When you start looking into breast implants, the choices can feel endless. With all of the different materials, shapes, and textures, it may be difficult to know which option will give you the results you want. At Georgia Plastic & Reconstructive Surgery, we simplify these decisions by helping you understand the differences clearly.
Although we have preferred options that we work with most often, the right choice always depends on your goals and anatomy. In this guide, we will review the basics of saline, silicone, and gummy bear implants so you know what makes each different. With this information, you will be better prepared for your consultation and discussion about the look you want to achieve.
The Basics About Breast Implants
Breast implants are medical devices placed during surgery to increase breast size or restore shape after changes such as pregnancy, weight loss, or mastectomy. You may choose implants to create more balance with your body frame, to improve breast symmetry, or to replace volume that has diminished. The two main parts of an implant are the outer shell, made of silicone, and the inner filling, which can be either saline or silicone gel. Material, size, and shape all influence the outcome of your surgery, so knowing these basics gives you a starting point before you discuss the details of your surgery with your surgeon.
Saline Implants
What They Are
Saline breast implants have a silicone outer shell that the surgeon fills with sterile salt water during surgery. Because the filling happens after placement, the incision can be smaller, which may be appealing if you are concerned about scarring. These implants are available in a variety of shapes and sizes.
Advantages
One of the main benefits of saline implants is that if they leak, the body absorbs the saline and the implant deflates quickly, making it easy to detect. The ability to fill the implant during surgery also gives your surgeon the chance to make small adjustments in volume to improve symmetry between the breasts. Saline implants tend to feel slightly firmer, and they often maintain their shape well in the breast pocket.
Drawbacks
Saline implants can feel less natural compared to silicone implants, especially if you have little natural breast tissue to cover them. Rippling or wrinkling along the edges of the implant may also be more visible, particularly in thinner body types or when placed above the muscle. They lack the softer, more natural texture of silicone and are not used as often in our practice, but they are still appropriate in some situations.
Ideal Candidates
You may be a good candidate for saline implants if you prefer a smaller incision, like the option of an implant filled during surgery, or want a slightly firmer feel. Saline implants are also the only type available to patients under 22, since the FDA reserves silicone implants for those 22 and older. They are better for patients who have more natural breast tissue.
Silicone Implants
What They Are
Silicone breast implants have a silicone outer shell that is pre-filled with a soft silicone gel before surgery. They are available in a wide range of shapes and sizes, giving you flexibility in choosing the right look for your body. Some silicone implants are more cohesive than others and hold their shape as you move your body.
Advantages
One of the biggest advantages of silicone implants is the way they feel. The gel inside creates a softer, more natural texture compared to saline, which can be especially beneficial if you naturally have less breast tissue. Silicone implants also tend to show less rippling, which helps create a smoother look under the skin.
Drawbacks
Silicone implants require a slightly larger incision since they come pre-filled, and placement may take more time during surgery. A rupture is not always immediately obvious because the gel tends to stay within the shell or surrounding tissue. Because of this, the FDA recommends routine imaging, such as MRI or ultrasound, to check the condition of silicone implants at regular intervals.
Ideal Candidates
You may be a good candidate for silicone implants if you want a soft, natural feel and prefer an implant that is less likely to ripple. Patients who are 22 or older are eligible for silicone implants, and they are often recommended for thinner individuals or for those who have less breast tissue to cover the implant.
Gummy Bear Implants
Gummy bear breast implants are a type of silicone implant filled with a highly cohesive gel that holds its shape even if the shell breaks. They are often called “form-stable” implants because the gel is thicker, which helps the implant keep a natural teardrop contour. All implants carry possible side effects, such as firmness, rippling, or rupture. In rare cases, certain textured implants, including some gummy bear styles, have been linked to anaplastic large cell lymphoma. Make sure to talk to your surgeon about all of your options to find the type of implant that fits your goals and medical history.
What Factors Influence Breast Implant Choice?
- Aesthetics: The overall look of your breasts is often the first factor you think about when considering implants. Size, shape, and profile all influence how natural or full the results appear. You may want a rounder, more lifted look, or you might prefer a subtle increase that enhances balance with your body frame.
- Feel: How the implant feels to the touch is another important consideration. Your body type and amount of natural breast tissue also affect how the implants feel once placed.
- Cost: Price can vary depending on implant type and surgical details. Silicone implants and gummy bear implants usually cost more than saline implants. While cost matters, it should be weighed alongside other factors like longevity, feel, and aesthetics.
- Surgeon Recommendation: Your surgeon’s experience and professional opinion carry significant weight in the decision-making process. Based on your body type, medical history, and desired outcome, your surgeon will guide you toward the implant that best fits your situation.
Breast Implant Manufacturers
Sientra
Sientra is a well-known manufacturer that offers a wide range of silicone gel implants. They are recognized for their cohesive gel, which holds shape well and provides a soft, natural feel. Sientra implants come in different sizes and profiles, and you can choose an option that matches your body and goals. Your surgeon can explain which of their products may best fit the look you want.
Mentor
Mentor is another leading manufacturer and is widely trusted by surgeons for its consistency and reliability. Their implants keep their shape well, which can help maintain upper pole fullness and provide a more youthful appearance. Mentor offers both saline and silicone options, giving you flexibility depending on your preference and anatomy.
Why Choose Georgia Plastics for Your Breast Implants
Choosing the right type of breast implants depends on factors like feel, shape, and safety, and having a clear understanding of your options makes the consultation process more productive. At Georgia Plastic & Reconstructive Surgery, Dr. Okoro and Dr. Lee specialize in breast and body sculpting and provide guidance on implant choices for patients in Atlanta, GA, and Marietta, GA, as well as Douglasville, Vinings, Woodstock, and the surrounding areas. Dr. Okoro is a Platinum Elite RealSelf expert and has extensive experience treating patients locally and internationally. To learn more or to schedule a consultation, please contact us online, call (770) 485-1554, or use our online form to get started.
