Deciding on a plastic surgeon to perform your procedure is an important decision. It is essential that you feel confident that you are making the right choice. We have provided testimonials of plastic surgery patients that have placed their trust in Dr. Balakhani to perform their procedures.

“Dear Dr. Balakhani,
It’s difficult to adequately express my gratitude to you for all that you have done for me. I am delighted with the results of my surgery. I cannot thank you enough.


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Mehdi Balakhani, D.D.S., M.D., F.A.C.S. is Chief of Plastic and Reconstructive Surgery at Christiana Care Systems and Director of Plastic and Reconstructive Surgery at St. Francis Hospital, Wilmington, Delaware. He has been selected by nurses and his peers as a top doctor in Delaware since 1992. Dr. Balakhani is Board Certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery since 1983. He has contributed more than 20 cosmetic surgery instructional exhibits to the Medical Society of Delaware over the past 20 years. He has provided more than 200 educational seminars for public education in the field of cosmetic and reconstructive surgery.


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Choosing the Right Breast Implant: Silicone vs. Saline

Female hand picks silicone implants for breast augmentation

Choosing between silicone and saline breast implants is a critical decision that impacts not just the aesthetic outcome but also how natural the implants feel and behave over time. Both breast implant options have unique characteristics, advantages, and drawbacks. Understanding these can help you make well-informed decisions that suit your body and goals.

Check out this guide to help you choose the right option for you.

Composition and Feel

Silicone implants are filled with silicone gel that closely mimics the feel of natural breast tissue. This gel gives them a consistency that many find to resemble the natural softness of breast tissue, making them a popular choice for those seeking a more natural feel.

On the other hand, saline implants are filled with sterile salt water. They’re typically inserted empty and filled to the desired volume once in place. While this method allows for minor adjustments in size for symmetry, it can result in a feel that some describe as less natural compared to silicone.


Silicone breast implants

  • Natural feel – They are often noted for their ability to closely simulate the feel of real breast tissue.
  • Shape retention – Silicone implants are less likely to fold or ripple, maintaining a uniform appearance.

Saline breast implants

  • Adjustability – The fill volume can be adjusted during surgery, allowing for a more customized fit.
  • Safety in case of rupture – If a saline implant leaks, the body can safely absorb the saline solution.


Silicone breast implants

  • Monitoring for ruptures – They require periodic MRI scans to check for silent ruptures.
  • Slightly larger incision – They are pre-filled, necessitating a larger incision for insertion.

Saline breast implants

  • Potential for rippling – There is a higher chance of visible rippling, especially in patients with thinner breast tissue.
  • Feel – Some patients find them less natural to the touch compared to silicone options.

Suitability for Different Body Types

For individuals with limited natural breast tissue or those desiring a more realistic feel, silicone breast implants may be a better option. They can offer a more flattering and less detectable augmentation in slender frames or where the natural breast tissue is minimal.

Saline breast implants could be an excellent choice for individuals prioritizing adjustability in size or those concerned about the implications of a potential silicone leak. They might also appeal to those who prefer a firmer feel or where slight size adjustments could be beneficial for achieving symmetry.

Selecting the Right Size and Shape

Choosing the right size and shape of breast implants involves more than the initial appeal of achieving a desired cup size. You should consider how implants will complement your overall body structure and lifestyle. A common tip is to think about the width of your natural breasts to ensure the implants align well with your body’s proportions. 

Also, consider the profile of the implant—low, medium, or high—which determines how far the breast projects from the chest. High-profile implants offer more projection with a narrower base, suitable for those with a smaller chest width, while low to medium profiles provide a more subtle enhancement. 

Discussing how you want your clothes to fit post-surgery with a trusted surgeon like Dr. Mehdi Balakhani can also provide valuable guidance in selecting the size and shape that will help achieve your desired aesthetic while ensuring comfort and a natural appearance.

Schedule Your Consultation 

Deciding between silicone and saline breast implants requires evaluating their texture, look, safety, and your individual preferences. A consultation with a seasoned plastic surgeon, such as Dr. Mehdi Balakhani in Delaware, will provide you with comprehensive information to make an informed decision that meets your aesthetic aspirations and fits your way of life. Book your appointment at Mehdbi Balakhani MD today to discuss your options for breast implants.

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