I often get asked by patients which is better saline or silicone implants? I generally tell my patients silicone…why? The new silicone implants are gel-filled, not the old liquid filled implants. They will not leak throughout ones body, since they are not liquid. Silicone implants feel more natural, less like the water balloon feel of a saline implant. The new silicone implants have been approved since 2006 by the FDA. Saline implants life span is around 10 years, then they will break and have to be replaced. Silicone implants should last longer than that, since the old liquid filled silicone implants have lasted 20-30 years in many cases. So if the lifespan is longer with silicone, they would be a better value and less out of pocket expense versus saline implants.