8 doctors weighed in:

Which is more effective and hurts less saline or silicone breast implants?

8 doctors weighed in
Dr. ELizabeth Kinsley
Surgery - Plastics
3 doctors agree

In brief: Both/ neither

While both are "effective" at making your breasts larger, silicone implants are far superior to saline in a number of ways.
The pain involved is mostly related to whether the implants are placed in front of the muscle or behind the muscle. If using silicone, because of the natural feel and lack of ripples, it is possible to place the implant in from of the muscle, so less painful!

In brief: Both/ neither

While both are "effective" at making your breasts larger, silicone implants are far superior to saline in a number of ways.
The pain involved is mostly related to whether the implants are placed in front of the muscle or behind the muscle. If using silicone, because of the natural feel and lack of ripples, it is possible to place the implant in from of the muscle, so less painful!
Dr. ELizabeth Kinsley
Dr. ELizabeth Kinsley
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1 comment
Dr. Barry Press
If you ask 10 plastic surgeons this question, you may get 10 different answers! I use both saline and silicone implants in front of and behind the pectoralis major muscle. The choice depends on the anatomy of the chest wall and the wishes of the patient. Both can give excellent results; pain is less with the implant on top of the muscle. All implants ripple, silicone less than saline.
1 doctor agrees

In brief: Both

Effective. Surgery about the same depending on size chosen.
Talk with surgeon about risks, benefits, and options. Early silicon had some leakage problems, but rare now.

In brief: Both

Effective. Surgery about the same depending on size chosen.
Talk with surgeon about risks, benefits, and options. Early silicon had some leakage problems, but rare now.
Dr. Creighton Wright
Dr. Creighton Wright
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Dr. Barry Press
Surgery - Plastics
1 doctor agrees

In brief: For most people

There is not much difference between saline and silicone implants.
All implants are wrinkled, but saline seem more wrinkly because they are filled with salt water. Silicone implants are filled with a gel that is thicker, so the wrinkling is not as apparent. This is only an issue in very thin patients, where the wrinkling may be noticeable (but usually not in clothes or a swimsuit.).

In brief: For most people

There is not much difference between saline and silicone implants.
All implants are wrinkled, but saline seem more wrinkly because they are filled with salt water. Silicone implants are filled with a gel that is thicker, so the wrinkling is not as apparent. This is only an issue in very thin patients, where the wrinkling may be noticeable (but usually not in clothes or a swimsuit.).
Dr. Barry Press
Dr. Barry Press
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