Both saline and silicone breast implants are safe and effective for breast augmentation. Saline breast implants are filled with a sterile salt water solution, the same kind used to supply fluid in surgical drips. Silicone breast implants are filled with coherent silicone gel that is medical grade and shown to be largely bio-inert (it doesn't interact with body tissue). In the past, there were safety scares about silicone gel, but these have not been shown to be supported by scientific evidence.
Breast implant options
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There are many different types of breast implants, with different fill materials, surface types, and shapes. Breast implants may be filled with either saline liquid (salt water) or silicone gel. Both have been approved for use in the US as being safe and effective, and the differences are largely a matter of patient preference. Saline breast implants are less expensive and more flexible surgically--being inserted via a smaller incision.
Breast implants can be placed either directly below the breast tissue (technically called subglandular placement) or they can be placed under some of the muscles in the chest (called submuscular placement). Submuscular breast implant placement has several advantages. Because there is more tissue to cover the breast implant, it is less likely to be visible, which is especially important for saline breast implants, which are more likely to have rippling.
Only you can determine your ideal breast size. Once you have decided on your desired breast size, we can easily determine the right breast implant size to achieve that result. A good place to start is with pictures of you at a time you were happy with the size of your breasts. Perhaps you were pregnant or had gained weight, causing your breasts to swell, or maybe it was just when your breasts had youthful fullness. If you can find a time when you were happy with the appearance of your breasts, we can get you back there.