What's the Difference Between Saline and Silicone?

what the difference .and does all fee including into the cost

Doctor Answers (23)

Breast Enhancement Surgery

Biggest difference is saline can be inserted through a small hole, are cheaper, and if they break you will know instantly

New York Plastic Surgeon
5.0 out of 5 stars 36 reviews

Fundamental differences between gel and saline implants


The main difference between these two types of implants is the viscosity of the filling agent.  A gel implant in general has more of a tissue like feel.   This being said, if you have enough soft tissue coverage then both types will give a good result but if you do not have much breast tissue to cover the implant then a gel implant will usually give a better result.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Difference Between Saline & Silicone


Saline is the solution which is commonly given intravenously (it is basically salt water).  Medical grade silicone is a material which is very similar in feel and density to breast tissue.  Silicone implants do, therefore, usually give a more natural result than saline.  Because of the lawyers, however, they do cost twice as much as saline.

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

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Difference between Saline and Silicone Impants...


When a patient decides to have breast augmentation it is common to be unsure which implant would be best for you.   Both saline and silicone implants have the same outershell, but one is filled with sterile saline and the other is filled with medical grade silicone.  Ultimately the choice becomes a patient preference.  Silicone tends to give you a more "natural" appearance, while saline implants are a bit more firm.  Saline implants have a higher chance of rippling then Silicone.   Silicone implants are a little more expensive than saline and are FDA recommeneded only for patients over the age of 22.  I would make an appointment with a board certified plastic surgeon to discuss your options with him.

Shain A. Cuber, MD
Edison Plastic Surgeon
5.0 out of 5 stars 29 reviews

Saline versus Silicone Implants


Saline and Silicone implants both have the same outer shell.  The filling of saline implants is saline (water) and the filling for silicone implants is medical grade silicone.  In my opinion, the silicone implants feel and look much more natural.  Saline implants are slightly less expensive but the cost is negligable when factored into the entire cost of the operation.  So it would be a shame if you chose saline implants based on cost alone.  

I hope this is helpful.

Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

Saline vs Silicone Breast Implants


Saline and silicone breast implants only differ by the substance that fills them. The implants shells for both styles are made out of solid silicone material. A silicone implant is pre-filled with silicone. A saline implant is filled at the time of surgery with saline. Aesthetically speaking, I believe that silicone implants provide a more natural look and feel to them.  

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon
5.0 out of 5 stars 14 reviews

What's the Difference Between Saline and Silicone?


My outlook is very simple. First the costs is approx 50% more with silicone. Second the feel is softer with silicone or more natural. Ripples more common with saline. Need for MRI higher with silicone. So there you are over 16 expert answers. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

Saline vs silicone breast implants


In my practice, 85-90% of patients choose silicone gel for the "feel" and 10-15% go with saline because they either feel "safer" with them or are under 22 years of age.  Other differences are in the price (salines are less), the capsular contracture rate (saline is less), the lack of needing MRI's for saline integrity detection.  There is no difference in the "look" as both can look great but in the thin patient, gel looks better because of less wrinkling.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Silicone vs saline breast implants


If you have zero tolerance for your breast implants being easily palpable and you are slender and/or you have A-cup or small B-cup breasts, then cohesive gel implants are ideal for you. On the other hand, if you feel strongly that you would prefer to have an implant that does not require a radiologic study like an MRI scan to detect implant rupture, then you should go with saline implants.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 40 reviews

Silicone vs Saline Breast Implants

  • Most women in my practice choose silicone gel filled breast implants over saline filled implants because they feel more natural
  • Silicone gel breast implants tend to wrinkle and ripple less than the saline implants.  The outer shell of each implant is quite similar.  The material filling the implants is different.  The outer shell of each is made of solid silicone.  The silicone gel breast implant is filled with silicone in a gel form that is described as “cohesive” meaning that it stays together.  This is the main way the current silicone gel breast implants differ from the previous generation devices.  The current silicone gel implant does not actually leak due to the cohesive nature of the silicone gel.  This is another way in which the two devices differ.  The saline device will eventually leak. The chance of this happening increases as the implant gets older.  This is not harmful to you. The saline is the same fluid given through an IV.  The body absorbs the fluid but the implant needs to be replaced.

  • The silicone implant does cost more than the saline.  The silicone gel breast implant does require a slightly larger incision because it is full when it is placed rather than empty which is how the saline implant is placed.  Since the saline implant is filled at the time of surgery it was more common for surgeons to slightly vary the implant volumes to adjust for size differences with the saline breast implants.  Both types of breast implants are warrantied by the manufacturer for life.
  • At a consultation with a plastic surgeon you should be able to see and touch a silicone gel breast implant so you can see how it feels. From an appearance standpoint, the saline implant may provide greater projection and also increased superior breast fullness compared to silicone gel implants, which tend to have a more natural appearance.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.5 out of 5 stars 23 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.