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Saline vs. Silicone Breast Implants

Conveniently located to serve Toms River, Middletown, Freehold, Colts Neck, and surrounding areas.


Breast Implants

There are many types of FDA approved breast implants available to women that can be used in breast augmentation and breast reconstruction.  Michael Nagy MD, FACS at Plastic Surgery of the Face & Body in Wall, NJ is highly experienced in breast surgeries and will consult with you to identify what breast implant type will get you the look you desire.   No matter what you are looking for, there are more choices than ever when it comes to implant type, size and style.  During your consultation, Dr. Nagy will discuss these options with you so you can make an educated choice about what breast implant type is best for you.  Once you have a general understanding of the breast implant procedure, you are ready to explore your breast implant options. The implant type you choose directly affects your final look.


Matthew Basselini

October 7, 2021

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Dr. Nagy is the best at what he does! He has a wonderful bedside manner and was extremely awesome with all of my questions. I’m a little over one week post op and already so incredibly happy with my results. The office is impeccable and beautiful. The staff is friendly and always helpful. Big shout out to Kim, she went above and beyond - from being reassuring, caring, friendly and so so patient with insane amounts of nerves and questions that I had. She’s the best! From consult to post op, they are a phenomenal team that I would highly recommend.

Google rating score:4.7 of 5,

based on 41 reviews

Breast Implant Types- Saline and Silicone


Saline implants are filled with saline (sterile salt water) the same liquid used in IV bags given to patients who need fluid replenishment. Saline-filled implants come in different sizes and have either smooth or textured shells. The FDA approved saline-filled breast implants for breast augmentation in women age 18 or older and for breast reconstruction in women of any age. A new type of saline implant, the IDEAL IMPLANT®, has an internal structure to make it behave as if filled with silicone gel. The IDEAL IMPLANT® contains a series of nested shells that provide support to the edges and control fluid movement to prevent bouncing. The result is an implant that combines the key features and benefits of both saline and silicone gel implants.

Though a rupture is not common, when a rupture or a leak in a saline breast implant occurs, the saline fluid is simply reabsorbed by the body and the implant deflates, creating a change in the size and appearance of the breast. Deflation is not a health concern or an emergency, but most women who experience deflation desire to replace the deflated implants as soon as possible to restore their appearance.


Silicone breast implants are filled with medical grade silicone. They are FDA approved, and after many years of study and evaluation and have been proven to be safe. Silicone is thicker and more viscous than salt water, and acts and feels more like natural breast tissue. Silicone breast implants come in different styles and sizes, and can have either a smooth or textured shell. In recent years, a modified version of silicone, known as “form-stable silicone,” has become popular. Nicknamed “gummy bear implants,” these are even more likely to stay intact in the case of a rupture – though routine check-ups are still recommended.

Silicone implants may also rupture, but is not as obvious since silicone is not absorbed like saline implants. In order to detect a ruptured silicone-filled implant, women need to have a special screening by MRI or ultrasound. It is recommended that women get regularly scheduled check-ups throughout the life of their implant in order to ensure its ongoing proper function.

Implant manufacturers offer many styles and types of breast implants, so there are multiple options available to customize your look that best suits your lifestyle and body. We encourage you to discuss any concerns and expectations with Dr. Nagy so you are comfortable with your choice of implant for your surgery. Whether you choose saline or silicone implants, it is important for you to monitor your breast implants and follow-up with your plastic surgeon for appropriate checkups.


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