Q. What is the difference between saline and silicone breast implants?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Saline and silicone breast implants are the two primary types of implants used in breast augmentation surgery. They differ in their composition, feel, and potential risks. Here are the main differences between saline and silicone breast implants:
1. Filling Material:
- Saline Implants: Saline breast implants are filled with sterile saline solution, which is essentially saltwater. If the implant were to rupture or leak, the saline is harmlessly absorbed by the body.
- Silicone Implants: Silicone breast implants are filled with a cohesive silicone gel that closely resembles the feel of natural breast tissue. In the event of a rupture, the gel tends to stay within the implant shell, but it may not be immediately noticeable and may require monitoring through regular MRI scans.
2. Look and Feel:
- Saline Implants: Saline implants tend to have a firmer and less natural feel compared to silicone implants. Some people describe them as feeling somewhat like a water balloon.
- Silicone Implants: Silicone gel implants are known for their more natural look and feel. The cohesive gel closely mimics the texture and density of natural breast tissue, resulting in a softer, more realistic appearance.
3. Rupture Detection:
- Saline Implants: If a saline implant ruptures, it typically deflates quickly, causing a noticeable change in breast size. The saline is absorbed harmlessly by the body, making the rupture easy to detect.
- Silicone Implants: Rupture detection in silicone gel implants can be more challenging. While modern silicone implants are designed to minimize gel leakage in the event of a rupture, silent ruptures can occur, where there may be no noticeable change in breast size or shape. Regular MRI scans are recommended to monitor the integrity of silicone implants.
4. Rippling and Wrinkling:
- Saline Implants: Saline implants are more prone to rippling and wrinkling, particularly if they are placed above the chest muscle or if they are overfilled.
- Silicone Implants: Silicone implants are less likely to ripple or wrinkle, which can result in a smoother appearance.
5. Incision Size:
- Saline Implants: Saline implants can often be inserted through smaller incisions because they are filled after placement. This can result in smaller scars.
- Silicone Implants: Silicone implants come pre-filled and may require slightly larger incisions for insertion.
It's important to note that the choice between saline and silicone implants depends on individual preferences, body type, and the recommendations of a board-certified plastic surgeon. Your surgeon will consider factors like your desired outcome, existing breast tissue, implant placement, and your risk tolerance when helping you choose the right type of implant for your breast augmentation surgery. Each type has its advantages and considerations, and a thorough discussion with your surgeon will help you make an informed decision.