — and why the conversation around them deserves more nuance.
Dr. Rapaport explains the two main types of saline implants:
• Traditional single-chamber saline implants
• Newer dual-chamber saline implants (formerly known as “Ideal,” now marketed as Serene)
He breaks down the real advantages and limitations of saline implants, including:
• Why saline can be an excellent choice for young patients
• The importance of the underarm (transaxillary) approach and scar avoidance
• What rupture really means for saline vs. silicone implants
• Why rupture rates for saline and silicone may be more similar than patients are told
• Why he has grown increasingly cautious about dual-chamber saline implants due to early rupture concerns
Dr. Rapaport also addresses the bigger issue of peace of mind in implant choice. While current science does not demonstrate a clear causal link between silicone implants and systemic disease, he emphasizes that science evolves — and what we believe today may change tomorrow.
Speaking candidly, he explains why, if advising his own daughter, he would likely recommend saline implants:
• Not because silicone has been proven dangerous
• But because long-term unknowns still exist
• And because saline offers transparency, detectability, and reversibility
This video is a thoughtful reminder that breast implant selection is not just about aesthetics — it’s about values, risk tolerance, anatomy, and long-term perspective.
🔹 Subscribe for honest, evidence-based discussions on breast surgery and implant safety
🔹 Contact Aethos NYC to learn more about individualized breast augmentation options
