Hey everyone, it’s Dr. Effie Politis and I just want to compare and contrast saline versus silicone implants, as we know women often undergo breast enhancement surgery to get a breast volume and shape that is more proportional to their body.

So, let’s start out with saline implants: We all know that saline is a fluid that is placed in a silicone shell. It is an “uncontrolled” type fluid, so it doesn’t have a lot of structural support. So it often causes rippling and wrinkling and it stretches out women’s lower-poles.

The advantage of a saline is that if you have a rupture or a tear, your breast will deflate and you can just look in a mirror and see that almost immediately in your body [it] just resorbs the fluid.

Silicone implants that are now in the market are medical grade and they are very cohesive, so they have a nice gel-to-shell ratio and they really help your breast tissue respond nicely. I do enjoy the feel of a silicone implant on my patients because it almost acts as one with their breast tissue. It also provides better structural support in the long term.

However, the issue with silicone implants is that we don’t often recognize a tear. This is why you have to be aware of your body. You have to follow-up with your plastic surgeon at regular surveillance intervals. If you do feel like there is a compromise, most women complain of some breast pain [or] perhaps some scarring around the implant, and we have some imaging modalities to diagnose this, please call our office or DM me on social media if you have any issues with your implants as I am a plastic surgeon with an expertise on breast surgery. Thanks so much.

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