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close up view of a woman's hand holding a breast implantMost women’s first question about breast augmentation is deciding between saline or silicone breast implants. This guide distills breast implant types down to basics for a quick overview of which might be best for you.

Saline Breast Implants


  • Less expensive than silicone.
  • Use smaller incisions, because they’re inserted empty and filled after placement.
  • Lower incidence of early onset capsular contracture.


  • Greater tendency of visible wrinkling or rippling.
  • Can feel firmer than silicone, and can look obviously augmented. This can be either a pro or a con, depending on your personal goals. Women who want a very dramatic look will often choose saline.

Silicone Breast Implants


  • The jelly-like texture of silicone gel feels more like natural breast tissue.
  • Wrinkling is not typically a concern.
  • Final results appear very natural for a subtly enhanced look.


  • More expensive than saline implants.
  • Since leaks aren’t visually apparent, regular MRIs are recommended after surgery (3 years after initial augmentation, then every 2 years).

Gummy Bear Implants (Silicone)


  • Firmer form-stable highly cohesive silicone gel won’t leak in the event of an outer shell breach.
  • Lower incidence of capsular contracture compared to traditional silicone gel.
  • Breast-like texture and anatomical shape are ideal for reconstructive breast surgery.


  • Some women may find gummy implants too firm.
  • More expensive than silicone gel implants.
  • Possible risk of rotation within the implant pocket with potential for a greater degree of asymmetry than round implants.

Which Is the Best Implant?

The question of which breast implants are best comes down to whichever implant works best for you. Pros and cons aside, some women are perfectly happy with saline, while others swear by silicone gel or gummy bear implants. A consultation with a plastic surgeon will go a long way in helping you make the right choice for beautiful breast implant augmentation results.

Author: Dr. Otto Placik

Dr. Otto Placik is a Double-Board Certified Plastic Surgeon in Chicago, a leader in the field of body sculpting, and is recognized for his artistry in a wide range of modern cosmetic enhancements.


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