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Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty

Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty

Effective breast implants surgery in Sydney can fundamentally change the appearance and shape of your breasts. If you’ve been through childbirth, dislike how age has changed your breasts, or just want a little more cleavage than genetics gave you, they can be the best option. But the question remains, which type of implants would work best for your body and your needs?

What is Breast Augmentation?
Breast augmentation with the use of  breast implant  is an extremely popular form of cosmetic surgery. This procedure can give you back the firm, perky breasts that you lost because of breastfeeding, weight changes, or the effects of age. It’s also great for women whose breasts are different sizes or shapes or those who need a breast reconstruction after surgery or for a congenital reason. And, very commonly, it’s a great option for women who simply want to increase their cup size.


During breast implant surgery, an implantable medical device is placed either behind the breast or behind the chest muscle. In many cases these days, an implant is placed in both areas. There are a number of different types of implants, and choosing one is a matter of evaluating your physical condition and your goals for the surgery.

About the Implants
All breast implants consist of two major parts, the outer shell and the material inside. The outer section is made of a silicone shell which can be either smooth or textured. Implants with a textured outer shell encourage the growth of tissue into the ridges on the surface. This tends to make them more fixed in place and help prevent unwanted rotation or movement of the implants. In contrast, the smooth shelled implants can move easier within the breast pocket. This movement can sometimes lead to problems down the track, but it can feel a little more natural as well. Inside the shell is filler material which consists either of saline or silicone.


Breast implants come in a variety of size and shapes that suit most body types. So no matter what your goals are for your Sydney breast augmentation surgery, there’s an option that will help you realise them.

Saline Implants.
Before you get your breast surgery you need to decide whether you want silicone implants or saline implants. Both of them have their benefits and their drawbacks.

Saline breast implants are filled with a sterile saline solution. Most often, the saline is inserted after the implants are fitted into the breast area by the surgeon. If you decide to get saline implants, the size can be adjusted after the surgery by using a remote injection port. This will allow you to adjust the size of your implants until you get the size you want. The injection port is removed a couple of months after the surgery.

Some of the pros and cons of saline implants include:

• They can be adjusted after insertion to ensure that your breasts are symmetrical after surgery.
• If the implant ruptures, the saline will be harmlessly absorbed by the body.
• Saline has the consistency of water, so sometimes the folds of the implant can be seen or felt under the skin. This is known as ‘wrinkling’ or ‘ripping’.
• They can be quite heavy and cause sagging if the implant is big.
• Saline breast implants can feel a little less realistic than silicone implants.
• There is a general trend away from these types of implants by the surgeons at present.

Silicone Implants
The other option for your implants is silicone. This is an inert polymer which is non-allergenic and doesn’t cause any negative reactions when implanted into your body. Some of the pros and cons of Silicone breast implants are as follows:

• Silicone is thicker than water, which makes Silicone breast implants look and feel more natural.
• It’s very lightweight, which will help prevent sagging.
• These implants can be placed over or under the muscle or both for a very natural look and feel.
• Silicone implants are sturdy but can rupture and stay within its capsule or leak outside of it. To avoid this problem, it is a good idea to get the implants checked, especially if you notice any changes or they start to age beyond 10 years.
• They’re usually more expensive than saline implants.
• These implants are usually the preferred choice of surgeons in most instances unless there are specific reasons why saline implants need to be considered.

No matter what issue you have with your breast size or shape, there’s a saline or silicone implant that can help. Even if you’re contemplating breast revision surgery. Make sure you discuss your options with your doctor to find out which is right for you.

Please feel free to inquire about a breast implant procedure.


Dr Michael Yunaev is an Oncoplastic Breast, General and Cosmetic Surgeon and is the Principal Doctor at Breast & Body Clinic. Dr Yunaev is a highly trained Surgeon with extensive experience and passion for the treatment of all aspects of Breast Cancer Surgery, Benign and Congenital Breast Disease and Aesthetic Breast Surgery, as well as General Surgery.


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  • Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty
  • Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty
  • Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty
  • Saline or Silicone? How to Choose the Best Implants for Your Breast Augmentation Mammoplasty

“My team and I are committed to tailoring a personalised approach to you and your concerns so that you may benefit from our expertise and we can meet your expectations.” Dr Michael Yunaev
MS (Breast Surgery), BreastSurgANZ Breast Fellow, Aesthetic Breast and Body Fellow, FRACS (General Surgery), MPH, BMedSc (Hons).