The great thing about breast implants, is that we have choices. While many of us prefer one implant more often than the other, both saline and silicone implants are good options. So, how do you decide?
Silicone implants will be a little softer and feel a bit more like normal breast tissue in most women. Generally, I prefer the feel of silicone over saline. However, silicone implants are more expensive, require a longer incision, and a little more difficult to know if they have ruptured. Although they had been taken off the market by the FDA for several years due to safely concerns, all the valid scientific studies have shown these implants to be safe. However, some women -- in spite of these studies -- still have some concerns about them. And these concerns frequently center around the possibilty of implant rupture. However, plastic surgeons and the implant manufacturers have worked long and hard to get them back on the market because of thier advantages to women.
Saline, implants on the other hand, are less expensive, require a smaller incision, can be adjusted in terms of the volume, and are very easy to know if they are ruptured. If a saline implant ruptures, it deflates, the body absorbs the saline, and the implant goes completely flat. However, these implants can feel a little firmer in many cases. But there are some women in whom the saline implants can feel as natural as the sliicone. Generally these women have a fair amount of their own breast tissue and are not using very large implants.
What I usually tell women, is that I feel that silicone implants are a bit more natural, but they can be a little more complicated than saline. So, you need to choose the implant that you will be most comfortable with, once it's inside your body. If cost and incision size are concerns, then go with saline. If you have concerns about having silicone in your body, then go with saline. If, however, you want the most natural feeling implants, then silicone is your best bet. This may particularly be the case if you have very little breast tissue to start with. The smaller your breasts are to begin with, the better option silicone implants will be..
But the bottom line is that both implants are good choices. You choose the one that seem best for you.