Considering Breast Augmentation. Silicone or Saline?

I'm 42 and have been considering getting breast implants for a while. I've been reading a bit about the differences online but I'm still not sure what to do. Haven't yet had a consultation, does anyone have any recommendations?


F, Pennsylvania

Both have their pros and cons. 

Saline is less expensive ($800-$1500 less depending on the surgeon) and the incision, and therefore the scar, is typically smaller because surgeons can place the deflated implant through the incision first, then fill it up with the saline solution (which you can't do with silicone and therefore the incision must be larger). Saline is also safer, because if it ruptures, you'll immediately notice your breasts are deflated and saline is not toxic to the body. 

Silicone is more natural feeling, is less likely to ripple and are ideal for thin patients with small breasts. However, silicone implants are generally not as safe, because it is difficult to tell if an implant has ruptured and is toxic to the body. People who have silicone implants that suspect they have ruptured must undergo an MRI. Having said all of this, I believe silicone implants have improved tremendously over the years and are becoming more popular. 

I would recommend visiting the American Society of Plastic Surgeon's website ( and finding a board certified plastic surgeon in your area. I hope this information helps you with your decision! 


I want this but its so expensive :( I'm only 23

6 years ago I had a breast lift and augmentation after having my children. For the augmentation, I had 300cc silicone breast implants placed. I'm 5'4" and 138lbs. My implants were placed underneath my chest muscles. I have been very happy with my results. I was never happy with the size of my breasts and having children certainly didn't help me with the way I felt about them. I decided to go with silicone over saline implants because of the more natural feeling of them. My surgeon also reassured me that the safety risks with newer implants is much less than when they first came out. Having the lift and augmentation was one of the better decisions I've made in my life. I feel much more confident with body and am much happier about the way I look and feel. I also think my husband is happier :) I highly recommend going with silicone! 


Does anyone know if Breast Augmentation is covered by insurance if I have an inverted nipple?

I had saline implants put in at the beginning of the year.  I have always been subconcious about the size of my breasts.  I went from a A to a full C and have never been happier.  You should do it! GL  ~Sam

My friend had saline and is happy with her results.  good luck