Saline vs. Silicone Breast Implants: What’s the Difference?

All my plastic surgery procedures are tailored to each of my patients’ cosmetic goals, and breast augmentation no exception. Every patient I see has a different idea about what they are looking for in terms of the size, shape and type of their implants. Additionally, decisions need to be made regarding how to meet each patient’s aesthetic goals given their body type, lifestyle habits and more. With so much to figure out, it’s important to have an experienced double board-certified plastic surgeon who can guide you through the process. To help you get a head start before your consultation, I’ve provided a few insights about the differences between saline and silicone breast implants.

Saline Implants

Saline implants are made of a silicone shell and are filled with saline, which is a sterile saltwater solution. Saline is the same fluid typically used in IV bags and is made up of elements that are already found in the body. These implants usually start as an empty shell that I insert first and then fill to your desired size. Doing this allows for smaller incisions and gives more options for customization during surgery.

Saline breast implants are designed to last for years but can deteriorate over time. This may lead to leaking and sometimes rupture. Because the implants are filled with saline, a leak would pose no harm to the body, but it can lead to a deflated implant and the need for breast revision surgery.

Silicone Implants

While the shell of these implants is made of silicone, the silicone gel inside is a thicker material that feels more like natural breast tissue compared to saline. Because the size is predetermined, incisions may need to be larger and it is harder to customize the shape once they have been inserted. Even though these implants are filled with a gel-like material instead of a fluid, leaks and ruptures can still occur.

Another form of silicone implant, known as a cohesive silicone gel implant or “gummy bear” implant, is emerging as a popular option due to the material being thicker and having the ability to hold its shape more effectively.

Breast Implant Sizes

Once you decide what type of breast implant you want, the next step is deciding the size. Contrary to popular belief, breast implants are measured in cubic centimeters (cc’s) and not in cup sizes. Because implants are not measured in “standard sizes,” each patient must decide for themselves what size they would prefer given their aesthetic goals. A lot of different factors can weigh into this decision, but I generally recommend that patients avoid going to the extreme. Larger implants can lead to sagging breasts and overall discomfort from the excess weight. During your consultation, I can show you what results you can expect from each size of implant and help you decide on the perfect size for our body type.

Ultimately, there is no magical way to decide what breast augmentation implants are right for you. Finding the right fit depends on factors such as personal cosmetic goals, current body shape and size, incision preferences and more. I also highly recommend that my patients schedule regular check-ups to ensure that their implants are functioning properly no matter what type of implant you receive. This is why finding an experienced board-certified plastic surgeon to guide you through the process is essential.

I have over 30 years of experience performing breast augmentation procedures for patients with a wide array of cosmetic concerns and body types. If you are interested in learning more about breast augmentation, contact me, Dr. John L. LeRoy in Atlanta today. Also, make sure to follow me on Facebook, Twitter and YouTube for more insights about plastic and cosmetic surgery.