If you are considering breast augmentation, you probably are wondering, “What is the difference between saline vs. silicone implants?”
The biggest difference between saline vs. silicone implants is what they are filled with, but they also can differ in how they look and feel.
Undergoing a breast augmentation requires that you make several decisions before your scheduled surgery. You will need to choose the size, shape, and profile of your implants, as well as the material used for the filling inside.
When comparing your options, it will be helpful to understand the differences between saline vs. silicone. This article will provide an overview of how each type of implant looks and feels. their safety profile, cost, and how the surgery may differ depending on the type chosen.
What Are Saline Implants?
Saline implants have a silicone outer shell that is filled with sterile saltwater. The implant is placed either over or under the chest muscle while it is empty, and once it is in position, it is filled to reach your desired cup size. Some of the important things to know about saline implants include:
- They are filled with sterile saltwater solution.
- Smaller incisions are normally used because they are very small when installed and filled afterward.
- They can feel firmer compared to silicone implants.
- If they rupture, your body safely absorbs the saline.
- A rupture or deflation is normally noticeable right away.
What Are Silicone Implants?
Silicone implants are pre-filled with a silicone gel that is designed to feel more like natural breast tissue. They are available in different shapes, sizes, and consistencies, including a newer form that is known as “gummy bear” implants. In the event the outer shell ruptures, the silicone sticks together, which helps prevent it from migrating out into your body. Some of the important things to know about silicone implants include:
- They are pre-filled in specific sizes and shapes with silicone gel.
- Silicone implants often feel softer and more natural than saline.
- They usually require a slightly larger incision.
- If a rupture occurs, it is not always obvious right away.
- Regular imaging may be recommended to monitor them.
Saline vs. Silicone Implants Look and Feel
One of the biggest differences people notice when comparing saline vs. silicone implants is how they feel and how natural the results look.
- Silicone implants normally have a softer, more natural slope and work especially well for patients with less natural breast tissue.
- Saline implants can provide nice results, but in some cases, they may show slight rippling under the skin for thinner patients or those without much natural breast tissue.
| Feature | Saline Implants | Silicone Implants |
|---|---|---|
| Overall look | Can look slightly rounder. | Often looks more like natural breast tissue. |
| Feel | Usually feel a bit firmer. | They usually feel softer and more natural. |
| Rippling | Folding and movement may be more noticeable for individuals who are thinner or have thin skin. | These are normally less visible because they have a thicker, more stable filling. |
| Shape consistency | Saline can easily cause the implant to change shape when internal volume shifts. | Silicone implants normally hold their shape consistently. |
| Best for | Individuals who have more natural breast tissue. | Often preferred if you have less natural tissue |
Safety and Rupture: What You Should Know
Both saline and silicone implants are considered safe when placed by a qualified surgeon, but they can behave differently if a rupture occurs.
Here is how saline vs. silicone implants compare if a rupture occurs.
Saline
- The implant deflates quickly.
- Your body naturally absorbs the saline with no adverse effects.
- The change in size is easily and quickly noticed.
Silicone
- Often called a “silent rupture.”
- The gel will normally stay within the implant shell in the newer, more modern implant models, but migration is still possible.
- Periodic imaging tests are recommended to ensure implants are still intact.
Which Lasts Longer: Saline vs. Silicone?
There is no certain expiration date for either, and both saline and silicone implants may last for 10, 15, or even 20 years, but they are not designed to be lifetime devices.
Implants usually need to be replaced eventually due to natural changes, rupture, or personal preferences.
What Affects How Long Your Implants Can Last?
Breast implants may need to be replaced due to some of the following reasons:
- Natural aging and skin changes.
- Fluctuations in your weight.
- The type and placement of the implant.
- Your lifestyle and activity level.
What Are The Cost Differences In Saline vs. Silicone Implants?
In most cases, silicone implants cost more than saline implants. This is mostly due to the higher cost of the materials they are made from and the more complex manufacturing process involved.
Who Is a Good Candidate for Each Type Of Implant?
Choosing the best fit between saline vs. silicone implants depends on your body type and the results you are looking for.
Saline Implants May Be a Good Fit if You:
- Prefer a smaller placement incision.
- Feel more comfortable knowing right away if a rupture happens.
- Do not mind their slightly firmer feel.
- Have enough natural breast tissue to hide the edges and minimize a rippling effect.
Silicone Implants May Be a Good Fit if You:
- Desire a more natural look and feel
- Have less natural breast tissue
- Are willing to undergo periodic imaging to ensure the implant is free from damage.
Your board-certified Newvue plastic surgeon will provide you with the guidance you need to help you choose the implants that are best suited for you and your circumstances.
Set up a consultation to learn more.
How Can I Make the Best Choice For Breast Implants In Seattle?
Dr. George Min and his team at Newvue Plastic Surgery can help you navigate your way through all the choices you need to make when choosing between saline vs. silicone implants in Bellevue or Kirkland, WA.
The choice basically comes down to your unique anatomy and your personal preferences for how they will look and feel.
Dr. Min has over twenty years of experience in breast augmentation and reconstructive surgery. He understands how challenging it is to make the many decisions required when considering implants and will help you understand each option. The more informed you are, the easier it will be for you to make the decision that is best for you.
Learn more by booking a personal consultation today.
FAQs
Can You Switch from Saline to Silicone Implants Later?
Yes. It is possible to switch from saline to silicone implants during a revision surgery. Some patients choose to do this if they want a softer feel, a more natural look, or a change in shape or size.
Do Saline or Silicone Implants Affect Mammograms?
Both saline and silicone implants can make mammograms a little more challenging, but special imaging techniques are now available that can improve visibility. It is important to tell your imaging provider that you have implants so they can adjust the process if necessary.
Are There Age Requirements for Saline vs. Silicone Implants?
Yes, there are some guidelines, including:
- Saline implants are approved for patients 18 and older.
- Silicone implants are approved for women 22 and older.
Your plastic surgeon can confirm the implants that would work best for you.
Do Saline or Silicone Implants Feel Different During Movement?
Yes, many patients report there is a difference. Saline implants may feel like they shift slightly more because they are filled with fluid, while silicone implants tend to move more like natural breast tissue due to their gel filling.
Can Weight Changes Affect Saline vs. Silicone Implants Differently?
Changes in your weight can affect both types of implants, but the natural breast tissue that surrounds the implants are what changes the most. Significant weight loss or gain can impact how implants look, regardless of whether they are saline or silicone.
Do Saline or Silicone Implants Impact Physical Activity or Exercise?
Most patients can return to normal physical activity after they are fully healed, regardless of implant type. The placement of the implant, such as under or over the muscle, usually has more impact on your movement than whether it is saline or silicone.
