The difference between silicone and saline breast implants is that the composition of what fills the implant is different. In a silicone gel implant or what they frequently call gummy bears, it's a cohesive gel which means it's somewhat solid feeling. It doesn't have liquid properties anymore like a salt water, which is what is inside a saline implant which gets placed in the implant at the time of insertion, whereas the gels are pre-filled in the factory.

The difference as far as what are their appropriate indications for salines and silicones are there are some specifics, but silicone gels are indicated in certain individuals who have a very, very low body fat, small breast size as these patients tend to have problems with saline implants in the long run. In those patients, I advise them early on to seriously consider using silicones, although they don't always do so for many reasons.

What Is the Difference Between Saline and Silicone Breast Implants?

Dr. Mel Ortega explains the difference between saline and silicone implants, as well as which he would recommend for certain patients and why.