Austin-Weston specializes in breast enhancement surgery, including breast implants, breast augmentation, breast lifts and breast reductions for Northern Virginia, Maryland & Washington, DC.

If you are considering breast augmentation, one of the most important decisions you will make, after selecting your plastic surgeon, is deciding whether you want silicone gel implants or saline implants. Whether you select silicone gel breast implants or saline implants will have a significant impact on the quality and longevity of your results, so we have created this handy question-and-answer page to help you sort out the factors in making your decision.

Which looks better, silicone gel breast implants or saline breast implants?

Many people believe silicone gel breast implants look and feel more natural than saline breast implants. If you hold both breast implants in your hand, you can tell that silicone gel breast implants have a texture more like natural breast tissue, and this means that they look and behave more like natural breast tissue, as well, with a lower incidence of rippling or visible implant borders than silicone gel breast implants. This means that silicone gel breast implants may be more likely to give you better breast augmentation results. This matters more for patients who initially have less breast volume.

Which is safer, silicone gel breast implants or saline breast implants?

Both silicone gel breast implants and saline breast implants are FDA-approved for breast augmentation because they are safe. There has never been any connection between silicone gel and connective tissue disorders, cancer, or any other illness. Still, saline solution is common in the body and saline breast implants have a lower incidence of capsular contracture, so they might be considered slightly safer for breast augmentation.

Which is less expensive, silicone gel breast implants or saline breast implants?

Saline breast implants are less expensive than silicone gel breast implants, and this is an important factor to consider in making your breast augmentation decision. However, it is best not to make price the basis of your final decision. It is best to select the breast implant that works best for you and gives you the results you are looking for.

Which allows more flexibility, silicone gel breast implants or saline breast implants?

Saline breast implants allow more flexibility during the breast augmentation procedure. Because saline implants come unfilled from the manufacturer, the patient has more choices how they are inserted. Because they are not pre-filled, saline implants are also more flexible in exactly how much they are filled. This can be helpful if part of your reason for wanting breast augmentation is the correction of natural breast asymmetry. Your physician will work with you to help you understand the differences and help you make a choice good for you.

Do silicone gel breast implants correct wrinkling?

Occasionally, some patients may experience wrinkling with saline breast implants. There is a possibility that the wrinkling may be corrected if you replace your implants with silicone gel breast implants.

What are the age limitations on silicone gel breast implants and saline breast implants?

Saline breast implants are approved for women age 18 and older. Silicone gel breast implants are approved for women age 22 and older.

Which is more likely to rupture, silicone gel breast implants or saline breast implants?

Saline breast implants have a slightly higher rupture rate than silicone gel breast implants, according to some studies. Saline implant rupture rates are about 1% per year, while some studies show that some groups of silicone gel breast implant recipients see no ruptures over the first seven years after breast augmentation, while others show rates of about half a percent per year.

What happens if a saline breast implant ruptures?

If your saline breast implant ruptures, the breast will slowly deflate as the saline is safely absorbed by the body.

What happens if a silicone gel breast implant ruptures?

If a silicone gel breast implant ruptures, the silicone gel remains either in the implant shell or in the breast implant pocket or capsule. There is no deflation of the breast.

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