How Do I Choose Between Saline And Silicone Gel Breast Implants?

Choosing between saline and gel (silicone, gummy bear) breast implants is a personal decision that depends on your preferences, anatomy, and individual circumstances. Both types of implants have their own advantages and considerations.


Here are some factors to consider when making your decision:


How do I choose between saline and gel breast implants?

  1. Look and Feel:
    • Saline Implants: These implants are filled with sterile salt water. They tend to feel firmer and may have a slightly less natural feel compared to gel implants.
    • Gel (Silicone) Implants: These implants are filled with silicone gel, which often feels more like natural breast tissue. Many people find gel implants to have a more natural look and feel.
  2. Rupture Detection:
    • Saline Implants: If a saline implant ruptures, the saline solution is harmlessly absorbed by the body, and the deflation is usually noticeable quickly. The breast will lose volume, and the implant needs to be replaced.
    • Gel (Silicone, Gummy Bear) Implants: Ruptures in gel implants may be harder to detect because the gel may not leak out as quickly or visibly. Regular monitoring through imaging, such as MRI, is recommended to detect silent ruptures.
  3. Risk of Complications:
    • Both types of implants have potential risks and complications, such as infection, leakage, and changes in breast and nipple sensation. Discuss these risks with your surgeon and make sure you understand the potential complications associated with each type.
  4. Incision Size and Scarring:
    • The incisions for both saline and gel implants are typically made in inconspicuous locations. Saline implants  require smaller incisions than gel implants because they are filled after insertion. This can result in less noticeable scarring.
  5. Cost:
    • Saline implants are less expensive than gel implants. Consider your desire and budget when making your decision.
  6. Research:

    • Gather information from reputable sources, including medical professionals, academic journals, and regulatory bodies. Stay informed about the latest advancements in both saline and gel implants.
  7. Review Before and After Photos:

    • Look at before and after photos of individuals who have undergone breast augmentation with both saline and gel implants. This can give you a visual idea of the potential outcomes.
  8. Consider Long-Term Implications:

    • Think about the long-term implications of your choice. Breast implants are not lifetime devices, and you may need revision surgery at some point. Understand the potential lifespan and maintenance requirements of your chosen implants.
  9. Consultation with Surgeon:
    • Consult with a board-certified plastic surgeon who can assess your individual needs, anatomy, and preferences. They can provide personalized recommendations based on your goals and medical history.
  10. Listen to Your Instincts:

    • Ultimately, trust your instincts and choose the option that aligns best with your goals, preferences, and lifestyle.


Choosing between saline and gel breast implants is a highly personal decision that requires careful consideration of various factors. By thoroughly researching and discussing your options with a qualified surgeon, you can make an informed decision that aligns with your aesthetic goals, budget, and overall well-being. Remember that both types of implants have been used successfully by countless individuals, and the key is to choose the option that feels right for you.


To learn more about how Breast Implants and Breast Augmentation can help you look your best, call 804 673-8000 and schedule a consultation at DeConti Plastic Surgery today.

804 673-8000