Silicone vs Saline Implants: Which Is Right for You?

Thinking about getting breast implants but not sure whether to choose silicone or saline? You’re not alone. One of the most common questions we hear at Grand Genesis Plastic Surgery in Ontario is: “What’s the difference between silicone and saline breast implants—and which one should I choose?”

This decision can feel overwhelming, especially with so much information out there. But don’t worry—we’re here to break it all down for you in a simple, detailed, and easy-to-understand way.

Let’s walk through everything you need to know.

Understanding Breast Implant Types

Before comparing, it helps to understand what each implant is made of and how it works.

What Are Silicone Implants?

Silicone implants are filled with a thick, cohesive silicone gel that closely mimics the feel of natural breast tissue. These are pre-filled and inserted as-is during surgery.

They’re often chosen for their natural look and feel, especially in thinner patients or those with less natural breast tissue.

What Are Saline Implants?

Saline implants are filled with sterile salt water. Unlike silicone, these implants are inserted empty and then filled once they’re in place, allowing for more flexibility in size adjustments.

Saline implants tend to feel a bit firmer and may not have the same “realistic” feel as silicone.

Key Differences: Silicone vs Saline

Now let’s dive into the actual differences that might affect your decision.

Feel and Appearance

• Silicone implants are widely considered to have a more natural feel. They tend to look softer and move more like natural breast tissue.
• Saline implants can feel slightly firmer and may not blend as seamlessly with the body, especially in patients with thinner skin.

Scar Size & Incision Options

• Saline implants are inserted empty, so they usually require a smaller incision.
• Silicone implants are pre-filled and may require slightly larger incisions.

Risk of Ripple & Wrinkling

• Silicone implants are less likely to show rippling or visible wrinkles under the skin.
• Saline implants, especially in women with thin skin or little breast tissue, can be more prone to visible rippling.

Safety & Health Considerations

When it comes to your health, safety is always the top priority. Both implant types are FDA-approved, but they come with different risks and considerations.

Rupture Risk & What Happens

• If a saline implant ruptures, the body naturally absorbs the salt water, and the breast visibly deflates.
• A silicone implant rupture might not be immediately obvious. This is known as a “silent rupture,” which is why routine MRI screening is recommended.

Capsular Contracture & Complications

Both types carry a risk of capsular contracture, a condition where scar tissue hardens around the implant. This can lead to discomfort or changes in shape.

There is no clear evidence that one type has a significantly higher risk than the other, although surgical technique and aftercare play a big role.

BIA‑ALCL & Long‑Term Safety

BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) is a rare cancer associated primarily with textured implants, not the silicone or saline filling itself. At GGPS, we prioritize smooth-surface implants and patient education for long-term safety.

Age Eligibility & Regulatory Guidelines

FDA Age Restrictions

• Silicone implants are FDA-approved for women aged 22 and older.
• Saline implants are FDA-approved for women aged 18 and older.

MRI & Routine Screening Recommendations

• Women with silicone implants are advised to get an MRI every 5–6 years to check for silent rupture.
• Saline implants do not require routine MRI screenings, but regular follow-ups are still important.

Pros & Cons Comparison Table

Feature	Silicone Implants	Saline Implants
Feel	Soft, natural feel	Firmer feel
Look	More natural appearance	Slightly rounder, more visible
Incision Size	Slightly larger	Smaller (filled after insertion)
Rupture Detection	Silent rupture (MRI needed)	Visible rupture
Age Limit	22+	18+
Risk of Rippling	Lower	Higher in some cases
MRI Required?	Yes	No
Cost	Typically more expensive	Less expensive

Cost Comparison & Long‑Term Maintenance

Initial Cost Differences

Silicone implants are generally more expensive upfront than saline. The cost difference varies depending on the surgeon and clinic, but it’s something to keep in mind if you’re budgeting.

Follow‑Up Imaging & Replacement Costs

Because silicone implants require periodic MRI scans, you may have additional maintenance costs over the years. Both types may eventually need replacement, typically every 10–15 years.

Personal Factors: Which Implant Fits You?

Body Type & Breast Tissue Considerations

• Women with less natural breast tissue often prefer silicone because it looks and feels more natural.
• If you have ample breast tissue, saline implants may look just as natural and be a good option.

Aesthetic Goals & Lifestyle Factors

• Are you active in sports or fitness?
• Do you prefer a softer, subtler enhancement?
• Are you okay with routine MRIs for silicone?

These kinds of personal lifestyle considerations can guide your decision.

Real Patient Stories & Testimonials

At Grand Genesis Plastic Surgery, we’ve helped hundreds of patients in Ontario achieve their body goals.

From new mothers looking to restore volume after pregnancy to women who’ve always wanted fuller breasts—each story is different, and each transformation is beautiful.

Check out our breast augmentation page to see real results and testimonials.

Expert Advice: Choosing the Right Implant

Questions to Ask Your Surgeon

Before you commit, ask:

• What type of implant do you recommend for my body?
• What is the expected outcome based on my current breast shape?
• What are the risks and how can I prepare for recovery?

Surgeon & Clinic Selection Tips

Make sure your surgeon is:

• Board-certified
• Has extensive experience with both implant types
• Works at a clinic that puts patient safety and satisfaction first

(Like us! 😉)

FAQ: Silicone vs Saline Breast Implants

Are silicone implants safe?

Yes. Both silicone and saline implants are FDA-approved and considered safe when placed by a qualified surgeon.

Do I need to replace implants after 10 years?

Not necessarily. Implants don’t have an expiration date, but they’re not lifetime devices. Replacement might be needed due to rupture, aging, or cosmetic preferences.

Can I breastfeed with implants?

Most women can breastfeed with implants, especially if placed under the muscle. Talk to your surgeon about your plans.

Conclusion: Making an Informed Decision

Choosing between silicone and saline implants is a personal decision. Both have their advantages and considerations.

At Grand Genesis Plastic Surgery, we believe in empowering you with information and supporting you every step of the way—from consultation to recovery and beyond.

Ready to take the next step? Whether you’re researching breast enhancement or considering a tummy tuck in Richmond Hill, we’re here to help you feel confident in your body and your choices.

We . C r e a t e . B e a u t y