There are many choices of implants for breast augmentation today. The two basic categories to decide between are saline versus silicone.
Saline-filled breast implants are a made of a silicone shell that is filled with sterile salt water at the time of surgery. Potential drawbacks are a less natural feel and appearance. Often, there are visible ripples in the breast from these implants, especially in thin-tissue breasts. Some consider these implants a glorified water balloon that is more prone to rupturing than its silicone sisters.
Silicone-filled breast implants are filled with soft, elastic gel and are available in a variety of shapes. All silicone breast implants are pre-filled and may require a slightly longer incision for implant placement (usually 1.5 inches). Cohesive gel silicone implants, also known as “gummy bear” implants, are filled with a cohesive gel, made of cross-linked molecules of silicone, which makes them a bit thicker than traditional silicone implants. This enables them to hold their shape better and provide a more natural feel and long-lasting result. Over 80% of U.S. patients choose this option.
Which is better? With silicone implants looking and feeling better and more natural, and a better durability profile, it is easy to say that they are the better implant. One drawback is that some surgeons charge more for silicone breast augmentation.
There are 3 manufacturers of breast implants in the United States. All three are esteemed companies with a long track record of safety. Sientra touts the highest cohesiveness of their implants and had the first shaped silicone implants in the U.S. The nickname "gummy bear" was given to these implants because they were demonstrated to keep their shape, even if cut in half, like a candy gummy bear.
Another advantage of Sientra is that the company only sells its implants to Board-Certified Plastic Surgeons. This means that if you are receiving Sientra implants, you canhave a great deal of confidence that your surgeon has had adequate training and experience in breast augmentation.