So, you’ve made the monumental decision to have breast augmentation surgery. But there are still more significant decisions ahead, including the age-old question of whether you should choose saline vs. silicone implants.
Not to worry. We’re here to help you make an informed decision that aligns with your needs and goals. Below, let’s walk through some of the key differences between saline and silicone implants.
What Is a Saline Implant?
Saline breast implants have a smooth shell and typically look and feel less natural than their silicone counterparts. After being inserted, they are filled with a sterile saltwater solution. Saline implants require shorter incisions and can be inserted using a transaxillary approach. This technique means that the incisions are hidden in the armpits, so there is no visible scarring on the breast itself.
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What Is a Silicone Implant?
Silicone is our most popular type of breast implant. Silicone implants closely mimic the look, weight, and feel of natural breasts. These implants are pre-filled with a cohesive gel and require slightly longer incisions. They can be placed either above or below the muscle. Silicone implants are denser and weigh slightly more than saline implants, even though they feel lightweight.
A popular option within this category is the gummy bear breast implant, which uses a more cohesive silicone gel that holds its shape even when cut or damaged. These implants tend to maintain a stable, natural contour.
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Which Implant Lasts the Longest?
Silicone implants generally last longer than saline implants. While both types can remain in place for many years—and often longer than the commonly cited 10-year time frame—silicone implants tend to maintain their shape and appearance more consistently over time.
That said, the lifespan of any implant depends on factors such as your anatomy, implant placement, and how your body changes over time.
Saline Implants Longevity
Saline implants can last many years, but they may be more prone to deflation over time. If a saline implant ruptures, the breast will quickly lose volume as the body safely absorbs the saline solution.
Because changes are usually noticeable right away, saline implant issues are typically identified and addressed promptly. Some patients choose saline implants for this predictability, even if they may require replacement sooner in certain cases.
Silicone Implant Longevity
Silicone implants can last many years, and often longer than saline implants. They are designed to maintain their shape and appearance over time, which can contribute to longer-lasting aesthetic results.
Gummy bear implants, a type of silicone implant, are designed to hold their shape even if the outer shell is compromised. This can reduce the risk of visible changes over time and may contribute to longer-lasting aesthetic results.
Because silicone implant ruptures are often “silent,” regular imaging with an MRI scan or ultrasound is recommended to monitor their condition.
When Should Breast Implants Be Replaced?
The following signs can indicate that it’s time to remove or replace your breast implants:
- Hardening, which is often the result of capsular contracture
- Leaking or deflation, which is usually due to a saline implant rupture
- Rippling, which may or may not be visible through the skin
- Sagging or asymmetry due to natural gravity or shifting of implants
Which Implant Material Is the Safest?
Both saline and silicone breast implants are considered safe and approved by the FDA. Understanding how each type behaves in the rare event of a complication can help you feel more confident in your decision.
Saline Implant Safety
Saline implants have a long track record of safety. If a rupture occurs, the implant deflates, and the body naturally absorbs the sterile saltwater solution.
Because deflation is immediately noticeable, patients can quickly seek evaluation and replacement if needed. This visibility is one reason some patients feel more comfortable choosing saline implants.
Silicone Implant Safety (Including Gummy Bear Implants)
Silicone implants are also considered safe and are widely used due to their natural look and feel. If a rupture occurs, the cohesive gel typically remains within the implant pocket rather than leaking into surrounding tissue.
Gummy bear implants use a more cohesive gel structure, which helps them maintain their shape even if the shell is compromised. This added structure can reduce the likelihood of gel migration and may provide an additional layer of reassurance for some patients.
Because silicone ruptures are not always immediately noticeable, the FDA recommends periodic imaging starting 5 to 6 years after implantation and every 2 to 3 years thereafter.
Other Factors To Consider
There is simply no one-size-fits-all approach to choosing breast implant types. Here are some more key factors to consider as you weigh your options:
- Your lifestyle: How active are you? If you work out frequently, you may prefer silicone vs saline implants. They feel more lightweight and won’t “slosh” during physical activity.
- Your aesthetic: Every patient has a unique vision and needs. Some patients want dramatic cleavage, while others prefer more natural, subtle results. It’s a matter of preference!
- Your life stage: Keep in mind that your preferences can change over time. What you desire at the time of your procedure can change in 10 years. If you want to keep your breast implants for as long as possible, think long-term.
- Your priorities: Identify what is most important to you: size, cost, look, or feel. If you prioritize cost above all else, saline implants are likely the way to go.
- Shape, profile, and placement: Preferences about your implant shape and placement, as well as how we approach your incisions, may also help guide you toward the best implant material for you.
Experience Matters
Proper guidance is essential when choosing the right breast implants. You should always consult with a board-certified plastic surgeon who can assess your needs and vision and safely deliver your intended results. They should also have keen aesthetic capabilities.
During your consultation, request to view before-and-after photos featuring actual patient results. Many reputable cosmetic surgery practices also have technologies to help you visualize your desired results. For example, at our practice, we use Crisalix 3D imaging to help patients view potential breast implant results. In addition, we offer VECTRA® 3D imaging for facial plastic surgery patients.
Schedule a Consultation
Meeting with us is the best way to plan out your aesthetic journey. During your consultation, we will conduct a thorough physical examination, address your breast implant questions and concerns, and recommend solutions that align with your goals. We encourage you to request a consultation using our online form or call us at (718) 720-9400 to arrange an appointment.
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