1. What is the difference between saline and silicon breast implants?
Both saline and silicone implants have a silicone shell. The difference is in what fills the implants. A saline implant is filled with saline solution, the same that is used for IV’s. Thus, if the implant ruptures, the body absorbs the saline and the breast shrinks or deflates. A silicone implant is filled with a silicone gel. The silicone has improved with time. The current silicone is called “cohesive” meaning it holds to itself. An implant outside the body can be cut in half without the silicone going anywhere. If a silicone implant ruptures, you would likely not know as it would stay in the scar tissue that forms around the implant.
Both implants have advantages and disadvantages. Saline implants are less expensive and empty when we put them into position so they can be placed through smaller incision. However, saline implants ripple more and do not feel as natural. Silicone implants are filled when we put them in place and therefore need a larger incision. However, silicone implants ripple less and feel more natural. Both implants will give you a natural appearance although if you have little natural breast tissue, rippling is sometimes visible.
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