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Silicone vs. Saline


Dr. Waltzman has experience using both saline and silicone implants. Silicone implant technology has come a long way since they were first introduced in the 1960s. It is important to mention that silicone or saline refers to the material inside the implant, since both types of implants have a silicone outer shell.

Silicone is safe and effective, and Dr. Waltzman believes they provide a more aesthetically pleasing result. Silicone implants consist of a silicone shell filled with silicone. Although, excellent results can be achieved with silicone or saline, most women agree that silicone implants look and feel softer, and feel more natural than saline implants. The gel implants mimic the density and consistency of the normal breast. The use of silicone gel implants for cosmetic purposes is FDA approved for women 22 years of age and older.  Women younger than 22 years of age are only candidates for saline breast implants.

One significant difference between silicone and saline is that silicone implants come pre-filled in specific sizes.  In contrast, saline implants are filled to a chosen volume once they are placed in the breast.  As a result, the incision needed to place saline implants is slightly smaller than the incision for silicone implants.

Anatomic, form stable or “gummy bear” implants, are another good option for some patients.  They are slightly firmer than regular round silicone implants, and they minimize fullness in the upper portion of the breast and can provide a very natural appearance.  One of the possible risks associated with shaped implants is rotation of the implant, which often times requires surgery to correct.

The best implants are those that fit your body, and provide the increase in size you are looking for. During preoperative planning, Dr. Waltzman will help you choose the appropriate shape and size that is proportional to your body and provides the enhancement you desire.