Dr. Lisa Martinez
Board Certified Plastic Surgeon, MD, FACS
Both silicone and saline implants are FDA-approved and safe. Here are the key differences: FEEL - Silicone feels more like natural breast tissue; saline can feel firmer. LOOK - Silicone is less likely to show rippling, especially in thin patients. INCISION - Saline can be inserted empty (smaller incision); silicone comes pre-filled. RUPTURE - Saline deflation is immediately obvious; silicone requires MRI to detect. COST - Silicone is typically $1,000-2,000 more. Most surgeons and patients prefer silicone for its natural feel, but saline is a great option for those prioritizing budget or preferring a smaller incision.
