About Dr. Salemy
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Saline vs. Silicone Breast Implants: A Review by Seattle Plastic Surgeon Dr. Shahram Salemy

One of the most common questions patients ask me is which type of breast implant should they choose: saline or silicone.  The short answer is that either can look great, but what I like to do is talk with my patients about the advantages and disadvantages of each, and then give my recommendation.  In the end, though, it’s their call as to what they want.

Saline implants are less expensive, can usually be placed through a slightly smaller incision, and look great especially, in women who have a little extra breast tissue already present.  In addition, if they do rupture, your body just absorbs the saline, and it becomes obvious pretty quickly that you need it replaced.  The disadvantage, however, is that they tend to feel less natural (more like a balloon in some cases) and in very thin women you can see some rippling along the sides of the breasts.

Silicone implants cost a bit more and may need a slightly larger incision to place them, but they offer a wonderful natural shape and feel, and are much less likely to show rippling than saline implants, although very thin women may still see a little.

In the end, it’s your body and your call as to what works best for you, but in most cases, we can get a fantastic result with either choice!

Dr. Shahram Salemy Close Up

Shahram Salemy, MD, FACS

Dr. Salemy is an award-winning, ASPS Board-Certified Plastic Surgeon and member of the American Society of Aesthetic Plastic Surgeons (ASAPS) practicing in Seattle, WA. As Clinical Associate Professor at the University of Washington's School of Medicine, Department of Surgery, Division of Plastic Surgery and President of The Northwest Society of Plastic Surgeons, Dr. Shahram Salemy strives to advance the field and practice of plastic surgery for both his patients and his university students. Learn more about Dr. Shahram Salemy and his esteemed background.
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We have chosen not to display before and after photos of labiaplasties given the sensitive nature of this anatomy. However, we will be happy to show you before and after photos at your consultation so that you may see the kinds of results that are possible with this procedure.