What Type Of Implant Is Right For Me?

You’ve made the exciting decision to pursue breast augmentation – congratulations! One of your next decisions is to choose which implants are the best fit for you. The classic debate between silicone and saline has circulated through the plastic surgery world for decades, but there is not necessarily a “right” answer for every patient. At Dr. Fugo Plastic Surgery, we offer a variety of both saline and silicone implants for breast augmentation. Curious which implant may be a better match for you? 

A Case for Saline Implants

Saline implants were developed in the 90’s as an alternative to tradition silicone implants. These implants are essentially a silicone shell that is filled with sterile salt water. There are many advantages of saline implants, making these a popular option.

As saline implants are empty shells that are filled after implantation, they require an incision only a few centimeters in length. Smaller incision means smaller scar. You may be a good match for saline implants if you….

  • Are the age of 18 or over
  • Desire a smaller scar
  • Desire an incision placed around the areola rather than under the breast
  • Are concerned with the “What if my implant were to break or leak?”

Saline implants definitely offer a firmer feel with a more full, perky breast appearance, which can sometimes be viewed as a “less natural” aesthetic. Dr. Fugo says “many women in my practice are looking for that full bust appearance and don’t want the more natural, ‘bottom heavy’ breast look. This feature, combined with the small incision, makes saline implants a very popular choice”.

The Silicone Implants’ Defense

Silicone Implants were the first breast implants developed, available since the 1960’s. To meet the needs of modern women and maintain utmost safety standards, silicone implants have changed quite a bit over the last 5 decades.

The silicone implant is pre-filled implant that is inserted during surgery. As these implants are pre-filled, a larger incision is required. The most significant advantage? Women love the more natural look and feel of the implant. Dr. Fugo tells his patients “Traditional silicone implants are softer, less taught than their saline counterparts. This definitely lends to a more natural slope or droop to the breast, with less upper breast fullness.” You may be a good match for silicone implants if you…

  • Are age 22 or over
  • Desire more breast volume, but want the most natural look and feel
  • Ok with a larger incision

The biggest reasons women decide against silicone implants? Dr. Fugo reports “Women who want the smallest incision possible, want an areolar incision and/or want the fullest, perkiest breast appearance possible, opt for saline over silicone”.

What if Both Sound Great?

For those who want the full, perky look of saline, but desire the feel of silicone and don’t mind the slightly larger incision, Dr. Fugo now offers the best of both worlds…..the newest silicone implant available, Mentor HPX. This is the first silicone implant that is “maximum filled”, giving you all the best features of both implant types.

Feel even more confused in your decision? Completely normal! This is all part of the process in your breast augmentation journey. At Dr. Fugo Plastic Surgery, we want each and every one of our patients to feel confident in their decisions. During your consultation, you can get “hands on” with all of the implants, helping you make your very best decision.

Schedule an initial consultation with Dr. Fugo and discuss your options. We are so excited to be a part of this amazing experience with you!


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02.  Discuss your aesthetic goals

03.  Learn about your options in detail

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