Which Implants Should You Choose? Here's What You Need to Know
Whether you’re considering breast augmentation for cosmetic enhancement or breast reconstruction, one of the most important decisions you’ll make is the type of implant. With several implant styles available—each offering different benefits and considerations—it’s crucial to understand your options so you can make an informed, confident choice alongside your surgeon.
In this blog, we’ll compare the most common types of breast implants, along with their pros and cons, to help guide your decision-making process.
What Is A Breast Implant?
A breast implant is a medical prosthesis used to increase breast size, enhance shape, or restore breast volume following weight loss, pregnancy, or mastectomy. Most implants consist of a silicone outer shell filled with either saline (sterile saltwater) or silicone gel. The implant can be placed beneath the breast tissue or chest muscle depending on your anatomy and surgical goals.
1. Saline Breast Implants
What they are:
Saline implants are filled with sterile saltwater after they are inserted into the breast pocket, allowing for minor size adjustments during surgery.
Pros:
Smaller incision required for insertion
Ruptures are easily detectable (the saline is harmlessly absorbed by the body)
Adjustable volume for asymmetry correction
Cons:
Can feel firmer or less natural than silicone
Higher risk of visible rippling, especially in patients with thin tissue
Approved by the FDA for patients age 18 and older
Best for:
Women who want a simpler implant with a smaller scar and the peace of mind that comes with easy rupture detection.
2. Silicone Gel Breast Implants
What they are:
Pre-filled with a cohesive silicone gel, these implants feel more like natural breast tissue and are widely chosen for their realistic results.
Pros:
Softer, more natural texture and appearance
Less rippling than saline implants
Popular choice for slim patients with minimal breast tissue
Cons:
Requires a slightly larger incision for insertion
Silent ruptures may occur (routine MRI or ultrasound checks may be recommended)
Approved by the FDA for patients age 22 and older
Best for:
Patients seeking the most natural look and feel, especially those with a smaller frame.
3. Gummy Bear Implants (Form-Stable or Cohesive Gel)
What they are:
Filled with a thicker, form-stable silicone gel that retains its shape even if the outer shell is broken—similar to a gummy bear candy when cut.
Pros:
Holds shape over time, even in case of rupture
Less leakage risk
Teardrop shape mimics natural breast contour
Cons:
Firmer feel than traditional silicone
Slightly larger incision required
Can rotate in the breast pocket, leading to an unnatural appearance
Best for:
Patients prioritizing shape retention and a subtle, anatomical appearance.
4. Structured Saline Implants (e.g., IDEAL Implant®)
What they are:
A newer type of saline implant with internal chambers that control the movement of the saline for a more natural feel and appearance.
Pros:
Combines benefits of saline (safety, small incision) with improved aesthetics
Ruptures are detectable and harmless
Requires no MRI monitoring
Cons:
Higher cost than traditional saline implants
May still feel slightly firmer than silicone
Best for:
Women who want a natural look and feel but prefer the peace of mind of saline.
5. Round vs. Teardrop (Anatomical) Implants
While not a material difference, shape plays a critical role in your result.
Round Implants:
Provide more upper pole fullness (more cleavage)
Less concern if they rotate in the breast
Often preferred for a lifted, augmented appearance
Teardrop (Anatomical) Implants:
More natural, sloped appearance
Commonly used in reconstruction or for subtle enhancement
Risk of visible distortion if the implant rotates
Which Implant Is Right for You?
Every body is different. Your lifestyle, body shape, current breast tissue, and personal goals will all influence the ideal implant choice. A board-certified plastic surgeon will consider:
Skin elasticity and chest wall anatomy
Desired breast size and shape
Your comfort with maintenance and monitoring
Whether you're undergoing augmentation or reconstruction
Final Thoughts
Choosing the right breast implant is a personal decision that should align with your goals, body, and lifestyle. While all modern implants are safe and effective, understanding the pros and cons of each type gives you a stronger voice in your surgical plan.