Not all breast implants are the same. The type of implant you choose will affect how your results look and feel, your recovery experience, and your long-term satisfaction. Here is a comprehensive overview of the main breast implant types available today.
Saline Implants
Saline implants consist of a silicone shell filled with sterile saltwater. They are FDA-approved for patients 18 and older for augmentation.
- Pros: Smaller incision (filled after placement), easily detectable rupture, lower initial cost
- Cons: Can feel firmer and less natural than silicone, visible rippling in thin patients
- Best for: Patients who prefer knowing immediately if a rupture occurs
Silicone Gel Implants
Silicone implants are pre-filled with a cohesive silicone gel and are FDA-approved for patients 22 and older for augmentation. They are the most popular implant type in the United States.
- Pros: Natural look and feel, less visible rippling, wide range of sizes and profiles
- Cons: Larger incision required, "silent rupture" requires MRI to detect
- Best for: Most augmentation patients, especially those with less natural breast tissue
Cohesive Gel (Gummy Bear) Implants
Gummy bear implants use a highly cohesive silicone gel that holds its shape even when the shell is cut. They are typically anatomically shaped (teardrop) rather than round.
- Pros: Excellent shape retention, lower risk of rippling, natural teardrop contour
- Cons: More expensive, requires larger incision, rotation can cause visible asymmetry
- Best for: Patients seeking a very natural, breast-shaped appearance
Implant Profiles: Low, Moderate, High, and Ultra High
Beyond fill material, implants are also differentiated by their profile, the amount of forward projection relative to their base width. Your surgeon will recommend a profile based on your chest measurements, existing breast tissue, and desired outcome:
- Low profile: Wider base, subtle projection, ideal for wider chests
- Moderate profile: Balanced projection, the most versatile option
- High profile: Narrower base, more projection, suits narrow chests or patients wanting noticeable cleavage
- Ultra high profile: Maximum projection with the narrowest base
At Svelta Plastic Surgery in Miami, our expert surgeons use 3D imaging and detailed measurements to help you select the implant type and profile that will achieve your ideal results.