There is a wide range of breast implants whose properties and all their pros and cons cannot be individually described here. They basically differ in their shape, firmness, filling material and surface texture. There are round or oval shapes as well as different heights and projections that are suitable for a breast augmentation. The firmness and consistency varies depending on the filling material and the manufacturer. The surface can have a smooth or roughened texture. Silicone has received a lot of negative media attention in connection with breast implants. Several years ago, relatively liquid silicone gel was used as the filling material, which could leak out if the implant ruptured, causing bodily reactions in some cases. The silicone used today is cohesive and can no longer leak out, comparable to the consistency of a gummy bear. Besides silicone, the only other filling material approved in Germany is saline. In more than 98% of all cases, we used implants filled with silicone gel, because they feel the most natural. Saline implants lose their volume over time.