Saline again or Cohesive Gel?

Thank you in advance for your time! I have always had Saline for safety reasons (I have 17/18 year old implants that now need replacing). But, I know the new Gel are much safer then older silicone, no more oozing. However, I am still concerned about getting the new silicone gel implants even though I am told it could produce a better result. Ahhh, what do I do? Even with the new gel implants, are the Saline still safer?

Doctor Answers (4)

Silicone breast implants and cohesive gel


There are distinct benefits of the cohesive gel implants. The new gels have a much better safety profile and are advisable as an option over regular silicone implants.

Raffy Karamanoukian MD FACS

Los Angeles, CA

Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Gel or saline


It really depends on your reason for changing them. If its just because the implants have deflated then either would be fine. they are both very safe implants. Silicone do typically cost more but their only advantage is they feel more natural and can seem to minimize rippling. But the look for both usually is the same. Good luck:)

William J. Hedden, MD
Birmingham Plastic Surgeon
4.5 out of 5 stars 132 reviews

You might also like...

New silicone


The simple way is to replace with new saline if you have no complaints. Silicone implants if you choose them are fine as well. You are correct about the oozing. I would tell you to go with you gut feeling! Best wishes

Gregory Lynam, MD
Richmond Plastic Surgeon
5.0 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.