San Francisco Plastic Surgery & Laser Center | Usha Rajagopal, MD

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What do you prefer? Silicone or Saline Breast Implants

Are you thinking of getting a breast augmentation? You’re not alone! Breast augmentation was the most popular cosmetic surgery of 2010. There are many factors to consider when thinking of getting a breast augmentation: 4 different types of incisions, 2 types of implants!

In this post, I’ll help you better understand how to choose between silicone or saline implants.

In my practice, I average approximately 50% silicone & 50% saline breast implants. There are two main factors that determine whether a patient would be a candidate for either implant:

  • What is the initial breast size & desired breast size? I usually encourage silicone implants for smaller breast sizes, especially if my patient want to increase their size by two or more cup sizes. So, for example, a patient starting with an A cup and ending with a C cup would use silicone implants while someone starting with a B cup and ending with C cup would use saline implants.

  • What is the skin (tissue) quality & body type? If the skin tissue is thin & has stretch marks, I recommend using silicone implants. Also, if the body type is very thin, silicone may be a better option than saline.

Silicone vs Saline: Pros & Cons

Silicone Breast Implants Pros:

  • More natural look & feel

  • Less Leakage

Silicone Breast Implant Cons:

  • More difficult to detect leakage. In fact, the FDA recommends MRIs three years after your original surgery & every two years after that to check for potential leaks

  • Slightly higher risk of capsular contraction

  • Tends to be a bit more expensive than saline implants

For more information on breast implants, watch the below KRON4 Body Beautiful Video:

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