Do you prefer Saline or Silicone Implants? And why?
I'm also interested in which one mimics human fat better, because I want it to feel like a natural breast.
Saline breast implants and silicone gel implants both feel and look natural, but silicone mimics fat better and feels more like natural breast tissue.
Since the FDA lifted its moratorium on silicone gel implants in 2006, many plastic surgeons have begun to use them almost exclusively for breast augmentation. Patients are usually very satisfied with the natural look of silicone implants and the fact they feel more like natural breast tissue. This is particularly true of highly cohesive gel implants.
One aspect of gel implants that patients like is the fact that the front surface and edges of the implant are not detectable. In some women the implant itself is completely undetectable. For this reason, gel implants are a great option for thin women with little breast tissue or volume.
The same cannot be said of saline implants. However, women with saline implants are usually also quite happy with the results of their breast augmentation surgery. They’re definitely not rushing in large numbers to have them replaced with silicone implants, at least.
It should be noted that silicone gel implants are prefilled and then inserted, therefore requiring a larger incision as compared to saline implants. As a result, the inframammary approach (incision made in the fold beneath the breast) is more common with this implant type. The axillary approach (underarm incision) may be a possibility, but it depends on the size of the implant. The periareolar approach (incision around the areola) is only possible in patients with wide areolas.
Dr. Jonathan Heistein has 17 Breast Augmentation before & afters:
To answer your question, we need only look at the sales numbers for saline vs silicone implants. When properly educated and given the choice, women opt for silicone far more often. The reason is simple: silicone implants are preferable in most respects.
As you may be aware, a couple of decades ago the FDA intervened and forced plastic surgeons to replace their patients’ silicone implants with saline implants. Many, if not most, patients that underwent this exchange were unhappy with their new implants.
But now we are in a different era of plastic surgery, one in which women have many breast implant options. To my mind the most exciting new options are the “anatomic” (natural teardrop) shaped silicone implants and different consistencies of silicone gel. The new highly cohesive silicone implants are filled with a “gummy bear” gel that is more solid than the gel found in traditional silicone implants.
Anatomically shaped gummy bear implants are a vast improvement over previous silicone implants in terms of look and feel. In fact, even doctors performing breast exams are sometimes unaware that their patients have highly cohesive silicone gel implants. These implants look and feel normal, and in contrast to round implants, they do not move around if the patient has a large implant pocket. Women with anatomic breast implants report that when squeezing their breast, the implant does not stand out as a separate object. This is a major advantage when compared to round implants filled with saline solution.
Dr. Kimberly Henry has 4 Breast augmentation before & afters:
Saline-filled implants, older silicone implants, and cohesive gel implants (also referred to as “gummy bear” implants) all have their pros and cons.
That being said, silicone breast implants look and feel more natural and mimic human fat better. They are also less likely to ripple than saline implants. However, silicone gel filled implants require a larger incision.
The “Ideal Implant” is a type of saline-filled implant that has multiple shells within shells. Each shell has holes in it, allowing the saline to move from one compartment to another, making it feel more compressible to mimic the softness of silicone implants. It may be a good option for patients who don’t want silicone implants but also want to avoid the firmness generally experienced with traditional saline implants.
Another thing to consider is, should a saline implant rupture you will be aware of it immediately because the implant deflates and the breast becomes smaller. In contrast, however, when a silicone gel breast implant ruptures you might not notice it because the gel may remain in place; which is why this is sometimes referred to as a “silent rupture.” An MRI scan is required to determine whether a silicone implant has ruptured.
