The Difference Between Saline and Silicone Breast Implants | Mr. Ivo Gwanmesia Skip to main content

The foundation of a quality breast augmentation is built on the type of breast implant you choose for your surgery. Mr Gwanmesia will review your breast implant options during your consultation and help guide you through the decision-making process. Physical factors such as body frame, tissue thickness, and chest width, in addition to your personal wants and desires, will help inform us as to what may be the best breast implant choice for your surgery. Other factors such as ideal incision location, breast implant positions, and goal breast size will also impact your final decision.


Material & Shape

Saline

  • Silicone shell filled with a saltwater solution
  • Comes in both round and anatomical shapes
  • Comes in both smooth and textured surfaces

Silicone

  • Silicone shell filled with a cohesive silicone gel
  • Comes in both round and anatomical shapes
  • Comes in both smooth and textured surfaces

Incision Options

Saline

Incisions can be smaller in size because saline breast implants are inserted empty and filled in the breast pocket.

  • Inframammary
  • Periareolar
  • Transaxillary
  • Transumbilical (TUBA)

Silicone

Incisions tend to be larger depending on the size of the pre-filled silicone breast implant used.

  • Inframammary
  • Periareolar
  • Transaxillary

Sizing Options

Saline

  • Customizable once in the breast pocket by adding or removing liquid

Silicone

  • A wide variety of sizes and profile options

Benefits

Saline

  • Easy to diagnose breast implant ruptures
  • Saline leakage isn’t harmful to the body
  • Less costly option

Silicone

  • Best simulates the look and feel of natural breast tissue
  • Less prone to surface irregularities, especially if placed under the muscle
  • Highly cohesive options make you less likely to have a silicone leak

Drawbacks

Saline

  • Doesn’t feel as natural to the touch
    More prone to visible wrinkles and ripples

Silicone

  • Requires an MRI to identify breast implant leaks
  • Can develop visible breast implant edges when placed under thin breast tissue or if the implant is too large

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Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.
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