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I Am Considering Getting my Boobs Done. Which is Better: Saline or Silicone?

asked 1 year ago by Itty Bitty Tittie Committee in Thousand Oaks, CA
Latest answer by Otto Joseph Placik, MD
Question viewed 3,871 times
Tags: female, saline implants, silicone implant, choices, comparison

I have heard silicone feel more natural, but I am afraid because they have had a bad reputation. If they rupture, will I get sick? My friend has saline and they are as hard as a rock. Will mine be like this?

12 answers to I Am Considering Getting my Boobs Done. Which is Better: Saline or Silicone?

Great Candidate for Saline or Silicone Breast Augmentation

First off, you provided a great photo which shows your breast tissue and shape clearly and your proportions. Makes our job easier here. So, based on your photo, you can go with either. There are advantages and disadvantages to either one for your breast type. in patients such as yourself, with very little to no breast tissue and relatvely think looking skin, you may want to stretch your breasts out with sub-muscular saline breast implants first in order to get more projection. The... more

Ashkan Ghavami, MD
Beverly Hills Plastic Surgeon

Silicone versus saline breast implants for augmentation surgery

Saline Breast Implants Saline breast implants are filled with salt water. They come from the manufacturer unfilled and will be filled during the augmentation procedure, which makes them more flexible during surgery, and in fact there are some incision types that can only be done with saline breast implants. Also, because they come unfilled, they can be adjusted to meet your individual aesthetic goals, and even to adjust for asymmetrical amounts of natural breast tissue. The advantages... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Candidates for saline implants vs. silicone gel

Based on your photo and information you provided, you are an ideal candidate for saline or silicone gel. Based on the look you would like to achieve and your body type, it is your choice whether you would like saline or silicone gel. Both implants are safe and offer a lifetime warranty, if in case of a malfunction, defect, or rupture of the implants. Silicone gel is the more natural feeling of the two and there is less chances of rippling or palpation of the implant. However, if you are... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

The truth about Saline and Silicone

To answer the question, "Will Silicone implants get me sick?", I refer you to the FDA (link provided) and the myriad of silicone implant studies. In brief, the answer is that silicone gel ruptures may lead to local problems such as breast pain, granulomas or scarring, and distortion of the breast. Body-wide or systemic diseases such as lupus, RA, fibromyalgia, and cancer have not been linked to ruptured silicone implants. Silicone gel implants have a much more... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Silicone implant safety

First, most of the problems previously attributed to silicone implants were due to how they were used. All the studies done over the last 18 years have proven them safe. The hardness of your friend’s saline implants has nothing to do with the type of implant. All implants can feel hard if the body creates a tight scar around them. As thin as you are, and as little breast tissue as you have, I would use nothing but silicone implants. Placement would depend on your physical... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Getting my Boobs Done. Better: Saline or Silicone

Very difficult question to answer. Yes silicones on average feel more natural. But salines are the standard here in USA. I bet if the fee was exactly the same for either salines vs silicones than the most used would be the silicones. All in all it is a very personal decision that you need to be seen in person by at least 3 boarded plastic surgeons in your area. Best of luck from MIAMI DR. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

Silicone vs. Saline

The choice is yours. I believe there are several things to consider with each in your particular case. 1. You do not have a well defined crease. silicone implants are place through a crease incision. The final position of the crease can be tricky and end up higher than desired if it is not planned appropriately. 2. Since you do not have a well defined crease, saline implants placed through a periareolar incision can be performed (smaller incision).... more

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Implant choices

Saline vs silicone is a personal choice made by the patient after a thorough discussion with the doctor during consultation. Both are good choices.

Steven Wallach, MD
Manhattan Plastic Surgeon

Gel-filled vs. saline-filled breast implants

The first answer is that there is no evidence to support the fear that a silicone gel-filled breast implant will affect your health if it fails while in place. The problem with gel-filled implants is that there is still no simple way to know if a gel-filled implant has failed. It has a lifetime guarantee for replacement but the best test for whether it needs replacement is an MRI which is not a simple or inexpensive test. The second answer is that your friend's breasts are... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Silicone or saline breast implants

There is a choice and the topic has raised considerable debate. There is much to read on this web site alone. Each implant has a set of trade-offs and in our practice we use both, as one is not always 'better' or even softer and more natural than the other. The key question in making the decision may involve your feelings about implant leak as all implants wear out over time. You may also be persuaded by size or location of the incision to place the implant. The gel will not... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Silicone Implants Generally Better Choice

Silicone implants, especially when placed below the pectoralis muscle, usually give the best result. This is certainly the case with a patient like you who has little breast tissue. The implant cost is greater, but you can rest assured that the FDA would not have allowed silicone to be brought back into the marketplace if they had any concerns about their safety.

John Whitt, MD
Louisville Plastic Surgeon

Which is Better: Saline or Silicone?

Regarding: "I Am Considering Getting my Boobs Done. Which is Better: Saline or Silicone? I have heard silicone feel more natural, but I am afraid because they have had a bad reputation. If they rupture, will I get sick? My friend has saline and they are as hard as a rock. Will mine be like this?" The most important consideration in using breast implant is getting the implants covered by as much of YOUR soft tissues as possible to hide the folds that all breast implants... more