When you’re looking to have breast augmentation, you may ask, “Which implant would be the best implant for me?” Implants come in many different types and sizes, and the right one for you depends on many factors.

The two basic types of implants are silicone gel implants and saline implants. Their shapes can vary from round to teardrop, their heights and widths vary too. Most of the time, women and cosmetic surgeons pick the round implants instead of the teardrop shape. All are very reliable and safe and look good when placed in women’s breasts. There are some differences that you should know about before choosing the implant for you.

Join Dr. Robert True as he discussed silicone and saline breast implants on WFAA TV in Dallas, Texas. He explains the benefits, risks, and advantages of using the new silicone gel implants versus saline implants. They both yield great results but there are some advantages of silicone over saline implants. Learn about these differences to help you choose the best implant for you.

Silicone gel implants are filled with a propriety cohesive gel that allows the implant to maintain its shape within the body. The outside of the implant is a thin polymer that is very strong and does not allow leakage of the silicone outside the implant and resists rupture. Even if a rupture occurs, it doesn’t leak silicone into the area (see below) like older silicone implants. Silicone gel implants “feel” more like natural breast tissue and are less likely to “ripple” as saline implants. They are round in shape and can give you beautifully shaped breasts.

Saline implants are filled with saline, which is similar to the natural fluid of the human body. The amount of volume placed into the implant is somewhat flexible, since they can be filled more than 5%to 10% of their stated minimal size. The downside of the saline is that, especially in a thin woman, they may ripple on the sides, which is a very unwanted look for most woman. The advantage is that they are less expensive than silicone implants.

Tear drop shaped implants are filled with either saline or silicone gel. They have a thicker rough outer shell which can give them a firmer “feel”. They are used mostly in reconstructions of the breast by most physicians. They can provide more fullness in the upper breast area if there is none, but they are usually more expensive than round implants. They go by many names, such as Gummy Bear implants, MemoryShape implants, TearDrop implants, and others. For most women, they provide no advantage over the round shaped implants and possibly some disadvantages if they don’t stay in place properly plus they aren’t as soft as the round gel implants.

Silicone gel implants are filled with a gel that keeps its shape despite a possible rupture, called a cohesive gel. This is demonstrated here where an implant is actually cut in halve. Older implants would leak silicone out as a liquid and this caused the problems with excessive internal scar formation and hardness of the breasts called capsular contraction. Because these newer implants don’t leak the silicone, as demonstrated here, they do not result in the high incidence of capsular contraction. Both saline and silicone gel implants can cause this potential problem about the same incidence: around 16% chance over 10 years.

Measurements need to be made to determine the best implant height and width for you. Implants come in low, moderate, high, and extra high profiles. For most people, the moderate versus the high profile are the best choices. Each can project your breasts forward differently with respect to the width of the implant, which varies depending on the width of your chest. The best choice is to fit the implant according to your specific chest measurements and your personal desires

The incision for placement of saline implants is usually shorter than for silicone implants. Saline implants require a minimum of 2.5 cm for placement of the implants. Silicone implants normally require at least a 5 cm incision for placement of the implant. This is a difference of around 1 inch, and the incision is usually placed in areas which are not easily noticeable so their visibility is minimal. Most of the time, this incision is in the lower breast fold, so it is not noticeable in the standing position as the breasts fall naturally.

Cost of silicone implants is usually more than the cost of saline implants. The manufacturing and patenting of the silicone implant is more complex and costly, plus the medico-legal costs are much higher with the silicone implants. The cost of higher profile implants and tear drop implants are higher than the round implants. In general, although you pay much more for the silicone implants, you should pick the best choice for the look of your breasts for your lifetime.

If you have concerns regarding your breasts and would like an enhancement, come in for a complimentary consultation to see how we can help you achieve your desires. Call for an appointment today at 817-399-8783.