Choosing which implant is best for you

From 1992 to 2006, saline implants were the only option available (unless breast reconstruction was being performed) to increase the bustline. But since 2006, silicone implants have come back into play as the FDA deemed them safe for use, posing no significant threat or health risk. When it comes to choosing between silicone and saline implants, talk to your plastic surgeon about the look and feel that you’re trying to achieve. “Saline implants usually cost less and require a smaller incision. Plus, if they deflate, it’s easier to notice,” says Concord, CA, plastic surgeon Eric Mariotti, MD. “But if you’re looking for a more natural-feeling implant, opt for silicone, which tends to ripple less,” he adds.

“Silicone implants feel more natural than saline implants and might ‘ripple’ less, especially in those with thin skin or little breast tissue. Saline implants can feel comparable to silicone in patients with thicker skin and more breast tissue. Both saline and silicone implants can provide a very natural-looking breast.” – Beverly Hills plastic surgeon Garth Fisher, MD