Silicone or saline?

I keep going back and fourth with this. I need some serious opinions. I have picked my plastic surgeon and paid but cancel because I panicked. Now I'm ready to reschedule . I want upper pole fullness with a firm touch my surgeon favors silicon gels. I want saline because I do not want to have to get MRI every year. I'm a body builder very active if this helps. About 5'4 130 pounds 17 percent body fat off season. Thanks!

Doctor Answers 26

Keep in Mind: MRI Isn't Mandatory

If the annual MRI guideline is the only factor that's giving you second thoughts about silicone, it's important to note that this is merely a suggestion. The FDA recommends an MRI screening 3 years after your breast augmentation, and then every 2 years after that. A yearly MRI is not mandatory.

For firmness, your surgeon is right to suggest silicone gel implants. Implant placement is also an important consideration: Given your active lifestyle, you'll need to plan for a longer healing period if you choose to place the implant under the muscle. I recommend a second opinion with a different board-certified plastic surgeon near you to learn more about your possibilities. 

Toledo Plastic Surgeon
5.0 out of 5 stars 16 reviews

Silicone or saline

Your surgeon will discuss with you the benefits of both implant types, then If you still prefer saline implants, then you should make your preference known to your surgeon. 

An MRI does not have to be performed every year. Please note that the FDA recommends that you get an MRI 3 years after you receive your silicone implants, and then every 2 after that.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

An Age-Old Question

The question of silicone versus saline is something that comes up with every patient, and it's certainly normal to go back and forth with your decision. Your surgeon is right to recommend silicone as the best option for creating a firm result. And keep in mind that the annual MRI is merely a guideline — not a requirement. In addition to implant material, you should be thinking of implant placement, especially if you are into bodybuilding. Placing the implants in front of your pectoral muscles, rather than behind them, will ensure that your implants don't interfere with your chest workouts. Silicone implants tend to do rather well above the muscle because they're not as prone to visible rippling as saline implants. However, even silicone implants may show rippling and visible edges if you have very little native breast tissue, and placing the implant above the muscle may make the implant more obvious and easy to feel. Of course, the choice is ultimately yours. 

James N. Romanelli, MD, FACS
Long Island Plastic Surgeon
4.6 out of 5 stars 23 reviews

Silicone or saline?

Hello Dear, thank you so much for your questions.It´s fine to  be afraid on the realization of your plastic surgery, that is  why you have to choose carefull your surgeon.  Congratulations to make this step again. According with my experience I used the implants of cohesive gel, them  will give you a natural and firm shape to your breasts.
best wishes.

Ramon Morales, MD
Dominican Republic Plastic Surgeon

Saline vs Silicone, some advices:

Thank you very much for this interesting question.Breast lift with Augmentation with Saline or Silicone It is a very common question.
In my practice i recommend using - Cohesive Gel - Silicone Breast Implants with textured cover.
They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.
Kind regards,
Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 270 reviews

Both saline and silicone breast implants are great

Although silicone in some patients feel more life like saline is an alternative for many patients. The saline implant can be placed through a tiny incision. make sure you try on the implants in a tight bra and get 3-D Vectra imaging. see before and afters from the doc. see a board certified ASAPS plastic surgeon. Good luck

Larry Weinstein, MD
Morristown Plastic Surgeon
4.9 out of 5 stars 11 reviews

Saline versus Silicone Implants

In your situation, implant placement is just as important as choosing silicone or saline. For the majority of my patients, I recommend under the muscle placement with silicone implants for a more natural look, with a lower risk of complications. One of the few situations where I recommend going over the muscle, is if the patient is a body builder, such as yourself, and competing in a lot of shows where the pectoralis muscle is flexed. In that case, the muscle is very active and one gets a lot of animation with the implant. Because of this I definitely recommend silicone textured implants because due to the placement, you would have rippling if you used a saline implant, resulting in a less than aesthetically pleasing look.

Kamran Azad, MD
Pasadena Physician
5.0 out of 5 stars 13 reviews

Saline vs Silicone Implants

For the firmer touch, the silicone implant is your better choice. In fact, it's typically the 'better' choice for many reasons.When a saline implant ruptures, it deflates immediately as the saline leaves the implant while a silicon implant rupture is less noticeable as the cohesive nature of silicone allows the implant to stay together. An MRI does detect the rupture, as you know.Overall, I prefer silicone to saline implants - they feel better and are likely to last longer, though silicone implants do require a larger incision than saline implants.If my wife wanted implants, I would advise her to get silicone.Continue to talk over your options with your plastic surgeon, and best wishes!

Ricardo L. Rodriguez, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 94 reviews

Silicone vs saline

hello. I think you could choose either saline or silicone and it is best to be evaluated in a free consultation and examine each of the implants  and warranties. And answer all of your questions  We review positives and negatives of both implants.  Usually MRI is recommended every three years and not required for the silicone implants.  Good luck

Sanjay Lalla, MD, FACS
West Orange Plastic Surgeon
4.8 out of 5 stars 49 reviews

Silicone vs saline

I treat patients from all over the world with complications from breast implants.  MRI's do not detect leakage and most women become ill from silicone due to leakage not rupture.  If you are one of the 30% of the population who has a detoxification defect such as COMT or MTHFR, then you probably will become ill with a fibromyalgia type illness when the silicone begins to leak.  If you have a rarer HLA genetic problem, you can become ill right away with silicone with autoimmune disease.  If you are exposed to mold biotoxins and are part the the 25% of the population that cannot detox these, you can become ill from mold in or around saline implants which usually occurs from mold in the environment (work, car, or home).  Most plastic surgeons know very little about these conditions although they are reported in the medical literature.  I have both the detoxification defect and the mold biotoxin problem and became ill from 30 grams leaking out of my left breast implant, so I researched this topic and developed a detoxification treatment for chemicals, silicone, and biotoxins so I would not have to give up plastic surgery.

Susan Kolb, MD
Atlanta Plastic Surgeon
4.2 out of 5 stars 28 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.