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Silicone v. Saline Implants

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Our Team

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9/16/2025

Silicone v. Saline Implants

Both silicone and saline implants are traditionally used in breast augmentation surgeries. The silicone or saline implant is placed behind the breast to change its size and/or shape. Breast augmentation is performed for a variety of reasons, such as enhancing the size of the breasts in patients with smaller chests, restoring mothers’ bodies after birth and/or nursing, completing a transformation after weight loss, and recovering after a mastectomy. At Advanced Aesthetics, our team wants to help you fully understand your options before choosing to undergo your transformation. If you are considering breast augmentation and have questions about implants, we can give you any answers you need during your consultation.


One important detail to understand about implants is that silicone is involved with both silicone and saline implants. All breast implants have a silicone shell, which can either hold silicone or saline inside the shell. Breast implants are customized in width, depth, and fill volume to suit each patient’s needs. When completed properly, the movement of the silicone or saline within the shell will mimic the natural movement of breasts.


Silicone

Silicone is known for feeling more natural than saline due to its gel-like consistency. Silicone has been used in implants since the 1960s. Although silicone faced some scrutiny in the 1980s and 1990s when some patients claimed adverse reactions, the FDA has since conducted further studies to confirm their safety.


Silicone implants are one of the most widely studied medical devices, which speaks to the safety of their use. They have dramatically improved since the 1960s, and we expect they will continue to improve in the years to come. The FDA does require that patients be at least 22 years of age to receive silicone implants. Silicone implants are typically more expensive than saline implants, but many patients find the investment to be worthwhile long-term. If you’re undergoing breast reconstruction, silicone implants are always the choice given the nature of the procedure.


Saline

While gaining popularity in the 1990s and early 2000s, saline implants were created as an alternative to silicone implants. The silicone shell is placed behind the breast, and then the surgeon can fill it to the desired capacity with saline. Saline is salt water, so the implants can have movement if not overfilled. Because saline is made up of water, patients with thinner skin may experience wrinkling or rippling, which can occur when the folds of the implant can be seen or felt. The FDA allows for patients 18 and over to receive saline implants for breast augmentation. Saline implants are a popular choice for the more affordable cost, but also because if they deflate, the saline can safely absorb into the body.


If you are unsure whether saline or silicone would be the better choice for your goals, our board-certified surgeons would be glad to offer guidance. Breast augmentation is never a one-size-fits-all procedure for Advanced Aesthetics. We are committed to helping you achieve your desired appearance comfortably and safely.

I recently had a lower facelift and neck lift with Dr. Raniere and could not be happier with the results! He is the absolute best! This was my second surgery with him and once again he nailed it! Thanks again, Dr. Raniere, for another job well done and amazing results!

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I found Dr. Gronka after extensive research. He performed a facelift, a brow lift, and I had him tighten up my neck and remove excess skin under my chin. My results are fabulous. I look like myself but younger and rested.Doctor Gronkas work display his many years of experience.

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I absolutely recommend Dr.Takintope Akinbiyi and the whole team at Advanced Aesthetics! As my surgeon I had (and have) complete trust and confidence in his abilities. As a person he is patient, well informed, and has great banter.I searched and had consults with 3 other surgeons before finding him and advanced aesthetics. Being picky and being patient is well worth it.The front desk is also simply amazing and really fast with communication. I even left my umbrella at the Stockbridge office during my consultation in February, and when I came back for my post-op appointment this week they still had it! I had completely forgotten about it. Everyone is so warm and kind. (It will restore your faith in humanity to encounter people while at work who are genuinely pleased to be there. Truly. The music in the Stockbridge office is also a high point, whoever has the aux is doing a great job)Shout out to the nurse who took my drains out and my pre-op nurse. I hope y'all's Starbucks order is never wrong, your check engine light never comes on, and that you get exactly what you want for your birthdays EVERY YEAR.I am healing really smoothy, my recovery has been well overseen and well informed. I felt completely safe and cared for from the consultation, to the pre-op room, operating room and the post-op visits.I desire no other surgeries but when it's time for filler or botox I will be returning to Advanced Aesthetics. Even though its a 45min-1hr drive from me.Thank you so much Dr.Akinbiyi. I am and always will be deeply appreciative of you helping me ( and others like me) to feel at peace in my body and safe in your presence. I hope you take an amazing vacation this year ( possibly several?) You deserve it.

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