What are some of the main differences between saline breast implants and silicone breast implants?
Saline filled breast implants are composed of a silicone shell that is filled during breast augmentation after the implant is inserted into the breast pocket. Silicone gel implants also consist of a silicone outer shell, but they are also pre-filled with a silicone gel rather than saline. The silicone gel has a viscous and thick consistency which more closely approximates native breast tissue while the saline implant isn’t compressible and can have a firm impression. Silicone implants frequently feel and look more natural. However, patients are still concerned about possible silicone rupture although the rupture rates and capsular contracture rates are similar for both subsets of implants. Based on current guidelines, patients who have silicone implants are also supposed to have interim MRIs to rule out implant rupture. Furthermore, silicone implants are more expensive than their saline counterparts.
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