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 board-certified surgeons use 3D imaging and detailed measurements to help you select the implant type and profile that will achieve your ideal results.