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Which Should I Choose: Saline Breast Implants or Silicone Gel Breast Implants?

Welcome to the inaugural issue of the CosmeticSurgeryPlano blog!  Our first series of blog entries will concern everyone’s favorite cosmetic surgery topic: breast implants.

Silicone gel advantages:

1. Softer to touch, feel more like breast tissue.

2. Reduced rippling relative to saline implants.

Saline advantages:

1. Smaller incisions (3 cm—about 1.25 inches versus around 5 cm for silicone gel)

2. Lower risk of capsular contracture (hardening of the implants due to scar tissue)

3. Lower cost (around $1200 to $1500 lower).

4. Less controversy (I’ll address this in the next blog).

There is no perfect implant.  If there were, we’d only be discussing one kind of implant type (rather than two).

Silicone gel breast implants are probably better from a purely cosmetic standpoint: they feel very similar to breast tissue.

Saline breast implants are probably better from a purely safety standpoint: it’s hard to argue with the safety of a bag of saltwater.

In general, if you have a reasonable amount of breast tissue, subcutaneous fat, and breast tone, saline implants will be reasonably well-camouflaged and may be a good choice.

On the other hand, if your breasts are very small (A minus), you are extremely thin, and/or have poor breast tone (i.e. you don’t have much tissue to cover your implants), you may want to consider silicone gel.

With an office in Plano, our cosmetic surgery and plastic surgery services are also convenient to Las Colinas, Lewisville, and Highland Village.

Click here to watch a video about breast augmentation and a patient’s experience with the procedure.

For more information about breast implants, please visit our webiste.

More about breast implant safety considerations in the next blog…

Ronald M. Friedman, M.D.

Director, West Plano Plastic Surgery Center

Former Chief of Plastic Surgery, Parkland Memorial Hospital, Dallas

One response to “Which Should I Choose: Saline Breast Implants or Silicone Gel Breast Implants?”

  1. Yahaira Arcoraci

    Dr. Friedman, named D Best Plastic Surgeon for six consecutive years, discusses about Saline and Silicone Gel Breast Implants.

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