This is a good question and one we used to get a lot, especially in the first few years after silicone gel implants came back to the market in 2006. Now we do not get the question as often since most women come seeking silicone rather than saline. This does not mean that saline implants are not good but when compared to the silicone implants, especially the gummy bear or highly cohesive, 5th generation breast implants there is not much question that they are better. This is because: Saline implants are prone to leaking or deflating. This results in having to have another operation. Saline implants are often over filled to get the projection that many patients want and this will tend to make them harder. Saline implants, because they are filled with salt water (saline) can much more “wavy” and look a little less natural than silicone implants. The advantages of the newer gummy bear implants are: They are form stable and therefore have much less chance of a rupture and thus you having to have another surgery. They feel a little more firm outside of you but more natural inside you, especially if you have a textured implant. They tend to have better warrantees, the best of all being the implants from Sientra. These implants include a 5 year warrantee for the problem of capsule contracture. This is the main complication form breast implants and Sientra will replace your implants if you have a problem with a contracture. The form stable implants like Sientra’s implants, facilitate 24 hour recovery protocols better than other implants since no massage, special bras or bandeaus or required with them and you can back to your regular activities much more quickly as a result. I have added a video that I think will help you. I hope that helps. Best regards.