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Choosing Between Saline and Silicone Breast Implants

Smiling woman feels two breast implants to try to choose her ideal pair.

When considering breast augmentation, one of the most common decisions women face is choosing between saline and silicone breast implants. Each type of implant offers distinct benefits and considerations that can impact the feel, appearance, and overall outcome of your procedure. Dr. Marco Ellis, a top-rated, board-certified plastic surgeon in Chicago, helps patients navigate these choices based on their goals, anatomy, and lifestyle.

Basic Implant Differences

Saline implants are filled with sterile saltwater and inserted empty before being filled once in place. Silicone implants come pre-filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. Both implant types feature a durable outer shell and are FDA-approved for breast augmentation and reconstruction.

Look and Feel

Silicone implants are often preferred by patients who want the most natural look and feel. The cohesive gel inside provides a soft, tissue-like consistency that more closely resembles natural breast anatomy. Saline implants, while slightly firmer, can still produce excellent aesthetic results, especially when placed under the chest muscle in patients with good skin coverage.

Incision and Placement Options

Saline implants are inserted while empty, which often allows for a smaller incision. This can be an advantage for patients concerned about minimizing visible scarring. Silicone implants require a slightly larger incision due to their pre-filled nature. Both types of implants can be placed either above or below the muscle, depending on your anatomy and desired look.

Rupture and Maintenance

A rupture in a saline implant is typically noticeable right away, as the breast deflates and the body harmlessly absorbs the saline. Silicone implant ruptures are often “silent,” meaning they may not show obvious signs. This is why patients with silicone implants are advised to undergo periodic imaging, such as MRI or ultrasound, to monitor implant integrity.

Age and Eligibility

The FDA has approved saline implants for patients aged 18 and older and silicone implants for patients aged 22 and older. These age guidelines are based on safety studies and the maturity of breast tissue development.

Choosing the Right Implant for You

Dr. Ellis emphasizes the importance of personalized consultation. Factors such as your body type, existing breast tissue, lifestyle, and cosmetic goals all play a role in choosing the right implant. He works closely with patients to explain the pros and cons of each option and help them make an informed decision.

Start the Process with Expert Guidance

If you’re considering breast augmentation and want to learn more about saline vs. silicone implants, schedule a consultation with Dr. Marco Ellis in Chicago. His expertise in aesthetic and reconstructive breast surgery ensures that every treatment plan is designed to meet your unique goals. Contact (312) 695-6022 to get started.