Since I Have Sagging Breasts, Will Silicone Create a More Saggy Look? Should I Go with Saline?

I am not aware of silicones creating a more saggy appearance but it is true that they generally have less projection in comparison to similar sized saline implants and perhaps this is what your surgeon is referring to when he/she discusses their use.

It has been my experience in nearly 24 years of practice that silicone implants will provide you with a far better aesthetic result compared to saline - and for many reasons. You may find it in your best interest to obtain 1 or 2 more opinions from reputable plastic surgeons before you make your final decision.

Silicone implants of the same voluem as saline weighs the same.  But if your breasts sag, they will sag more with implants and then you will need a lift.

It too has been my experience that silicone implants produce a superior result. The implants feel and look more natural. Consult with a reputable Board Certified Plastic Surgeon who has experience in both saline and silicone implants. Best wishes!