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Saline or Silicone?

Saline or silicone? That is the question. There is no right or wrong answer. Weighing the pros and cons of both breast implant types, along with your surgeon's recommendations, is the best way to approach this decision. According to the American Society of Plastic Surgery, in 2010 approximately 60% of breast augmentation procedures were silicone while 40% were saline.

Understanding the anatomy of a breast implant may help you make your decision. Implants can be filled with saline or made out of silicone gel; however, the casing or outer shell for both is composed of silicone.

Saline vs Silicone
Saline Implants
Filled with a saltwater solution that mimics fluid found naturally in the body
Provide a slightly firmer feel
Incision can be placed around the nipple,
under the armpit (transaxillary),
or under the breast (inframammary) fold
More likely to show wrinkling and rippling
Slightly less expensive than silicone
Soft tissue coverage good if you have more breast tissue and/or thicker skin
Risk of rupture is slightly higher
Lifetime warranty for replacement implant if it ruptures
Silicone Implants
Filled with a cohesive silicone gel
Provide a softer, more natural feel
Incision can be placed around the nipple, under the armpit (transaxillary), or under the breast (inframammary) fold
Allow patient to have larger implants without showing wrinkling and rippling
Slightly more expensive than saline
Soft tissue coverage good if you have less breast tissue and/or thin skin
Risk of rupture is slightly lower
Lifetime warranty for replacement implant if it ruptures

Make us your source for up-to-date, accurate information about breast implants. Located in Florida, Ennis Plastic Surgery encourages you to ask a doctorask a doctor specific medical questions online. Also, you can ask a patientask a patient about the actual experience.

Common Reasons for Breast Augmentation

If you are not content with the size or shape of your natural breasts or have become dissatisfied with the toll that pregnancy, breastfeeding or weight loss has taken on them, breast augmentation is an option to restore your confidence.

Hundreds of women choose breast implants in Florida each year to improve their appearance and their confidence, but is it right for you?

  • Small breasts
  • Asymmetrical breasts
  • Drooping or sagging breasts after pregnancy and breastfeeding (usually requires 2 procedures, a breast lift (mastopexy) and breast augmentation, both of which are often part of a Mommy Makeover)
  • Changes in breast size or shape due to massive weight loss
  • Reconstruction after surgery to treat breast cancer
  • Cosmetic improvements after breast reconstruction

View Before & After Photos

Best Candidates for Breast Augmentation Surgery

The best candidates for breast enlargement are women who have a thorough understanding of the procedure, including its risks, benefits and costs. Realistic expectations about the outcome are also important. Breast augmentation can improve your figure, but it can't change any other aspect of your life or make a bad relationship better. Women should only consider undergoing breast augmentation for themselves and not at someone else's urging.

You should be in good physical health, exercise regularly and be of normal weight. Smoking cigarettes can affect the healing process, so if you do smoke, you should quit before breast augmentation.

The first step toward finding out if you are a candidate is a thorough consultation with a board-certified plastic surgeon that has extensive experience performing breast augmentation. He or she will examine your breasts, your skin tone and the rest of your anatomy to help determine if you are an appropriate candidate. Other factors, including breast augmentation cost and whether your lifestyle and commitments will allow you to take enough time off to recuperate properly, also play a role in determining your candidacy.

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Saline or Silicone?
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