
From Sand to Silicone: One Element That Changed Civilization
By Dr. Juris Bunkis
Honorary Consul, Republic of Latvia in Southern California
Orange County Plastic Surgery, Corona del Mar/Newport Beach
Some basic science to start this session:
Silicon is a chemical element (symbol Si, atomic number 14). It is a hard, gray, crystalline material that is rarely found in nature in its pure form because it readily combines with oxygen. Pure silicon is produced industrially and is used in semiconductors, solar panels, and as the starting material for making silicones.
Silica is silicon dioxide (SiO₂)—a compound made of one silicon atom bonded to two oxygen atoms. It is the most common form in which silicon exists in nature. Silica is found in quartz, sand, sandstone, granite, and many other rocks, making it one of the principal components of the Earth’s crust.
Silicon is one of the most abundant elements on Earth, yet many people are not quite sure what it is—or confuse it with silica or silicone. The names sound nearly identical, but they are very different materials with very different uses.
Sand contains silicon. Although we often think of silicon as solely coming from sand, most of the Earth’s silicon is actually locked within quartz and silica-containing rocks. In fact, silicon makes up nearly one-quarter of the Earth’s crust, making it second only to oxygen in abundance. It is anything but rare.
For thousands of years, humans have benefited from silicon. Ancient civilizations discovered that when sand containing silica was heated to very high temperatures, it melted into glass. Today, glass production still relies on silica that has been refined to remarkable purity. The windows in our homes, optical lenses, laboratory equipment, and even the fiber-optic cables carrying internet traffic all owe their existence to silicon.
Silicates, compounds containing silicon and oxygen combined with other elements, are equally important. They form the basis of many ceramics, bricks, porcelain, concrete, and cement—the very materials that literally built civilization.
The purity of silicon determines its purpose. Ordinary construction materials can tolerate impurities, but producing clear optical glass requires much greater refinement. Semiconductor-grade silicon, used in computer chips, smartphones, and artificial intelligence processors, must be purified to astonishing levels—greater than 99.9999999% purity. At that level, even a few unwanted atoms can affect electronic performance.
Silicone, on the other hand, is not the same thing as silicon. Silicone is a family of synthetic polymers made primarily from silicon, oxygen, carbon, and hydrogen. Depending on how these ingredients are combined, silicone can be a liquid (e.g. the fill in old breast implants), a gel (today’s breast implants are largely filled with a cohesive gel), a flexible rubber (all breast implant shells are made of a flexible silicone rubber), or a solid material (chin, pectoral, buttocks, calf, etc. implants are made from a solid silicone rubber). It is found in kitchen utensils, waterproof sealants, medical tubing, heart valves, scar treatments, and countless other products because it is durable, chemically stable, and well tolerated by the human body.
Perhaps the best-known medical use of silicone is in breast implants. Medical-grade silicone undergoes extensive purification, manufacturing, and quality testing before it ever reaches the operating room. The highly cohesive silicone gel used in today’s implants bears little resemblance to industrial silicones and represents decades of scientific research and engineering.
From ancient glassmakers to modern computer engineers and plastic surgeons, silicon has quietly transformed our world. Whether creating the screen on your smartphone, the window in your home, or the advanced medical devices we use every day, this remarkable element continues to improve our lives in ways most of us never stop to consider.
Checking out some silica with Dr. Ekstrom.
Breast Implants: How Today's Options Compare with Those of 40 Years Ago
By Dr. Deborah Ekstrom
Orange County Plastic Surgery, Corona del Mar/Newport Beach
Plastic Surgery Quiz: How Much Do You Know About Modern Breast Implants?
Which material fills most breast implants used today?
A. Air
B. Silicone gel ✅
C. Water
D. Foam
Which implant surface is most commonly used in the United States today?
A. Smooth ✅
B. Rough
C. Mesh
D. Textured
Today’s silicone gel implants are often described as:
A. Liquid silicone
B. Highly cohesive gel ✅
C. Saline gel
D. Foam-filled
Modern breast implants are available in:
A. Only one shape
B. Only round
C. Round and anatomical shapes ✅
D. Only teardrop
Compared with implants from the 1980s, today’s implants generally offer:
A. More cohesive gel
B. Better shell technology
C. More size and profile options
D. All of the above ✅
When I began performing breast augmentation in the mid-1980s, breast implants were very different from the ones we use today. They certainly helped many women achieve beautiful results, but the technology has advanced tremendously over the past forty years.
Early silicone implants contained a softer, more liquid silicone gel and were manufactured with thinner shells – ruptures were not uncommon. Saline implants also became popular during that era, particularly during the years when silicone implants were undergoing additional FDA evaluation. Implant choices were relatively limited, with fewer sizes and projections available to match each woman’s anatomy and aesthetic goals.
Today’s implants represent decades of careful research, engineering, and clinical experience. Modern silicone gel implants contain a highly cohesive gel that better maintains its shape while still feeling remarkably natural. Improvements in shell design have enhanced durability, and manufacturers now offer a wide variety of implant sizes, widths, and projections, allowing surgeons to individualize treatment rather than relying on a one-size-fits-all approach.
Equally important, we have learned much more about surgical planning. Selecting the appropriate implant is only one part of achieving a beautiful result. Careful measurements, consideration of tissue characteristics, and thoughtful discussion of each patient’s goals allow us to create results that complement the individual’s body.
Patients often ask whether breast implants continue to improve. The answer is yes. Manufacturers continue refining shell technology, gel cohesiveness, and long-term durability. Research is also focused on improving implant longevity and developing even more sophisticated methods for monitoring implants over time.
While no medical device lasts forever, today’s breast implants are the safest, most studied, and most customizable in history. For women considering breast augmentation, this is an exciting time. Advances in technology, combined with experienced surgical judgment, allow us to offer results that are more natural-looking, longer-lasting, and better tailored to each patient than ever before.
After nearly four decades of caring for women seeking breast enhancement, it has been gratifying to witness these remarkable advances—and I believe the future holds even more promise.
Have questions about your breast implant alternatives?
Schedule online to set up an appointment with Dr. Ekstrom to explore your options.
Dr. Deborah Ekstrom of Orange County Plastic Surgery in Corona del Mar/Newport Beach going over implant options with a patient during a consultation and implant sizing session.
