Silicone vs. Saline Implants

Silicone Implants
Saline Implants
Exceptionally Natural
Harder Appearance
Average Cost
Silicone implant held in one handSaline implant held in one hand

Understanding Your Choices

Undergoing breast augmentation is an exciting decision, but you may feel overwhelmed when choosing a type of implant.

Both silicone and saline implants can enhance your breasts, creating the shape and size that you desire for a more flattering figure and improved self-confidence.

Silicone-filled implants typically provide more natural-looking results. However, some patients prefer the peace of mind saline implants provide as they are typically less harmful in the event of a leakage.

Considering the Look & Feel of Your Breast Implants

Surgeon holding silicone implantsSurgeon holding silicone implants
The cohesive gel material used in silicone implants mimics the more natural movement of breasts.

Comparing Results, Cost, & Long-Term Outlook


Both types of implants are encased by a silicone shell. However, saline implants are filled with sterile salt water, while silicone implants are composed of a thick, jelly-like material.


Because saline implants deflate noticeably when damaged, it is much easier to spot a ruptured saline implant than a silicone one. Catching a leak early on can help minimize the negative health effects.

Look & Feel

Silicone implants provide a more realistic feel and appearance due to the thicker material which resembles that of a gummy bear. This allows them to move and sit more naturally.

finance_038-piggy_bank-pig-saving-moneyCreated with Sketch.


In many cases, silicone implants are more expensive than saline. Depending on several factors, they can even cost twice as much as saline implants. The average cost of a saline implant procedure is $3,515 whereas silicone implants are about $4,014.


Saline implants are more likely to ripple. Rippling is the development of visible wrinkles in the implant, which may affect the appearance of your results. 

"Extensive FDA-directed prospective clinical research with long-term follow-up has confirmed no association between silicone gel implants and any chronic autoimmune disease."

- Dr. Karen Horton in an article for the American Society of Plastic Surgeons

Both Silicone & Saline Implants are Popular, Safe Options

General Safety

While there are risks associated with rupture, modern implant materials have been significantly improved to prevent it. The FDA recommends that patients with silicone implants receive an MRI every three years to monitor for rupture.


Both saline and silicone implants are used to create fuller, more shapely breasts. In a study that evaluated patient satisfaction among women who had received saline implants, 98 percent were satisfied with their results.


Typically, patients replace their implants every 10 to 20 years, depending on their lifestyle. 

"The majority of silicone implant ruptures are clinically undetectable and pose no significant health risks."

-According to the National Institutes of Health

Silicone Implants are the More Popular Option

Which Type of Implant is Right for You? Reviewing the Pros & Cons


Silicone Implants Saline Implants 
Create Fuller, Rounder Breasts X X
Safe to Use X X
Easily Adjustable after Surgery X


Silicone Implants Saline Implants
Can Rupture X X
Difficult to Identify Rupture X
Rippling X

How Else Can I Improve the Appearance of My Breasts?

fat-transferCreated with Sketch.

Fat Transfer Has Limitations

Some patients opt for a fat transfer, although this can only provide limited enhancement.

auto-augmentationCreated with Sketch.

Auto Augmentation is Possible for Some

Breast auto-augmentation is another option if you have substantial tissue that can be moved from one part of the breast to another to create more fullness and lift. 

Group 12Created with Sketch.

Implants Are the Gold Standard

However, to fully transform your breasts, saline and silicone implants are the gold standard.

Choosing the Right Implant

While silicone implants are appealing due to their more realistic qualities, some patients may feel better with the peace of mind offered by saline in case of rupture. To make the best choice for your needs, there are several crucial factors to consider:

Created with Sketch.During your consultation, your doctor can help guide you to the best implant type so you can fully enjoy your results and improved self-confidence.

SP Plastic Surgery, LLC

SP Plastic Surgery, LLC

Dr. Stephanie Peng is a board-certified plastic surgeon who closely partners with every patient to achieve their aesthetic goals. She is affiliated with various national organizations, including: 

  • American Society of Plastic Surgeons
  • American Board of Plastic Surgery

Dr. Peng provides patients with life-changing surgical care and transformative results. To request a consultation with our doctors, contact our Minnetonka office online or call us at (763) 999-4170.

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