Breast Augmentation

Silicone v. Saline Implants

March 10, 2022

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 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.


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.

Reviews & Testimonials

karelys medina
5 stars

Perfect 🤩

Oct 20, 2022
Marsha Schubert
5 stars

Dr.Stewart has been wonderful to work with. Would refer him to anyone!

Oct 07, 2022
Cinda Lott
5 stars

Dr. Stewart is such a professional physician. He is very caring and very thorough and explains everything to you. His staff is also very knowledgeable and they put you at ease. I would highly recommend them.

Oct 07, 2022
Keisha Blackwell
5 stars

Dr. Gronka was great and patient enough to answer all my questions.

Oct 04, 2022
Tonya Pattillo
5 stars

Dr Gronka is wonderful! He has awesome bed side manner and answers any questions I have.

Sep 22, 2022
Trisha Fietsam
5 stars

The whole staff was welcoming and made me feel at home from the beginning. I am so pleased with my decision to use advanced with this procedure! My expectations were met and more. From the front desk staff, back office staff and surgery center every person I came in contact with was helpful and made the experience much easier. I love my results! Would absolutely rate 5 stars!

Sep 21, 2022
Sishma Barner
5 stars

Great Visit With Dr Gronka!

Sep 07, 2022
Caroline Bradberry
5 stars

I just got the absolute best mommy-makeover from Dr. Raniere!I have wanted to do this for over twenty years! I finally got the courage and I have been more than pleased! Everyone was super helpful and nice and friendly. Thank you for amazing service!!

Aug 29, 2022