Choosing the right breast implant type is a key decision in your breast augmentation journey. The two main options—silicone and saline—each have their own advantages and considerations. Here are answers to the most common questions about these implant types to help you make an informed choice. Board-certified plastic surgeon Dr. David Kim performs breast augmentation for patients in Beverly Hills, Los Angeles, CA, and surrounding locations.
1. What’s the Difference Between Silicone and Saline Implants?
- Silicone Implants: Filled with a cohesive silicone gel that mimics the feel of natural breast tissue.
- Saline Implants: Filled with sterile saltwater solution, inserted empty, and then filled during surgery.
2. Which Implant Feels More Natural?
Silicone implants generally feel softer and more like natural breast tissue. Saline implants may feel firmer, particularly in patients with less natural breast tissue.
3. Are Silicone or Saline Implants Safer?
Both implant types are FDA-approved and considered safe. However:
- Saline implants are absorbed naturally by the body if they rupture.
- Silicone implants require an MRI or ultrasound to detect a rupture, as leakage isn’t always noticeable (known as a “silent rupture”).
4. Do Silicone or Saline Implants Look More Natural?
Silicone implants tend to have a more natural shape and less rippling, making them a preferred choice for many patients. Saline implants may have more noticeable rippling, especially in thinner individuals.
5. What Are the Age Requirements for Each Type?
- Saline implants: FDA-approved for patients 18 years and older.
- Silicone implants: FDA-approved for patients 22 years and older.
6. Which Implant Type Has a Lower Risk of Rupture?
Both implants can rupture, but saline ruptures are easier to detect since the implant deflates. Silicone implants use highly cohesive gel, making leakage less likely, but detection requires imaging.
7. How Do Costs Compare Between Silicone and Saline Implants?
Silicone implants are typically more expensive than saline implants due to their material and manufacturing process.
8. Do Implants Affect Mammograms?
Both implant types require specialized mammogram techniques. Submuscular placement (under the muscle) tends to interfere less with imaging than subglandular placement.
9. How Long Do Silicone and Saline Implants Last?
Both implants can last 10-20 years, but replacement or revision surgery may be needed sooner if complications arise.
10. How Do I Decide Which Implant Is Best for Me?
Choosing between silicone and saline implants depends on:
- Desired look and feel
- Body type and existing breast tissue
- Risk tolerance for silent rupture
- Personal preference and budget
- Your surgeon’s recommendation
Conclusion
Both silicone and saline implants have unique benefits. The best choice depends on your personal goals, anatomy, and lifestyle. Consulting with a board-certified plastic surgeon will help you make the right decision for your body.
Schedule a Consultation with Beverly Hills California Plastic Surgeon Dr. Kim
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