The Difference Between Saline and Silicone Implants?

When considering breast augmentation at my Las Vegas practice, you’ll have 2 materials to choose from to fill the breast implants: silicone gel and saline. I offer the complete line of silicone gel implants from Allergan®, Mentor®, and Sientra®. The saline implants available at my plastic surgery practice are made by Mentor and Allergan, which all come in a variety of shapes, profiles, and sizes.

If you’ve been wondering which material is right for you, take a look at the brief overview below, as well as the chart. We can go over any additional questions during your complimentary consultation.


The majority of patients today choose silicone implants. These implants have a similar consistency to the inside of a gummy bear (which is why they’re sometimes called “gummy bear implants”).  They are filled with a cohesive gel that holds together even if they’re punctured or torn, have a very natural shape and feel, and they are less likely so show visible rippling.

Breast augmentation results for a Las Vegas patient who opted for silicone implants.

For this breast augmentation patient, I placed high profile silicone gel implants under the muscle through an incision in the breast crease. You can learn more about your incision options in another blog post.


All implants currently available in the U.S. have a silicone outer shell, including saline implants. This shell can be textured or smooth. I prefer smooth shells, because they feel more natural and you’re less likely to see rippling. I fill saline implants after I place them in the breast pocket, whereas silicone implants come in pre-made sizes.

Breast augmentation results for a Las Vegas patient who opted for saline implants.

For this patient, I used an armpit incision to place round saline implants under the chest muscle. Take a look at the photo gallery to see more pictures of both saline and silicone implants.

Breast Implant Comparison Chart 

This chart helps patients considering breast augmentation in Las Vegas to better understand each implant type.

Still have questions? Leave them in a comment below, or call the office today at (702) 734-4100 to set up your consultation, where we’ll go over all of your breast augmentation questions.

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