The feeling of a saline implant is like a plastic or rubber bag filled with water. Is less natural and may result in more palpable implants than the silicone filled implants

Breasts implants deflate when the saline solution leaks either through an unsealed or damage valve, or through a break in the implant shell. Some implants deflate (or rupture) in the first few months after being implanted and some deflate after several years. You must be aware that the implant may wear out over time and deflate/rupture.

Rippling and visible wrinkling is a problem with saline implants. It is in the nature of saline inflatable implants to have wrinkling of the shell. This is because the shell needs to be thick and strong enough to last as long as possible, and because the saline's (salt water) fill shifts with changes in body position. The rippling is most objectionable when it is visible at the top of the breast. For that reason, placing implants beneath the large pectoral muscle can be particularly advantageous with saline implants. The thickness of the muscle obscures whatever wrinkling there might be, in the same way that a thick carpet will hide uneven floor boards.

Finally, for women who are not suitable candidates for saline implants, the FDA does permit the use of silicone gel implants. Frequently, silicone cohesive gel implants are a viable solution to the rippling problem. Changing from saline implants to silicone cohesive gel implants usually solves this problem.

Round Traditional Silicone Gel Implants

A round silicone breast implant is a sac (implant shell) of silicone elastomer (rubber) filled with the traditional liquid silicone gel, also known as silicone implants. Rippling and wrinkling may happen with these implants. If there is a rupture of the implant inside the body, there will be some risk of filler material migration to the rest of the body. Dr. Ronald Pino does not use the traditional silicone implants any more. He prefers the cohesive gel implants.