What is the difference between silicone and saline breast implants?

When it comes to breast implants, saline and silicone are two different types of filling materials used. Here are some key differences between saline and silicone implants:

1. Filling Material: Saline implants are filled with a sterile saline solution (saltwater), while silicone implants are filled with a cohesive silicone gel.

2. Consistency: Saline implants have a firmer feel compared to silicone implants. Silicone implants are designed to closely resemble the feel of natural breast tissue.

3. Rupture Detection: If a saline implant ruptures, it deflates quickly, and the saline solution is harmlessly absorbed by the body, making the rupture noticeable. Silicone implant ruptures are often referred to as "silent ruptures" because they can go undetected without regular imaging, such as MRI scans.

4. Appearance: Silicone implants typically provide a more natural look and feel due to their gel consistency. Saline implants may have a slightly more noticeable "water balloon" appearance, especially in patients with less breast tissue.

5. Naturalness: In very thin patients, silicone implants are less likely to show rippling and fold flaws and may thus appear more natural.

6. FDA Approval: Both saline and silicone breast implants are FDA-approved for breast augmentation in the United States.

It's important to consult with a board-certified plastic surgeon, like myself, to discuss your specific goals, medical history, and individual factors that may influence the choice between saline and silicone implants.