Saline vs Silicone

Most women who consider breast implants encounter difficulties choosing between silicone gel-filled and saline filled implants. Even though the main reason for this surgery procedure is to have good-looking breasts, choosing the right type of breast augmentation is very critical especially when it comes to their side effects. So, what is the main difference between silicone and saline types of breast implants? Both of these breast implants have an outer shell of silicone. However, these implants differ in consistency and material.


This type of implant is filled with sterilized salt water. Saline implants are first placed empty and filled once fixed in place. This type of implant is recommended for all women above 18 years for breast augmentation. It is also available to every woman for breast reconstruction regardless of age.


This type of implant is first pre-filled with a silicone gel. This gel is a thick and sticky fluid, which mimics the actual feel of the human fat. The majority of women feels that this type of breast implants feel and look more like natural tissues of the human breast. They are recommended for women of 22 years and above looking for breast augmentation. Just like the saline type of breast implants, silicone can also be done to all women, regardless of age looking for breast reconstruction.

Risks Involved In Breast Implants

All these implants have the same risks. These risks are capsular contracture – this is a scar tissue, which distorts the breast implants shape, infection, breast pain, implant rupture/leakage and changes in breast and nipple sensation, but this condition is not permanent. To correct any of these medical complications might need an extra surgery, which is either to replace or remove the implants.

What happens in case of any implant ruptures? In a case of implant rupture, the approach might change based on whether the breast implant is silicone or saline.

What happens if there’s a rupture in a saline implant?

If this type of breast implant ruptures, it will deflate, causing the changes in breasts’ shape and size. The leaking solution of saline is absorbed without posing health risks, but a surgery is needed to remove a silicone shell.

What happens if there’s a rupture in silicone implant?

Isn’t easy to notice if the silicone type of breast implant has been ruptured or not. This is because free silicone may tend to always remain contained in the capsule (fibrous tissue) which forms around the breast implant. This is mostly referred as the silent rupture.

Leaking silicone gel in the body doesn’t cause any long term or systemic health complications such as reproductive problems, breast cancer, or even a connective tissue disease like rheumatoid arthritis. However, if silicone type ruptures can cause pain in the breast, or change its shape or contour of the breast. If this occurs, the possible solution is another surgery to remove it and if so wish another new breast implant can be inserted during this procedure.

Lastly, all these types of breast implants, (whether you choose silicone or saline) have their own advantages and shortcomings. It’s important to seek the doctor/surgeon is advice before choosing your preferred type of implant.

Another factor is the cost of each type of implant.