Joshua Cooper, MD, FACS

Silicone or saline implants?

Dr. Cooper

I'm 22 years old and have been considering breast implants, Which do you prefer silicone or saline implants?

-Both saline and silicone implants are safe for breast augmentation.  There are some differences between the two, however. 

-Saline implants may show more rippling compared to silicone implants, and they may not feel quite as natural as silicone implants.  Saline implants are also less expensive than silicone implants. 

-Most women I see today request silicone implants, and I think they are a good choice based on feel and their less likelihood of rippling.  However, the ultimate decision is yours. 

-Another difference to keep in mind concerns implant leakage.  If a saline implant leaks, your body will reabsorb the saline, and when you look in the mirror, you'll notice that the affected breast is smaller than the other.  However, when silicone leaks, you may have a "silent leak."  This refers to the fact that the scar tissue around the silicone implant usually holds the implant in place, AND, unlike saline, your body will not reabsorb the silicone.  Hence, the FDA advises getting MRI scans periodically to look for silent leaks.  (Definitely, discuss this FDA recommendation with your plastic surgeon to learn more about this recommendation.)

-Thanks for your question, and best of luck to you!


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