What's the Difference Between Saline and Silicone?

what the difference .and does all fee including into the cost

Doctor Answers 25

Breast Implant Choices

Deciding on which implant to use is always a difficult decision for women. The benefit is that in this day and age is that there are so many choices of implants that the augmentation can be tailored to each patient.

Truly the best thing that you can do is be open with your surgeon about your desired results so they can help guide you in choosing the best implant for you.

First of all I would tell you that by using a silicone gel implant, whether it is round or shaped will help decrease the chance that you are going to look fake. The silicone implants are much softer and give people a more natural appearance than the saline implant ever did for patients.

Saline implants are still good implants but will always be a little firmer and put you at more risk of rippling. You are correct that placing the implant will help you have a more natural feel and appearance than placing it above the muscle.

If you want to use saline you should do that as you are still going to be very happy with your breast augmentation.

It is important to see your board certified plastic surgeon to help guide you to an implant that will give you an aesthetically pleasing breast.

Austin Plastic Surgeon
4.9 out of 5 stars 114 reviews

Silicone vs Saline

Saline and silicone refer to the filling of the implant. All implants have a silicone shell, however inside can be saline or silicone (cohesive gel).

One of the biggest advantages when comparing saline vs silicone implants is that silicone implants feel more natural. They feel much more like a real breast. Compared to saline implants, rippling is much less common with cohesive gels because they are semi-solid. Deflation, which occurs with saline implants, does not occur with cohesive gels. If a cohesive gel implant ruptures, it maintains both its shape and integrity.

The filling of a silicone cohesive gel implant remains intact upon rupture. As well, there are multiple models of cohesive gel implants that vary with respect to projection, height, and width. This provides flexibility in determining the appropriate implant size to balance body proportions and breast aesthetics. Cohesive gels generally produce less unnatural upper breast fullness as compared to saline implants. As a result, they are more natural looking breast implants.

Normally a quote for your surgery includes all costs, and that includes the cost of the implants.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Breast Enhancement Surgery

Biggest difference is saline can be inserted through a small hole, are cheaper, and if they break you will know instantly

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 72 reviews

Fundamental differences between gel and saline implants

The main difference between these two types of implants is the viscosity of the filling agent.  A gel implant in general has more of a tissue like feel.   This being said, if you have enough soft tissue coverage then both types will give a good result but if you do not have much breast tissue to cover the implant then a gel implant will usually give a better result.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Difference Between Saline & Silicone

Saline is the solution which is commonly given intravenously (it is basically salt water).  Medical grade silicone is a material which is very similar in feel and density to breast tissue.  Silicone implants do, therefore, usually give a more natural result than saline.  Because of the lawyers, however, they do cost twice as much as saline.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Difference between Saline and Silicone Impants...

When a patient decides to have breast augmentation it is common to be unsure which implant would be best for you.   Both saline and silicone implants have the same outershell, but one is filled with sterile saline and the other is filled with medical grade silicone.  Ultimately the choice becomes a patient preference.  Silicone tends to give you a more "natural" appearance, while saline implants are a bit more firm.  Saline implants have a higher chance of rippling then Silicone.   Silicone implants are a little more expensive than saline and are FDA recommeneded only for patients over the age of 22.  I would make an appointment with a board certified plastic surgeon to discuss your options with him.

Shain A. Cuber, MD
Edison Plastic Surgeon
4.7 out of 5 stars 83 reviews

Saline versus Silicone Implants

Saline and Silicone implants both have the same outer shell.  The filling of saline implants is saline (water) and the filling for silicone implants is medical grade silicone.  In my opinion, the silicone implants feel and look much more natural.  Saline implants are slightly less expensive but the cost is negligable when factored into the entire cost of the operation.  So it would be a shame if you chose saline implants based on cost alone.  

I hope this is helpful.

Good Luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Saline vs Silicone Breast Implants

Saline and silicone breast implants only differ by the substance that fills them. The implants shells for both styles are made out of solid silicone material. A silicone implant is pre-filled with silicone. A saline implant is filled at the time of surgery with saline. Aesthetically speaking, I believe that silicone implants provide a more natural look and feel to them.  

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon
4.9 out of 5 stars 32 reviews

What's the Difference Between Saline and Silicone?

My outlook is very simple. First the costs is approx 50% more with silicone. Second the feel is softer with silicone or more natural. Ripples more common with saline. Need for MRI higher with silicone. So there you are over 16 expert answers. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Saline vs silicone breast implants

In my practice, 85-90% of patients choose silicone gel for the "feel" and 10-15% go with saline because they either feel "safer" with them or are under 22 years of age.  Other differences are in the price (salines are less), the capsular contracture rate (saline is less), the lack of needing MRI's for saline integrity detection.  There is no difference in the "look" as both can look great but in the thin patient, gel looks better because of less wrinkling.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 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.