Understanding the Different Types of Breast Implants: Silicone, Saline, and Gummy Bear

Breast augmentation remains one of the most popular cosmetic procedures, with nearly 300,000 augmentations performed annually in the U.S. according to the American Society of Plastic Surgeons. Choosing the right type of breast implant is crucial to achieving your desired results, and understanding the differences between silicone, saline, and gummy bear implants will help you make an informed decision. Dr. Aviva Preminger, a leading plastic surgeon in NYC, offers expert guidance to help her patients select the ideal implant type based on their unique needs.

Silicone Breast Implants

Silicone implants are filled with a silicone gel that closely mimics the natural feel of breast tissue. These implants have been widely used for decades and are known for their soft, natural appearance.

Pros:

• Natural Feel: Silicone implants are renowned for their realistic texture. Dr. Preminger explains, “Silicone implants provide a softness that feels remarkably similar to natural breast tissue, making them the top choice for women seeking the most natural look.”
• Reduced Rippling: Due to the viscosity of the silicone gel, there’s less likelihood of visible rippling compared to saline implants .
• Durability: Silicone implants are generally long-lasting, with studies showing a lifespan of 10-15 years before any significant wear.

Cons:

• Larger Incision: As silicone implants are pre-filled, a slightly larger incision is needed to insert them, which may lead to a more noticeable scar.
• Silent Rupture Risk: In the rare event of a rupture, silicone leaks slowly and may not be immediately noticeable. The FDA recommends MRI screenings every 2-3 years to ensure the implant’s integrity.
• Higher Cost: According to industry data, silicone implants are typically more expensive than saline options due to the advanced manufacturing processes and material used.

Saline Breast Implants

Saline implants, filled with sterile saltwater, offer a cost-effective and reliable solution for breast augmentation. These implants are placed in the breast empty and filled after insertion, allowing for more flexible incision options.

Pros:

• Smaller Incision: Since the implant is filled after insertion, a smaller incision can be used, which may result in a less visible scar.
• Easy Detection of Rupture: If a saline implant ruptures, the body naturally absorbs the saltwater, and the deflation is immediate and noticeable, making it easier to detect compared to silicone .
• Affordability: Saline implants are generally less expensive than silicone, making them an attractive option for patients looking for budget-friendly augmentation .

Cons:

• Less Natural Feel: “While saline implants provide a firmer structure, they may not feel as natural as silicone, especially in women with less breast tissue,” says Dr. Preminger.
• Higher Risk of Rippling: Due to the liquid nature of saline, rippling is more likely to occur, particularly in women with thin skin or minimal breast tissue .

Gummy Bear Breast Implants

Gummy bear implants, also known as cohesive gel implants, are a newer type of silicone implant that is form-stable, meaning they retain their shape even if the implant shell is compromised. These implants are typically teardrop-shaped, designed to provide a more natural-looking contour.

Pros:

• Shape Retention: Due to their cohesive nature, gummy bear implants maintain their shape over time. Research has shown that these implants offer longer-lasting results and fewer incidences of rupture compared to traditional silicone or saline .
• Reduced Rippling: These implants are less prone to rippling, making them an excellent choice for women with minimal breast tissue.
• Natural Look: The teardrop shape provides a more natural slope, ideal for women seeking a more subtle augmentation. “Gummy bear implants offer the best of both worlds—structure and natural appearance,” says Dr. Preminger.

Cons:

• Larger Incision Required: Like traditional silicone implants, gummy bear implants require a larger incision for placement.
• Higher Cost: The form-stable gel and advanced design of gummy bear implants come at a premium, often making them one of the more expensive options on the market .
• Risk of Rotation: Because these implants are shaped, there’s a slight risk that the implant could rotate, potentially causing an unnatural appearance .

Statistics to Consider About Your Breast Implants

• According to the American Society of Plastic Surgeons, silicone implants are chosen in 85% of all breast augmentations, while saline makes up about 15% .
• A study conducted by the FDA shows that the implant rupture rate for silicone implants is between 1% and 5% over ten years, emphasizing the importance of regular monitoring .

Which Breast Implant Is Right for You?

The choice between silicone, saline, and gummy bear implants is a personal one that depends on your aesthetic goals, body type, and budget. Dr. Preminger and her experienced team will take the time to help you evaluate the pros and cons of each option, ensuring that you make the decision that best suits your needs. Whether you’re seeking the natural feel of silicone, the budget-friendly option of saline, or the shape stability of gummy bear implants, you’ll receive expert guidance every step of the way.

Dr. Aviva Preminger is an Ivy League-educated and trained plastic surgeon. She has earned respect and prestige in her field with her extensive credentials and experience. Most importantly, her beautiful results have made her one of the most referred plastic surgeons in NYC. Contact Dr. Preminger in NYC for your breast implant consultation