Saline vs. Silicone Implants: Which Is Right for Your Breast Augmentation?

By Tina DiCarlo, Practice Manager at The Maas Clinic | Insights from Dr. Rajaie Hazboun

At The Maas Clinic in San Francisco, one of the most common questions we hear from patients considering breast augmentation is: “Should I choose saline or silicone implants?” Both options have unique advantages, and the right choice depends on your body type, aesthetic goals, and lifestyle. Below, Dr. Rajaie Hazboun and our team break down the differences to help you decide which implant aligns best with your vision.

Saline vs. Silicone: Key Differences at a Glance

Saline Implants: Pros & Cons

Advantages:

• Adjustable Volume: Filled after placement, allowing minor size tweaks during surgery.
• Lower Cost: Budget-friendly for patients prioritizing affordability.
• Easier Rupture Detection: Deflation is obvious, prompting quick revision.

Disadvantages:

• Firmer Feel: Can feel less natural, particularly in patients with minimal breast tissue.
• Higher Rippling Risk: Visible wrinkles or folds under the skin.

Dr. Hazboun’s Insight:
“Saline is a great option for patients who want flexibility in size or prefer a smaller initial incision. However, it’s critical to have adequate tissue coverage to avoid rippling.”

Silicone Implants: Pros & Cons

Advantages:

• Natural Feel: Mimics the weight and movement of natural breast tissue.
• Lower Rippling: Ideal for thin-framed patients or those with less tissue.
• Shape Options: Round or teardrop (anatomical) styles available.

Disadvantages:

• Higher Cost: Priced higher due to advanced gel cohesivity.
• MRI Monitoring: FDA recommends scans every 2–3 years to check for silent ruptures.

Dr. Hazboun’s Insight:
“Modern silicone implants, like ‘gummy bear’ variants, offer unparalleled realism. Their cohesive gel stays in place even if the shell ruptures, making them a safe, natural-looking choice.”

Which Implant Is Right for You? Key Considerations

1. Body Type:
   • Thin Tissue? Silicone reduces rippling.
   • Adequate Tissue? Saline may suffice.
2. Desired Look:
   • Natural Movement: Silicone feels and moves like natural breast tissue.
   • Rounder Profile: Silicone can create a fuller upper pole.
3. Budget:
   • Saline costs less upfront; silicone requires long-term MRI expenses.
4. Maintenance:
   • Silicone needs regular MRI monitoring; saline requires only physical checks.

Realistic Expectations: What Implants Can’t Do

• Correct Severe Sagging: A breast lift may be needed alongside augmentation.
• Prevent Future Changes: Weight fluctuations, pregnancy, and aging can alter results.

Dr. Hazboun’s Tip:
“Bring Inspiration photos with you to your consultation. This helps us get a sense of your goals”

The Consultation Process at The Maas Clinic

During your appointment, Dr. Hazboun will:

1. Evaluate Your Anatomy: Assess breast tissue, skin elasticity, and chest width.
2. Discuss Goals: Round vs. teardrop, natural vs. dramatic.
3. Recommend Implants: Based on your priorities (feel, cost, safety).

Cost Comparison: Saline vs. Silicone

Final Thoughts from Dr. Hazboun

“There’s no ‘best’ implant—only the best implant for you. Whether you prioritize a natural feel, budget, or low maintenance, we’ll guide you toward a choice that aligns with your vision. The goal is to create breasts you love, both in look and feel.”