It depends on your body type

In my practice, 80% of patients select gel implants because the "feel" of the implant is of paramount importance. 20% go with saline because they believe it is "safer" for them. So, if despite all the evaluations by the FDA, you don't feel comfortable with gel, you should go with saline recognizing that they won't (even under the muscle) feel as natural as gel. It becomes a matter of what your personal priorities are.

If you are thin and have minimal breast tissue, the palpable differences between the gel and saline are even more notable. This is especially true when a saline patient (even under the muscle) leans forward and feels the outside edge of the implant. They will almost always feel and or see wrinkles and ripples there. If that would bother you, go with gel.

In my experience, the silicone gels give a superior look and feel and the overwhelming majority of my patients prefer silicone implants. You can achieve a very nice result with saline implants, but if you're thin (and sometimes even if you're not) you will probably feel or see some rippling of the implant, and this can worsen over the years. Placing the implant under the muscle may protect against this a little bit, but it is no guarantee of a natural look and feel.

Sit down with your surgeon so he or she can over with you in detail the advantages and disadvantages of both options, including incision size, how to monitor the implants after surgery, etc. This will allow you to make the choice that us right for you,

Dr. S