What is Better? Silicone vs. Saline Breast Implants - Content Pop & Schedule

Choosing the right type of breast implant is a crucial decision for anyone considering breast augmentation. Whether you're interested in silicone or saline implants, knowing the differences can help you feel confident in your choice. Dr. Matthew J. Lynch, a board-certified plastic and reconstructive surgeon with over 20 years of experience, offers his expert insight to help guide you through this decision-making process. 

5 Factors to Consider When Deciding Between Saline and Silicone Implants

"When choosing between silicone and saline implants, it's important to consider the long-term maintenance requirements and how the implants will interact with your body,” Dr. Lynch shares. “Some patients prefer the peace of mind that comes with saline implants' natural absorption, while others prioritize the natural feel of silicone." Several personal factors should be taken into account when making this decision, including:

Texture

Silicone: Silicone implants are known for their soft, natural feel. Pre-filled with a cohesive silicone gel, they mimic the texture of natural breast tissue more closely than saline. They also tend to move more naturally within the body, which many patients prefer for a realistic aesthetic.

Saline: Saline implants are filled with sterile saltwater after placement, which gives them a firmer feel. They are often chosen for a more structured or dramatic look but may not feel as fluid or natural as silicone implants.

“The feel of an implant is often one of the biggest factors for patients,” explains Dr. Lynch. “Silicone implants tend to mimic natural breast tissue more closely, while saline implants may feel firmer and less fluid.”

Cost

Silicone: Silicone implants are typically more expensive due to their material composition and cohesive gel technology, especially newer “gummy bear” models that maintain their shape even if the outer shell is compromised.

Saline: Saline implants are generally more budget-friendly. Since they are filled during surgery, they are less costly upfront and may be more accessible for patients concerned about expense.

Safety

“Some patients prefer the peace of mind that comes with saline implants' natural absorption, while others prioritize the natural feel of silicone,” says Dr. Lynch.

Silicone: Silicone implants are FDA-approved and safe, but they require regular monitoring, typically with MRI or ultrasound, to detect silent ruptures. A rupture may not be immediately noticeable, making ongoing imaging essential.

Saline: If a saline implant ruptures, the body naturally absorbs sterile saltwater. This provides peace of mind for patients who want to avoid ongoing scans. Ruptures are usually noticeable right away due to deflation.

Durability

Silicone: Silicone implants, particularly “gummy bear” models, are highly durable. They are less likely to ripple or show visible folds compared to saline options, and they often maintain their shape and appearance for many years.

Saline: While still durable, saline implants are more prone to rippling or deflation over time. However, they are easier to detect if compromised and may be simpler to remove or adjust during revision surgery.

Overall Look

Silicone: Silicone implants offer a more natural appearance, especially for individuals with thinner breast tissue. The cohesive gel inside allows them to better replicate the look and motion of natural breasts.

Saline: Saline implants can look slightly less natural, especially in patients with less existing tissue. However, they allow for intraoperative size adjustments, which can help fine-tune symmetry and shape during surgery.

How to Choose the Best Option for You

The best way to determine which implant is right for you is to consult with a board-certified plastic surgeon at The Plastic Surgery Center. Our experienced team will assess your unique anatomy, aesthetic goals, and lifestyle to recommend the most suitable implant type.

Breast augmentation is a highly personal decision, and with the right guidance, you can achieve your ideal image. Take the first step towards a more confident you by scheduling a consultation with our expert surgeons at The Plastic Surgery Center to discuss breast implants. Contact us at 833-615-2618 to schedule an appointment.