We mostly prefer silicone gel implants, which have several advantages over saline. Not only do they look and feel more natural than saline, but they tend to ripple and wrinkle less often than their saline counterparts. Even further, silicone implants don’t leak, meaning they last longer than saline implants. Saline implants do cost less than silicone, and in patients with a greater amount of breast tissue and body fat, the rippling is less of an issue. The saline implant can also be placed through a slightly shorter incision, since it is placed when it is empty and then filled. The silicone implants require a longer incision because they are filled when they are manufactured.