Saline or Silicone? I Am Getting Implants in a Few Weeks and Still Haven't Decided 100 Percent on Saline or Silicone.

I am leaning more towards saline because I like the idea of knowing if I have a rupture and can fix the problem, also because I like the more round, projected look that high profile saline implants give. And also because one breast is larger than the other & I like the idea of being able to fill them at different levels to make them even. I am 20 yrs old 5'5" & 110 pounds, have had two children, and am a 32 B cup right now. What do you recommend & how large do you recommend for my frame?

Doctor Answers (14)

Saline or silicone


At first glance and without an exam I would say you are conservative but the final result is really created in the operating room. Saline or silicone is dependent upon your discussion with your plastic surgeon. Both are safe but have pros and cons. You can also place two different silicone sizes as well. But if there is a rupture you will certainly know sooner with saline than silicone. Also don't focusing on the type of implant profile or the number of cc's or bra cup size (with is inaccurate and manufacturer dependent), I would recommend you communicate very clearly your expectations and desires. Your plastic surgeon will decide with you on the profile of the implant based on the breast width, your body shape, skin elasticity and thickness and native breast tissue present. Based on the limited information you have given your results are achievable. In my practice I usually explain the implant types, profile and rationale for using different implants/ profiles. I also use the a special sizing system pre-op and have patients try them inside a bra so they can get a sense of their look. I never tell them what size I have picked until they show me the "look" they REALLY desire by trying on the sizing system in our office. Then we sit down and evaluate "the look" they have chosen and see if it matches what I have chosen by measurements and physical exam.  It does make it both fun and is a healthier partnership between patients and the PS.  Speak with your plastic surgeon. Good luck on your surgery!

Tampa Plastic Surgeon
4.0 out of 5 stars 15 reviews

Breast Enhancement Surgery

The reason why people choose saline over silicone is because they are cheaper, they can be placed through a smaller incision and if they break you will notice immediately

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Saline Versus Silicone Implants


Dear mkk199 - I will try to answer your questions as best I can without photos.  It sounds like you are leaning toward saline implants for all the right reasons.  If you do go with saline I would definitely recommend putting them under the muscle. As far as size, you need to try on different size implants to figure out which size if best for you. Best of Luck.

Mark A. Schusterman, MD
Houston Plastic Surgeon
5.0 out of 5 stars 63 reviews

Saline vs. silicone


At this time, it is recommended that silicone implants are not used for patients under 22 years of age.  With this information in mind, combined with the many reasons you stated that you would prefer the saline implant, that will most likely be a good choice for you.

Mennen T. Gallas, MD
Katy Plastic Surgeon
5.0 out of 5 stars 9 reviews

Saline or Silicone? I Am Getting Implants in a Few Weeks and Still Haven't Decided 100 Percent on Saline or Silicone.


There isn't a perfect breast implant.

If there were, no one would use anything else.

Most plastic surgeons prefer silicone gel devices because they ripple much less, last longer and are lighter than saline implants. They have much less tendency to slide off to the side when you lie down.

The advantages of the saline implant is its lower cost (in most practices) and lower rates of capsular contracture.

As far as your choices are concerned, do remember that the gel devices are available in high profile versions. It is possible to use implants of different sizes in cases of asymmetry. Your size choice is a matter of personal taste.

Good luck!

Eric Pugash, MD
Vancouver Plastic Surgeon
5.0 out of 5 stars 56 reviews

Saline or Silicone?


Most patients and surgeons prefer silicone gel implants over saline because of the more natural feel that they have. This is more important for a smaller breasted women getting large implants as compared, say, with a women wanting to increase from a C cup to a D cup.

The gel implants come in the same profiles (and one additional one) as do the salines, and come in a variety of sizes, and the volumes are such that it should be possible to get as good a size match as with salines. 

As to the size, that really depends upon your goals. Your surgeon may limit your options if you decide on an implant that is too large for your breast dimensions, but that is best decided not online, but in the surgeon's office. I prefer to have patients try on implants, and use that info in making a recommendation.

Thanks for your question, all the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 32 reviews

Silicone Vs Saline Implants


I feel that silicone implants generally give a better result than saline.  The main benefit with saline implants is the lesser cost.  With breast asymmetry, different volumes of saline can give as good results as differential filling of saline implants.

John Whitt, MD
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Saline vs silicone


The choice for saline vs. silicone is a personal one. It sounds like you have made it already.  I will say that silicone implants do come in high profile and they come in round and smooth varieties as well.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

If you are worried, use saline implants.



Both silicone and saline implants are fine, but saline implants do have the advantages that you talk about.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Saline or Silicone Breast Implants? Best Size?


Thank you for the good questions.
In regards to breast implants, there are many pros/cons to consider when making the decision of which to use in your case. Online consultants, without the benefit of direct physical examination, will not be able to do your question justice. In other words, the advice you receive online will not be precise enough.
Having said that, some general words regarding the use of saline versus silicone breast implants may be helpful to you:
The type of implant used may influence the final outcome  of the procedure, especially if a patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue.
Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.

On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.

When it comes to selection of the “best” breast implant size/profile to meet patient's goals, the best online advice I can give to ladies who are considering breast augmentation surgery is:

1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural”  or “C cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 780 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.