When considering breast implants, patients typically choose between two types: silicone and saline implants. Each type has unique characteristics, benefits, and considerations.
Saline Implants: Saline implants are filled with sterile saltwater. One significant advantage of saline implants is cost; they are generally less expensive than silicone implants. Another benefit is that saline implants require a smaller incision for insertion, as they can be filled after being placed inside the body. If a saline implant ruptures, it deflates quickly and visibly, similar to a water balloon, making it immediately noticeable to the patient.
Silicone Implants: Silicone implants contain a synthetic polymer gel known for its cohesive properties. Modern silicone implants, often described as “gummy bear implants,” have cross-linked gel that maintains its shape effectively, even when cut or ruptured.
A silicone implant must be pre-filled before insertion, which means the incision size is directly proportional to the implant size; larger implants require slightly larger incisions. Unlike saline implants, a rupture in a silicone implant might not be immediately apparent, requiring detection through MRI screening.
Silicone implants are believed by many to feel more natural and lifelike compared to saline implants. They also offer greater variety, including shaped and textured versions, and varying levels of gel cohesiveness. Highly cohesive silicone implants feel firmer, similar to a cold gummy bear, while less cohesive implants have a softer feel, akin to a warm gummy bear. This variety allows for greater customization in shape and aesthetic outcomes, making silicone implants notably versatile.
In practice, silicone implants are considerably more popular, with about 90% of patients choosing them, while approximately 10% opt for saline implants. Recommendations may vary by surgeon, with some exclusively advising silicone implants, while others allow patient preference after thorough education on both types.
Ultimately, choosing between silicone and saline implants depends on individual preferences, priorities, and the detailed guidance provided by your surgeon.
