Choosing the Right Breast Implants: Silicone vs. Saline Explained
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Choosing the Right Breast Implants: Silicone vs. Saline Explained

Mrs Carla M Babicki | RGN

Last Updated On: December 16, 2024 | Published On: December 13, 2024

This Article Covers:
medically

Medically reviewed by Dr Kam Singh Bsc(Hons), MRCGP, MBCAM
Medical Advisory Committee for London Private Hospital
Last Reviewed December 13th 2024

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Breast augmentation is one of the most popular cosmetic procedures worldwide, offering a way for women to enhance their breast size and shape. With several options available, two of the most commonly chosen types of breast implants are silicone and saline. While both options are safe and approved by medical authorities, understanding the differences between these two implant types can help you make a more informed decision. This blog breaks down the key differences, pros, and cons of silicone and saline breast implants.

What are Silicone and Saline Breast Implants?

Before diving into the differences between silicone and saline implants, it’s important to understand what they are. Both implants consist of a shell and a filling, but the filling is where the main difference lies.

  • Silicone Implants: These implants are filled with a gel-like substance that mimics the feel of natural breast tissue. Silicone implants come pre-filled, meaning they are placed in the breast pocket already filled with the gel.
  • Saline Implants: These implants are filled with a sterile saltwater solution. Unlike silicone implants, saline implants are inserted empty, and the solution is filled once the implant is in place. This allows for smaller incisions, making the surgery less invasive.

Key Differences Between Silicone and Saline Implants

Let’s take a closer look at the key differences between silicone and saline implants.

Feel and Texture

The primary reason why many women opt for silicone implants over saline is the natural feel. Since silicone gel is more viscous than the saltwater solution used in saline implants, it tends to feel more like natural breast tissue. On the other hand, saline implants can feel firmer and less natural, particularly if there is less natural breast tissue surrounding the implant.

Aesthetics

For women seeking a more natural look, silicone implants are often the preferred choice. The gel-filled nature of the implant gives it a soft, natural slope and shape, making it more visually similar to natural breast tissue. In contrast, saline implants can sometimes appear more rounded, especially in women with less natural breast tissue.

Rupture and Leakage

One important consideration when choosing between silicone and saline implants is the potential for rupture. While both types of implants are designed to be durable, they do differ in how they behave if they rupture.

  • Silicone implants: If a silicone implant ruptures, it is less obvious, as the gel may stay in place within the implant shell. This is known as a “silent rupture.” Therefore, regular check-ups, such as MRIs, are recommended to detect any issues.
  • Saline implants: If a saline implant ruptures, the body absorbs the saline solution, and the implant will collapse. This is more noticeable, and the patient will often experience visible deflation. While this can be alarming, it is less dangerous, and the implant will need to be replaced.

Incision Size

Due to the nature of the two implants, the incisions required for their placement differ.

  • Silicone implants require a slightly larger incision because they come pre-filled. However, this larger incision is still relatively small and can be hidden in the natural fold of the breast.
  • Saline implants are inserted empty, and the surgeon fills them after placing them in position. This allows for a smaller incision, and in some cases, it may be possible to perform the surgery through an incision in the armpit or belly button.

Durability and Lifespan

woman holding breast implants

Both silicone and saline implants are designed to last for many years, but they may not last forever. Over time, the implants may need to be replaced or removed. Silicone implants are known for their durability and long-lasting appearance, whereas saline implants may require more frequent maintenance due to the possibility of deflation.

Which Implant is Right for You?

Choosing between silicone and saline implants is a personal decision, and the right choice depends on several factors, including your desired aesthetic goals, the amount of natural breast tissue you have, and your preference for a more natural feel versus a firmer implant.

Silicone implants are ideal for women who want a more natural look and feel, and they tend to work best for women with less breast tissue. These implants provide a more realistic breast shape and feel, making them the most popular choice for women undergoing breast augmentation.

Saline implants, on the other hand, offer a more affordable option and can be a better choice for women with more breast tissue, as they provide a firmer feel. They also offer easier maintenance, as ruptures are more noticeable and easier to manage.

Risks and Considerations for Both Implants

Although both silicone and saline implants are generally safe, they come with their own risks and considerations. These can include:

  • Capsular contracture: This is the most common complication with any breast implant, where scar tissue forms around the implant and causes it to harden. This can happen with both silicone and saline implants.
  • Infection: As with any surgery, there is a risk of infection after breast augmentation surgery.
  • Implant displacement: Over time, saline and silicone implants may shift in the breast pocket, leading to an unnatural appearance.

It’s crucial to work with a board-certified cosmetic surgeon to discuss these risks and determine which option is best for your individual circumstances.

Why Choose London Private Hospital for Your Breast Augmentation?

woman getting a consultation

When it comes to selecting a cosmetic surgery provider for your breast augmentation, choosing the right clinic can make all the difference in achieving your desired results. London Private Hospital is renowned for its personalised approach to cosmetic surgery. Their team of highly skilled surgeons provides tailored solutions, ensuring that each patient’s aesthetic goals are met with precision and care.
Whether you choose silicone or saline implants, London Private Hospital provides a safe and comfortable environment where you can undergo your procedure with complete confidence.

Ready to Enhance Your Confidence?

At London Private Hospital, they understand that breast augmentation is a deeply personal decision. Their team is here to guide you through every step of the process, from consultation to aftercare. If you’re considering breast reduction, gynecomastia surgery, liposuction, tummy tuck, abdominoplasty, lipedema surgery, or treatments like labiaplasty, their experts are ready to help you achieve your aesthetic goals.

Take the first step towards transforming your appearance and boosting your confidence. Book your free consultation today and find out how London Private Hospital can help you achieve the look you’ve always desired.

About the Author

The author of this blog is a skilled surgeon specialising in cosmetic procedures with years of experience performing breast augmentations, lipoedema treatment, liposuction, and various other procedures. With a deep understanding of patient needs and a commitment to exceptional care, they have helped countless individuals achieve their cosmetic goals safely and effectively.

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