Both saline and silicone gel implants can produce a nice result in the appropriate patient. Most patients and plastic surgeons prefer the feel of the silicone gel implants. I would suggest that you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should address your concerns, be able to feel the different implants, and discuss the pros and cons of the operative procedure as well as the implant types with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Depending on how much tissue you have, they both can feel quite good. I prefer smooth silicone in thin individuals. The gummy bear or form stable silicone implants are a bit too stiff for my liking. I expect this will change as R&D progress.