Saline vs. Silicone Breast Implants Charleston

The saline implant is empty to begin with, and is filled only after insertion into the surgically-fashioned implant pocket. The silicone implant comes pre-filled. Therefore, for larger sized implants, the incision required for a saline implant will be smaller than for a silicone implant.

The saline breast implant is filled with water which is non-viscous (thin) and it has to be under filled. If it were totally filled so the shell was taut, then the result would look and feel totally fake. The result of this is that there are pleats in the implant shell which can be visualized as “ripples” or “wrinkles,” particularly in thin individuals. In addition, when the implant is felt through the breast itself it feels simply like a baggie full of water. In other words, it doesn’t feel like natural breast tissue.

On the other hand, the silicone breast implant is filled with silicone gel which is viscous. For the same reasons, the implant must be incompletely filled, but unlike the pleats of the saline shell, the silicone shell is softly undulated as it is supported by the thick gel. Visible rippling and wrinkling are very unusual even in thin individuals and the implant feels much more like normal breast tissue.

The saline implant can deflate. There is a 3-5% rate of implant deflation depending upon the manufacturer. Deflation is not painful, nor is it dangerous. The saline is simply absorbed. The manufacturer warranties the implant. They provide a new implant, and funds to have the implant replaced, which is a relatively simple operation.

If you are interested in learning more about your implant options or are simply looking for an experienced plastic surgeon in the Charleston, South Carolina area, please contact William Terranova, MD today to schedule your complementary consultation by filling out our online form or calling (843) 797-0440.