I’m getting Breast Augmentation in 2 months. I had originally decided on a 320cc silicone implant, but now feel safer going with saline.I contacted my plastic surgeon and it was clear she was trying to dissuade me from going this route. She believes I will be much happier with the look of silicone and stated that she rarely does a saline implant anymore, as almost all of her patients request silicone. Please help me make heads or tails with this decision I need to make. Can a saline implant give a comparable natural look?

A: saline vs silicone implants

You should first be aware that there are no health risks of saline or silicone implants. Silicone implants have been studied extensively over the past 20 years and are FDA approved.

You can have a very natural result with either saline or silicone. Saline and silicone “look” quite similar. However, silicone breast implants “feel” more natural to the touch; this is why most patients and surgeons are now using more silicone breast implants. One potential problem with saline implants is that of rippling or wrinkling of the implant edges, which can often times be seen or felt on the side of the breast. This phenomenon of rippling rarely occurs with silicone due to its thicker, gel composition.

Please meet with your surgeon again to look at more implants and photos of patients to further assist in your decision.

Best wishes,

Dr. Bruno