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When it comes to breast augmentation (“augmentation mammaplasty”or “breast enhancement surgery”), one of the most common questions that people ask is: Which implant is better – silicone or saline? Both types of breast implants have been regarded as safe and effective by the FDA.   However, there are differences to consider prior to making your final decision.  There may be one that is better suited for your individual needs and desires.

Silicone implants feel more like natural breast tissue in comparison to saline implants, which typically have a firmer feel. For many there is little difference between silicone and saline-enhanced breasts. Some patients have complained that their saline implants have visible wrinkling or rippling. However, if the implant is placed under the pectoral muscle or if the patient’s natural breast tissue or overlying skin is thicker, the wrinkles or ripples are less apparent. Some women do not want the potential rippled look and opt for silicone implants to minimize it.

One difference between saline and silicone implants is in the augmentation procedure itself; saline implants are inserted relatively empty and then filled with saline – a salt water solution – upon insertion. This allows Dr. Hiatt to measure the preferred size of the breast once it is placed and make adjustments to size, and adjust for asymmetries. Silicone implants, on the other hand, come pre-filled, so a slightly larger incision is needed for insertion. This difference plays a minor factor among most women because the scar is nearly imperceptible in either case. Temporary sizers are used if there is a question of symmetry so adjustments can be made prior to placement of the implants at the time of surgery.  Both saline and silicone implants can be inserted through the crease under the breasts, which Dr. Hiatt feels provides the best implant symmetry, contour and overall result.

Every woman is different; therefore it is vital to have a consultation with your plastic surgeon to decide which implant is the better option for you. As a qualified and experienced surgeon, Dr. Hiatt will take the time to address your concerns and answer any questions you may have about breast augmentation and your implant options. Dr Karl Hiatt is board certified by the American Board of Plastic Surgery (ABPS), as well as a member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS).  If you would like additional information about Breast Augmentation surgery or you would like to schedule a consultation please contact our plastic surgery office in Mesa Arizona at (480) 844-1410.