Breast Implants: Q&A

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Will Saline Feel the Same As Silicone with the Amount of Breast Tissue I Have?

My dr. Says that saline is so much safer than silicone and that she would never put it in her body. My question is about the feel.....will you be able to feel the difference between salin and silicone with the amount of breast tissue I have? My fiancé doesn't like the feel of the saline. Also, will saline lift me higher than silicone if i do not get a lift? Thanks!

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9 Doctor Answers | Asked by jsidea

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Saline vs Silicone implants

Everyone is going to have an opinion on the benefits of saline vs. silicone implants. My personal opinion is that neither implant is the right choice for all patients. If you do not have much soft tissue coverage, I think that the saline implants become more palpable and the risk of rippling is increased. Every patient that I have had that switched from saline to silicone would tell you that the silicone implant feels more natural. I have never had a patient come back to me and request to... more

The feel of a breast implant depends on two main factors

All implants are palpable. The degree of palpability depends on two factors: 1) the size the the breast implant and 2) the breast tissue thickness that will ultimately be covering the implant. A small implant in a patient with thick tissue will not be very palpable regardless if it is silicone or saline. Conversely, a large implant in a thin patient will be palpable no matter which type. However, in general, a silicone implant is less palpable and feels... more

Feeling of Saline vs. Silicone

Generally patients who have a thin subcutaneous breast layer, probably less than 1-2 cm will more likely feel the saline implants. Generally patients that have a lot of breast tissue or thick body habitus will have a feel of saline closer to that of silicone. I think there is no doubt though, that silicone implants generally have a softer feel.

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Choose between saline or silicone

You have not provided any photographs or given the size of your breasts so I don't know how much breast tissue you have. I tell people who are an A or B to use silicone gel implants because you can feel the difference. If you are a C or D, the difference is not as significant because of the tissue padding. However, silicone gel implants do not ripple and feel more natural. I recommend silicone gel implants to all my patients. Best of Luck, Gary Horndeski, M.D. more

Saline vs. Silicone

Both saline and silicone gel implants are very safe medical devices. Both are very good options. Impossible to make any recommendations without a physical exam. Best of luck.

Saline vs. Gel Implants

Thank you for your questions. Silicone implants are the most studied medical devices in history and they have been found to be as safe as saline. There is no question that silicone implants are superior to saline in terms of look, feel, and decreased chance of rippling. Both can end up very soft as long as you don't develop capsular contractures. Saline implants are typically placed behind the pectoral muscle to hide them, but silicone can be put on top of... more

Implant differences

Saline and silicone do feel differently, and they both are very safe. Neither implant will give a better look, but the silicones will feel more natural. If you want silicone go to a plastic surgeon who performs them.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Feel of Silicone versus Saline Breast Implants?

Thank you for the question. I think that most plastic surgeons would disagree with the statement that your plastic surgeon has made. There is no evidence that the saline breast implant is “much safer than silicone”. Generally speaking, depending on how much soft tissue coverage is present, silicone gel breast implants tend to feel more “natural” than saline. On the other hand, if the patient does have a significant amount of breast and or adipose tissue... more

Saline implants

I am a practicing board certified plastic surgeon for 25 years. I have performed over 2,000 breast augmentations. 99.9% are saline implants. When the procedure is performed by an experienced and competent plastic surgeon the results look and feel natural. I have patients who got married after the surgery and the husband does not know about the implants... As far as the lift, saline or silicone do not matter. In mild droopiness, lowering the submammary crease will raise the nipple, however if... more

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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.