Do Silicone Breast Implants Cost Depend on Size?

Doctor Answers 23

Breast implants are not charged by volume, but by make and style.

Breast implants are not charged by volume, but rather by the manufacturer and the implant’s content, that is saline versus silicone gel. In general, saline implants are about half the expense of silicone gel. Saline implants cost around $800-$1,000 a pair, and silicone gel’s cost run around $2,000 to $2,200 per pair. Discuss this with your plastic surgeon.

Englewood Plastic Surgeon

Silicone implant costs is the same regardless of the size or volume


Larger and smaller silicone breast implants cost the same. If one requests a custom-made silicone implant the cost would be more.

The same holds true for saline implants. Surgeons fees are also the same regardless of implant size.

What are the costs of implants? Does bigger cost more?

In general, this prices of Breast Augmentation, Lift, or full mommy make overs as well as revisions can vary widely from city to city. For example, a breast augmentation can cost 3-4 times in LA and New York what it costs in Montana.
In looking at the a price quote for breast augmentation, you should consider many variables.
1. The Surgeon's Fee. This can vary widely depending on the experience and results and thus demand for that surgeon. This also sometimes depends on technique. For example, a sub-muscular placement of an implant is much faster and thus takes less work for the surgeon than a sub-fascial placement of the implant that takes twice as long.
2. The Implant. The breast implant price depends on using a saline, memory gel, or highly cohesive (gummybear) implants. Usually saline implants cost about $1,000 for a pair, memory gel $2,000, and highly cohesive $3,000. If fat is used instead of an implant, then usually a fat harvest charge is used instead of implant fee as liposuction supplies are used and the fat purified in a variety of methods. The size of the implant does not matter, only the type of implant. If a dermal matrix is needed then there is an additional charge (usually about $1,000). In revisions, often the same implant can be used which saves on the implant costs. If a breast lift alone is performed, then obviously there is no implant cost.
3. Anesthesia. This can vary as well. If a board certified anesthesiologist is used then the price is higher. If a CRNA (nurse anesthetist) then the price is lower. It is even lower when a doctor just uses a non-certified anesthetist nurse, or just a medical assistant to push the anesthetic drugs (yes, this actually does happen).
4. Facility Fee. This can vary if the surgeon is using a certified surgery center or hospital vs. his non-certified office.
These four components make the total price, so it is best to break these down so the patient knows exactly what she is getting.
Realself has an average cost for each city.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Size is not usually a factor

The cost of your implant is determined by type (saline or silicone, with silicone being more expensive) and brand (Mentor or Allergan) but size does not really affect the cost. Other factors that affect the price of surgery include the anesthesia, surgical centre fees and your surgeon's fees.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Breast Implant Size and Price

That’s a wonderful question! NO difference based on implant size.

You’re absolutely right; the variability in pricing for implants themselves is a point of confusion for many patients. It all boils down to how much the surgeon acquires the implants for, and what value they attribute to the implant for you, as the consumer.

In order to simplify things, it’s easiest to make sure you understand what the OVERALL cost of the procedure is, and what precisely it includes in terms of cost and expertise in your geographical region. Our range depending on your specific needs is $5,000 - $7,500. It should absolutely be all-inclusive, and the most influential factors include,

  • Is this an actual Plastic Surgeon performing the operation?
  • Is the plastic surgeon Fellowship Trained specifically in aesthetic plastic surgery?
  • Does the surgeon hold privileges at a local hospital, as a Plastic Surgeon?
  • Where will the surgery be performed? Hospital or certified outpatient surgery center?
  • What type of anesthesia will be used? General versus local anesthesia?

Choose your surgeon based NOT only on price, but whether you feel he would truly walk you thru the process and can achieve your long-term aesthetic goals. Also, it is not unreasonable to ask to speak to prior patients, visit the surgical facility, and see before and after photos.

You should also keep in mind that your choice of plastic surgery practice and surgeon, should also be a long-term choice. Chances are that you may want further services for yourself, family, and friends and want to establish a place where you become a member of the family. So be sure you love the staff, and the overall feel of the office. This should be a long-term investment in your future.

Best wishes.

Carlos O. Chacon, MD, MBA
Chula Vista Physician
4.8 out of 5 stars 45 reviews

Silicone implant size does not affect implant cost

As far as cost of implants goes, this is one instance when size doesn't matter.  I recommend that you place as large an implant as you desire because more silicone doesn't cost more money.
We charge $6750 for silicone gel implants in Plano, Texas.  This includes the surgical fee, M.D. anesthesiologist, nationally-accredited surgical facility, silicone gel implants, implant warranty (10 years), and all routine postoperative visits.

Ronald Friedman, MD
Plano Plastic Surgeon
5.0 out of 5 stars 49 reviews

Cost of implants independent of the size

Silicone implants cost more than saline implants. Textured implants cost more than smooth implants. Shaped implants cost more than round implants. And larger implants cost......the same as smaller implants. In this case, size doesn't matter.

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 38 reviews

Breast Augmentation Cost in Columbus Ohio

I encourage you to make sure your surgeon is board certified by the American Board of Plastic Surgery and that that person is someone you would trust after meeting with them at your consultation.

In Columbus, Ohio, our total costs for breast augmentation are currently $4500-5100 for saline implants and $5000-5900 for silicone implants.   The cost of the implants does not vary by size.

Jason Brett Lichten, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 18 reviews

Silicone implants have one price--not based on size

There may be a slight difference in pricing between the two suppliers, but there is no difference based on implant size.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 43 reviews

Breast Implant Costs

Fees will vary considerably depending on the area and the number of board certified plastic surgeons. Prices in South Florida tend to be lower than expensive cities such as New York or Los Angeles or with areas with few board certified plastic surgeons. We charge $3500 + MD Anesthesia related expenses for silicone implants. The anesthesia fee is generally $1000 to $1500. There tends not to be additional cost due to size. Since you can get quality work at lower prices, patients tend to come to South Florida from out of state or out of country.

To ensure quality work at most cost effective prices, consult with board certified plastic surgeons that own their own nationally accredited facilities. These surgeons must maintain the highest standards to keep accreditation. Moreover, the surgeons are motivated to ensure quality and properly trained staff (to minimize time and frustration in surgery), private and comfortable facilities (to ensure continued referrals), and less waste (to ensure that they can remain competitive financially with other centers).

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 42 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.