Dr. Landon Pryor has 2 Breast augmentation before & afters:
I prefer silicone implants for the exact reason that you stated. They feel more like natural breast tissue. It is much harder to discern where the breast tissue stops and the implant starts with silicone implants. The new cohesive gel implants frequently referred to as gummy bear bear implants are a bit more firm but maintain a more natural shape in all positions including laying on your back. I really consider that an advantage. If someone likes the more fall around look. Those are best achieved within overfilled saline implant or the extra high profile silicone implants that are available
Dr. Christopher Park has 7 Breast Augmentation before & afters:
It is nice to have options. 98% of my patients request silicone implants almost exclusively because they look and feel more natural than saline. Silicone gel feels more like breast tissue compared to saline implants. The silicone gel gives a very natural feel. However, some patients choose saline implants due to cost [the saline implants are about $1,000 less expensive]; patients in age less than 21 years can only get saline implants per FDA protocols; patients who want to have smaller incisions [the saline implants are placed in a flat rolled shape and then expanded with saline in the body. This allows for smaller incisions].
During your consultation you should ask to see and feel the various implants so you will feel the difference for yourself. Ask about incision placement and size. Education is of utmost importance. Make sure to do your homework and choose a surgeon who will spent time with you on your cosmetic journey.
Dr. James White has 2 Breast augmentation (Silicone breast implants) before & afters:
I prefer to use what feels best to you. There may be a comfort level with saline because a rupture will be naturally eliminated but you must have enough of your own tissue to make this feel "natural". Silicon safety has been established and this type of implant is appropriate for most individuals. If you are younger than 22 the FDA wants you to use Saline implants. Certain anatomic conditions allow the use of silicon even in these younger patients.
Dr. Manuel Pena has 3 Breast augmentation before & afters:
I use silicone implants almost exclusively because they look and feel more natural than saline. Silicone gel feels more like breast tissue than saline so it gives a very natural feel. When you have a consultation you should be able to feel the various implants so you will feel the difference for yourself. Best of luck.
There is no question silicone is better . It is more natural . Also I sometimes will do what I call a composite aug which is an implant but enhancing it with your own that we get from say suctioning say your tummy or flanks.Great procedure . Blessings on a special weekend . Dr Brueck
Dr. Robert Brueck has 1 Breast augmentation before & after:
Silicone is much more natural than saline but does have its downsides. The ultimate result is dependent on how much the implant is contributing to the final result vs how much breast tissue is there.
Dr. John Stratis has 1 Breast augmentation (Saline breast implants), Lower body lift before & after:
I prefer silicone in most circumstances. Short answer, of course. Silicone implants are more natural feeling and seem to have more longevity and durability. You would need to see a plastic surgeon to confirm that they are better for you
Dr. Josh Hyman has 3 Breast augmentation before & afters:
The main reason that the companies have invested so much into the research on silicone implants is because it is the closest to the "natural" feel of real tissue. Saline is a very close but silicone has the characteristics which mimic fat and soft tissue.
Dr. R. Brannon Claytor has 15 Breast augmentation, Mommy Makeover before & afters:
This all depends on the patient preference, anatomy, and goals. Saline often feels a bit firmer and may ride higher but silicone typically feels a bit softer and more natural. Overall I prefer silicone but some patients have lingering concerns about silicone implant safety despite many years of great scientific data provided to the FDA. One "best of both worlds" implant option is called Ideal Implant (I am an investor in that company, full disclosure), which uses saline fill but feels more like silicone. Learn more about implant options at: http://www.timsayedmd.com email email@example.com Call 1-858-24SAYED (1-858-247-2933) Follow us on Instagram and Twitter: @timsayedmd
Dr. Tim Sayed has 9 Breast Augmentation before & afters:
Silicone gel. There is really no comparison in terms of a soft and totally natural feel. properly placed the breast tissue should feel totally natural with no ability to detect the implant-This is rare to achieve with saline.
Dr. Ludwig Allegra has 5 Breast augmentation (Silicone breast implants) before & afters:
Most patients are now doing the silicone implant, they like the natural feel and look to it. But this preference is based off of what you like with the look and the feel. I would just say silicone is more popular now a days. Best of luck.
Dear koko01; Thanks for the Swivel inquiry. It depends upon many factors that could be discussed in an in person evaluation with a barded pS in your area. I personally if over the age of 22 prefer silicones - more natural feel. Regards Dr B
Dr. Darryl Blinski has 1 Breast Augmentation before & after: