{"id":648,"date":"2019-12-04T16:59:44","date_gmt":"2019-12-04T16:59:44","guid":{"rendered":"https:\/\/www.sprsi.com\/blog\/?p=648"},"modified":"2025-10-20T19:33:36","modified_gmt":"2025-10-20T19:33:36","slug":"choosing-a-breast-implant","status":"publish","type":"post","link":"https:\/\/www.sprsi.com\/blog\/choosing-a-breast-implant\/","title":{"rendered":"Choosing a Breast Implant: Saline, Silicone or Fat Transfer?"},"content":{"rendered":"<h1><\/h1>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-649\" src=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/01-Feature.jpg\" alt=\"choosing a breast implant\" width=\"1000\" height=\"404\" srcset=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/01-Feature.jpg 1000w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/01-Feature-300x121.jpg 300w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/01-Feature-768x310.jpg 768w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/01-Feature-600x242.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/h1>\n<p><span style=\"font-weight: 400;\">Breast implants can help women feel more comfortable and confident with their bodies, so it&#8217;s no wonder this procedure continues to be on the rise. Currently, there are about <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459308\/\"><span style=\"font-weight: 400;\">3.5 million people<\/span><\/a><span style=\"font-weight: 400;\"> in the U.S. with breast implants. From 2000 to 2018, <\/span><a href=\"https:\/\/www.sprsi.com\/breast-procedures\/augmentation-implants\"><span style=\"font-weight: 400;\">breast augmentations jumped 48%<\/span><\/a><span style=\"font-weight: 400;\">, and the number of procedures increased by <\/span><a href=\"https:\/\/www.plasticsurgery.org\/documents\/News\/Statistics\/2018\/plastic-surgery-statistics-report-2018.pdf\"><span style=\"font-weight: 400;\">more than 100,000<\/span><\/a><span style=\"font-weight: 400;\">, according to the American Society of Plastic Surgeons (ASPS). Doctors performed 313,735 breast augmentations in 2018 alone. Whether you want something a little larger to help balance out your body or are seeking implants to help camouflage a previous condition, they are an excellent way to boost self-esteem. The <\/span><a href=\"https:\/\/www.fda.gov\/consumers\/consumer-updates\/what-know-about-breast-implants\"><span style=\"font-weight: 400;\">U.S. Food and Drug Administration approved<\/span><\/a><span style=\"font-weight: 400;\"> two main implant options for breast augmentation \u2014 <\/span><a href=\"https:\/\/www.sprsi.com\/blog\/saline-vs-silicone-implants\/\"><span style=\"font-weight: 400;\">saline and silicone<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2><b>Pros and Cons of Saline Implants<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Saline breast implants are filled with a sterile saltwater solution and have a silicone shell around the outside of the implant. Doctors typically put these implants in empty and then will insert the saltwater solution during surgery. However, saline implants may also come pre-filled. Women may get saline implants for breast augmentation starting at 18 years old. They are very uniform in shape, feel, and firmness once inserted and come in a variety of sizes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Saline implants are also available with textured shells or smooth shells, but most augmentations use smooth shells that complement the implant&#8217;s inner structure to allow for a more natural feel. You may also find these implants used in revision surgeries to correct anything from the first surgery. Do you think saline implants could be right for you? Factor in the following pros and cons if you&#8217;re considering saline implants for your breast augmentation.<\/span><\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-650\" src=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/02-Pros-of-Saline-Implants.jpg\" alt=\"Pros of using a saline implant\" width=\"1000\" height=\"404\" srcset=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/02-Pros-of-Saline-Implants.jpg 1000w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/02-Pros-of-Saline-Implants-300x121.jpg 300w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/02-Pros-of-Saline-Implants-768x310.jpg 768w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/02-Pros-of-Saline-Implants-600x242.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/h3>\n<h3><b>Pros<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Saline implants could be an excellent option for your breast augmentation if the cost is a concern, as they&#8217;re generally lower cost than silicone. Additionally, it&#8217;s easy to tell if your implant is leaking with saline, and you usually are left with a smaller scar than with silicone implants.<\/span><\/p>\n<h3><b>1. More Cost-Effective<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">According to the American Society of Plastic Surgeons, the <\/span><a href=\"https:\/\/www.plasticsurgery.org\/cosmetic-procedures\/breast-augmentation\/cost\"><span style=\"font-weight: 400;\">average cost<\/span><\/a><span style=\"font-weight: 400;\"> of breast augmentation surgery is just over $3,800. While you don&#8217;t want to sacrifice quality when it comes to a surgical procedure, you&#8217;re still likely mindful of cost. In both breast augmentation and breast reconstruction surgery, saline implants are almost always <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30489499\"><span style=\"font-weight: 400;\">more affordable<\/span><\/a><span style=\"font-weight: 400;\"> than silicone.\u00a0<\/span><\/p>\n<h3><b>2. Easy to Detect a Leak<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">With any breast implant, it may eventually rupture. Whether your implant breaks from a traumatic event or after many years in the body, the ideal thing about saline implants is that you&#8217;ll typically notice if it happens. When a saline implant ruptures, the breast will quickly lose its shape as the saline solution leaks out. However, saline ruptures are generally painless, and your body can absorb the saltwater solution. The sooner you notice a leak, the easier it is to correct.<\/span><\/p>\n<h3><b>3. Requires Smaller Incision<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When doctors perform breast augmentations using saline implants, they can make smaller incisions, so patients leave with less scarring. The <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2690624\/\"><span style=\"font-weight: 400;\">most commonly used incision<\/span><\/a><span style=\"font-weight: 400;\"> in breast augmentations in the U.S. is the inframammary incision. It has been found that doctors can make this incision significantly smaller when inserting saline implants.\u00a0<\/span><\/p>\n<h3><b>Cons<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Everything has some downsides, but don&#8217;t let these stand in the way of making a decision one way or another. Two of the biggest concerns when it comes to saline implants are the look and feel when it comes to mimicking your natural breasts. Consider these cons to saline implants to help you make a well-informed decision so you can be happy with your results.<\/span><\/p>\n<h3><b>1. Doesn&#8217;t Feel as Natural<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Although no implants will feel exactly like your natural breasts, some people have a natural feel as their top priority when it comes to implants. Some women feel as if saline implants aren&#8217;t as natural-feeling as silicone implants, as the silicone gel tends to mimic the feel of natural breasts better. Plus, some women may experience the saline solution sloshing around on occasion.<\/span><\/p>\n<h3><b>2. More Prone to Visible Rippling<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">For many women, the appearance of breast implants is just as important as how they feel. Sometimes breast implants fold or wrinkle, resulting in rippling. While rippling is common among breast implants, visible rippling or wrinkling is not. Sometimes saline implants can create visible ripples if they are underfilled or overfilled. Additionally, If you have thinner skin around the breast area, the rippling of your saline implants tends to be more visible. Overall, there is typically more visible rippling when it comes to saline implants versus silicone.\u00a0<\/span><\/p>\n<h2><b>Pros and Cons of Silicone Implants<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In silicone breast implants, the outer shell is filled with a silicone gel instead of a saltwater solution, like in saline implants. The gel found in silicone implants is sticky and thick, resembling the feeling of human fat. These implants also come in a variety of sizes and are available with both textured and smooth shells. Like saline implants, doctors also use silicone implants in revision surgeries. However, women who wish to get silicone implants for breast augmentation must be at least 22 years old.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Silicone is the more popular breast implant option, as <\/span><span style=\"font-weight: 400;\">88% of all breast augmentations<\/span><span style=\"font-weight: 400;\"> performed in 2018 used silicone implants, according to the ASPS. If you think silicone implants may be the better option for your breast augmentation, consider the following pros and cons to help you reach your decision.\u00a0<\/span><\/p>\n<h3><b>Pros<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Many women praise silicone implants for their ability to capture both the feel and look of natural breasts. If you&#8217;re seeking an implant closest to the real thing, you might opt for silicone. Additionally, silicone implants won&#8217;t completely collapse from a leak as saline implants would. If you&#8217;re already leaning toward silicone inserts, here are some reasons you&#8217;ll likely stick with them.\u00a0<\/span><\/p>\n<h3><b>1. Mimics Feel of Natural Breasts<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Since the silicone gel in the implants has a viscous consistency of human fat, they mimic real breasts in a way the saline solution struggles to. This may be more comfortable inside your body as it feels more similar to your natural breast tissue.<\/span><\/p>\n<h3><b>2. Less Prone to Visible Rippling<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Again, all implants could potentially ripple,\u00a0 but it is much more uncommon for silicone implants to show visible signs of wrinkling or rippling. Plus, newer silicone inserts like <\/span><a href=\"https:\/\/www.sprsi.com\/breast-procedures\/gummy-bear-implants\"><span style=\"font-weight: 400;\">gummy bear implants<\/span><\/a><span style=\"font-weight: 400;\"> have a firmer gel that still resembles the feeling of natural breasts while cutting down on rippling. These gummy bear inserts also have a teardrop shape that helps maintain a natural look, so you can get the profile you&#8217;re seeking.<\/span><\/p>\n<h3><b>3. Won&#8217;t Collapse From a Leak<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Unlike saline implants that immediately start breaking down when they rupture, silicone implants maintain their shape through leaks. If something were to happen that would cause your silicone implants to leak, you could continue without compromising your appearance. However, you should still visit your plastic surgeon immediately if you think your implant may be ruptured.<\/span><\/p>\n<h3><b>Cons<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While you may gravitate toward silicone implants, it&#8217;s still essential to consider the less-desirable factors of these implants that could impact your decision-making process. Although these implants may feel and look more natural, they come at a higher cost. Plus, maintaining their shape through a rupture is convenient, but also makes it extremely challenging to detect a leak in the first place.<\/span><\/p>\n<h3><b>1. More Expensive<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While quality comes at a cost, it&#8217;s up to you to determine what price is too much. On average, silicone gel implants run about <\/span><a href=\"https:\/\/www.plasticsurgery.org\/news\/blog\/the-five-factors-of-breast-augmentation\"><span style=\"font-weight: 400;\">$1,000 more<\/span><\/a><span style=\"font-weight: 400;\"> than saline implants. This isn&#8217;t including any MRI scans or follow-up visits often recommended with silicone breast implants to look for things like undetected leaking. If you&#8217;re very mindful of price, this could be a major deciding factor.\u00a0<\/span><\/p>\n<h3><b>2. Leaking Could Go Undetected<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Like saline implants, it&#8217;s not uncommon for silicone implants to eventually rupture with age or by trauma. However, when silicone implants leak, you likely won&#8217;t notice. Silicone implants are prone to silent ruptures, which are often undetectable by physical examination only. While some instances of rupture may result in things such as lumps, an uneven appearance, pain, burning, swelling, or decreased size, other times, it&#8217;s much more challenging to tell. When the implant ruptures, the gel can either stay around the implant within the scar tissue or escape into other parts of the body and become difficult to remove.\u00a0<\/span><\/p>\n<h2><b>How Fat Transfer With Breast Implants Works<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Another method more women are finding successful is <\/span><a href=\"https:\/\/www.sprsi.com\/body-procedures\/fat-transfer-grafting\"><span style=\"font-weight: 400;\">fat transfer<\/span><\/a><span style=\"font-weight: 400;\"> breast augmentation. This process uses excess fat from other areas of your body to enhance your breast size, contour, and shape without using any implants. The fat transfer can come from essentially anywhere you have unwanted fat. This transfer process is also known as fat grafting, and you can use it in addition to breast implants for extra enhancement and customization. It&#8217;s also a popular method used in breast reconstruction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To start, the doctor makes the <a href=\"https:\/\/www.sprsi.com\/body-procedures\/liposuction\">autologous fat transfer by using liposuction<\/a> to take fat from other areas of your body, like the hips, abdomen, or thighs, for example. The doctor then thoroughly cleans the fat after removing it to prepare it to be used in the breasts. They will then take the fat and inject it into the breast, creating a plumping effect for a fuller, more shapely breast.\u00a0<\/span><\/p>\n<h2><b>Benefits of Using Fat Transfer With a Breast Augmentation<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Why use a <a href=\"https:\/\/www.sprsi.com\/body-procedures\/fat-transfer-grafting\">fat transfer with your breast augmentation<\/a>? There are many benefits of fat grafting for breast augmentation. For one, this process reduces your unwanted fat from other areas on the body. So, your breasts benefit, and so do the other parts on your body that now hold less fat. If you choose to undergo a fat transfer breast augmentation without any implants, you&#8217;re also restricting any foreign objects from entering your body and eliminating the risks tied to implants. However, don&#8217;t forget you can use the fat transfer process in addition to implants.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, fat transfer may have a shorter recovery time, as many patients can go back to work after a week or so. This process is also minimally invasive, as the doctor isn&#8217;t making any large incisions. While you may suffer from noticeable implant scarring, fat transfer hardly ever leaves you with any significant visible scars. Lastly, fat transfer is an excellent method to customize and reshape your breasts in a way that the doctor couldn&#8217;t otherwise with implants.\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-651\" src=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/03-Benefits-of-Using-Fat-Transfer.jpg\" alt=\"benefits of fat transfer with a breast implant\" width=\"1000\" height=\"404\" srcset=\"https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/03-Benefits-of-Using-Fat-Transfer.jpg 1000w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/03-Benefits-of-Using-Fat-Transfer-300x121.jpg 300w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/03-Benefits-of-Using-Fat-Transfer-768x310.jpg 768w, https:\/\/www.sprsi.com\/blog\/wp-content\/uploads\/2019\/12\/03-Benefits-of-Using-Fat-Transfer-600x242.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h3><b>Downside of Using Fat Transfer With a Breast Augmentation<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">While utilizing autologous fat without the need for a foreign body implant sounds appealing to most, it currently is not a commonly used technique for primary breast augmentation.\u00a0 It is most often used as an adjunct technique in breast reconstruction or augmentation to help fine-tune size and shape to maximize the cosmetic outcome. This is because fat grafting continues to be somewhat unpredictable in estimating the final results.\u00a0 A significant percentage of fat that is transferred may not &#8220;take&#8221; and the desired breast size may not be achieved with one procedure. This could also lead to asymmetry in comparison to the opposite breast depending on how much of the fat survives on the contralateral side.\u00a0 In addition, some of the fat that is transferred may not survive and may become fat necrosis nodules or cystic structures which often present as palpable lumps on an exam. These may need further evaluation in the form of radiology studies or even biopsy to rule out concerning lesions such as breast cancer.\u00a0 For these reasons, fat grafting is currently most often used as a complementary technique for obtaining desired breast size and shape.<\/span><\/p>\n<h2><b>What to Consider Before the Procedure<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">With any surgical procedure, it&#8217;s critical to take the necessary steps you need to prepare. This includes spending time thinking about things such as your health and long term goals, for example. Are you healthy? Do you smoke? Are you trying for a baby? These are all things you must consider as you <\/span><a href=\"https:\/\/www.sprsi.com\/blog\/prepare-breast-augmentation\/\"><span style=\"font-weight: 400;\">prepare for the breast augmentation<\/span><\/a><span style=\"font-weight: 400;\"> procedure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before your procedure, your doctor should give you specific <\/span><a href=\"https:\/\/www.sprsi.com\/resources\/pre-op-checklist\"><span style=\"font-weight: 400;\">pre-operative instructions<\/span><\/a><span style=\"font-weight: 400;\"> so you can be ready for surgery. If you&#8217;re an avid smoker, keep in mind that you must quit at least four weeks before your surgery. You must also avoid any aspirins or other medicines that can thin your blood for at least ten days before your breast augmentation. You should not drink any alcohol within 24 hours or eat or drink anything for at least eight hours beforehand. You should also postpone surgery if you&#8217;re pregnant or planning to become pregnant, as breast augmentation can have <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK44780\/\"><span style=\"font-weight: 400;\">adverse effects<\/span><\/a><span style=\"font-weight: 400;\"> on pregnancy and breastfeeding.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the day of your procedure, make sure you have someone to pick you up and stay with you since you are restricted from driving and cannot be alone for the first day of your procedure. Take off any nail polish, makeup, contacts, and accessories before you go into surgery as well. You should also arrange anything you may need for the days following your surgery since you need to spend time relaxing and recovering.<\/span><\/p>\n<h2><b>Schedule Your Breast Augmentation With Dr. Brought at SPRSI Today<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">If you&#8217;re unhappy with the way your breasts look or have a preexisting condition you want to be corrected, reclaim your confidence and schedule your <\/span><a href=\"https:\/\/www.sprsi.com\/breast-procedures\"><span style=\"font-weight: 400;\">breast procedure<\/span><\/a><span style=\"font-weight: 400;\"> consultation with Dr. Brought and his team at Southern Plastic and Reconstructive Surgical Institute. <\/span><a href=\"https:\/\/www.sprsi.com\/about\/dr-brought\"><span style=\"font-weight: 400;\">Dr. Brought<\/span><\/a><span style=\"font-weight: 400;\"> is a board-certified plastic surgeon with extensive experience in cosmetic surgery, so he and his staff can meet with you to find a personalized solution that provides the results you want. Whether you&#8217;re looking for saline or silicone implants, fat grafting, or a combination of the two, Dr. Brought has the expertise to help you with your breast augmentation, just like he&#8217;s helped numerous patients in the Nashville area. <\/span><a href=\"https:\/\/www.sprsi.com\/contact\"><span style=\"font-weight: 400;\">Contact us today<\/span><\/a><span style=\"font-weight: 400;\"> and be on your way to beautiful, balanced breasts so you can look and feel your very best.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breast implants can help women feel more comfortable and confident with their bodies, so it&#8217;s no wonder this procedure continues to be on the rise. Currently, there are about 3.5 million people in the U.S. with breast implants. From 2000 to 2018, breast augmentations jumped 48%, and the number of procedures increased by more than [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":649,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[25],"class_list":["post-648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plastic-surgery","tag-breast-augmentation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Choosing a Breast Implant | Saline, Silicone, Fat Transfer<\/title>\n<meta name=\"description\" content=\"If you&#039;re looking for saline or silicone implants, fat grafting, or a combination of the two, we has a solution for your breast augmentation. 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