Sterling Plastic Surgery
  • procedures-header

Learn about our Special of the Month

  • Home
  • Saline or Silicone?

Saline or Silicone?


Mentor MemoryGel Silicone Breast ImplantTypically, silicone breast implants have a shell made of inert polymer silicone. Silicone breast implants offer the best look and feel most similar to natural breast tissue. Silicone may also allow the ability to shape a breast more than a saline implant. Silicone implants are not prone to “rippling”, “wrinkling”, or “sloshing”, which makes them a good choice for patients aiming for the most natural look and feel.

Since silicone implants come pre-filled, they require a larger incision site compared to a saline implant. Generally, silicone implants are placed through an incision made under the breast or through an incision made along the dark tissue surrounding the nipple.

While silicone implants came under fire as being unsafe years ago, new, improved, FDA approved silicone implants are incredibly low risk. A ruptured silicone implant is not known to cause breast cancer, reproductive problems, or arthritis. With breast implants being one of the single most studied medical devices in the world in the past twenty years, these myths about the dangers of silicone implants have been adequately dispelled.

If a silicone implant ruptures, it can go unnoticed for a long time — or possibly forever. Unlike saline implants, silicone gel stays in place even if the outer shell ruptures. Detecting a leak with silicone implants may require an ultrasound or even an MRI.


Mentor Saline Breast ImplantsSaline is a solution that is not unlike fluid naturally found within the human body. Patients may choose a saline breast implant with leakage in mind, as generally saline is considered less of a risk to the health of a patient in the case of a leak than silicone.

Since saline implants are filled post implantation (meaning they are placed in the body before being filled), saline may also offer an easier route to “fine tuning” a breast implant after it has been placed. This allows a surgeon more discretion in achieving breast symmetry.

Saline breast implants tend to look overall more “round” in shape. They can be inserted under the breast, around the skin surrounding the nipple, and through an incision under the armpit since they come unfilled. This allows for smaller incision sites, which can be beneficial for patients looking for a discrete surgery.
Still, saline implants, due to their size and weight, may be prone to more downward displacement (“drooping”) due to gravitational pull than a silicone implant. They may also be prone to “rippling” – when the folds of the implant can be seen beneath thin areas of skin or breast tissue – and “sloshing”.

Detection of a rupture with a saline implant is much easier than that of a silicone implant due to the fact that the saline will be dispersed through the body and absorbed by it. When a saline implant ruptures, generally it is easy to detect without the use of an MRI or otherwise.

Which should I choose?

The decision to use a saline or silicone breast implant is one best made under the suggestions and guidance of a board-certified professional surgeon. While both can have pros and cons, the overall risk for both is low. If you are not sure which is right for you, please contact us today to schedule a consultation.

I was referred to Dr. Sterling. The individual was very pleased and benefitted greatly from his expertise in performing breast reductions. My experience was extremely positive as well. Dr. Sterling’s office staff was courteous, knowledgeable and helpful. Dr. Sterling provided me with his cell number and called me at my home after discharge from the hospital to be sure I was recouping without complication… read more


Contact our office today to schedule your initial consult with Dr. Sterling for breast implants.


Contact Us

Schedule a Consultation

If you decide that you would like to seriously consider surgery then you will be able to schedule a formal consultation to meet with Dr. Sterling and finalize your surgical plan.... contact us here

Contact Us

Special of the Month

We offer a variety of monthly specials... Check out our current monthly specials

View Our Specials

Get in Touch


Monday through Friday, 9 a.m. to 4 p.m.


Dr. Daniel A. Sterling, MD, FACS
Telephone: 603.518.5450
Fax: 603.518.5856
Address: 2 Washington Place, Bedford, NH 03110

Social Media


Hospital Affiliations

Staff: Bedford Ambulatory Surgical Center Bedford, NH - 2012- present

Staff: Elliot Hospital Manchester, NH - 2005-present, Chief of Plastic Surgery

Staff: Southern New Hampshire Medical Center Nashua, NH - 2016-present

Payment Options

Care Credit


Blue Cross Blue Shield