What is the difference between Saline , silicone , gummy silicone ( lifespan, safety, shape result) ?

Doctor Answers 3

Saline vs Silicone, some advices:

Thank you very much for this interesting 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.-

Dominican Republic Plastic Surgeon
4.7 out of 5 stars 145 reviews

What is the difference between Saline , silicone , gummy silicone ( lifespan, safety, shape result) ?

  • Good questions. Much of the final look and feel achieved after breast augmentation surgery depends on several factors:

  • 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 
  • 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. Careful measurements (dimensional planning) and careful selection of breast implant size/profile are part of the surgeon's  responsibilities.
  • I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
  • 3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
  • 4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc.
  • Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. I would suggest starting with your country's Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done.Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the relevant Board of Plastic Surgery.
  • I hope this, and the attached link (dedicated to breast augmentation concerns), helps. Best wishes.

What is the difference between Saline , silicone , gummy silicone ( lifespan, safety, shape result) ?

It would take many pages to outline all the +s & -s of all the implants. Best to see many in person boarded PSs in MIAMI. But are you really in Miami and NOT Cairo??

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.