Women considering silicone implants still have high-quality options designed to offer a natural feel, durable shell design, and long-term reliability. Modern silicone implants use improved cohesive gels and advanced manufacturing standards that enhance both safety and aesthetics.

These advancements matter because today’s silicone implants are available only through board-certified or board-eligible plastic surgeons, ensuring patients receive care from surgeons with the highest level of training, experience, and oversight. This provides an additional layer of safety and trust for anyone choosing silicone over saline.

Choosing the Right Implant for You

Women have more options than ever:

SERENE Implants® — ideal for peace of mind, saline safety, and a natural look without the risk of silent rupture. Monitoring is just a glance in the mirror to ensure the implant integrity. Dr. Nichter recommends that implants do not need to be changed unless there is a rupture as the replacement is simple and would not require a capsulectomy (removal of the capsule).

Modern Silicone Implants like Motiva, Sientra, and others— great for patients who prefer the feel of silicone and want advanced gel technology with improved shape retention and durability, available exclusively through highly qualified plastic surgeons. FDA guidelines are to monitor implants at 5-6 years with a MRI or Ultrasound to make sure there is not a silent rupture. If so they will need to be replaced. As the majority of implants rupture between 11-19 years, Dr. Nichter recommends that his patients consider replacement at 10-12 yrs prior to rupture as a simple procedure. If a rupture occurs than a capsulectomy is often required.

The best choice depends on your anatomy, aesthetic goals, and comfort level with saline versus silicone.