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11 minutes

15 April 2026

Medically reviewed by Dr Tavakoli.

What are the Different Types of Breast Implants?

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Dr Kourosh Tavakoli

An Australian-trained plastic surgeon with over 20 years of experience, specialising in breast and body surgery. he is an internationally recognised lecturer in his field. 

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Breast augmentation involves enhancing the size and shape of the breasts using implants or other methods. When considering this procedure, understanding the different types of breast implants is crucial. This guide covers the most common options, detailing their characteristics, benefits, and potential drawbacks to help you make an informed decision.

Saline Breast Implants

Saline breast implants are one of the most widely used options in breast augmentation. Below, we explore what saline implants are, along with their advantages and disadvantages.

What Are Saline Implants?

Saline implants consist of a silicone outer shell filled with sterile saltwater (saline) after the implant is inserted into the body. This type of implant is typically placed through a smaller incision because it is filled after insertion, allowing the surgeon to adjust the implant size during the procedure.

Pros and Cons of Saline Implants

Saline implants offer several benefits, including the ability to adjust the size during the procedure and a lower risk of complications if the implant ruptures, as the saline is safely absorbed by the body. They also allow for smaller incision sizes.

Conversely, saline implants tend to feel firmer and may not have the same natural texture as silicone implants. They are also more prone to rippling, which can affect the procedure’s outcome.

Silicone Breast Implants

Silicone breast implants are another common option. These implants have gained popularity due to advancements in technology that have improved their safety and durability.

What Are Silicone Implants?

Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of natural breast tissue. Unlike saline implants, they come pre-filled and require a slightly larger incision for placement.

Pros and Cons of Silicone Implants

The main advantage of silicone implants is their ability to provide a more natural appearance and texture. They are also less likely to show rippling.

However, because silicone implants do not collapse if they rupture, if there are concerns about the integrity of the implants, medical imaging will need to be undertaken to ensure the integrity of the implant. Additionally, silicone implants tend to be more expensive than saline options and require a slightly more invasive surgical procedure due to the larger incision needed.

Structured Saline Breast Implants

Structured saline breast implants are a newer development designed to combine the benefits of both saline and silicone implants. They offer another approach for those seeking a balance between the first two options.

What Are Structured Saline Implants?

Structured saline implants consist of multiple inner chambers that contain saline, which helps them maintain their shape and feel more like natural breast tissue compared to traditional saline implants. The structure within the implant aims to reduce the likelihood of rippling and provide a more stable form.

Pros and Cons of Structured Saline Implants

The primary advantage of structured saline implants is their ability to offer a more natural feel while still allowing for the safety benefits associated with saline. They also allow for size adjustments during the procedure and typically require a smaller incision compared to silicone implants.

However, structured saline implants are generally more expensive than traditional saline implants and may still not completely match the natural feel of silicone implants. The choice between these and other options often depends on individual preferences and the surgeon’s recommendations.

Cohesive Gel Breast Implants

Cohesive gel implants are designed to retain their shape even when the implant shell is broken. These implants offer another option to consider for breast augmentation.

What Are Cohesive Gel Implants?

Cohesive gel implants are made from a highly cohesive silicone gel that maintains its shape, even in the event of a rupture. These implants are often teardrop-shaped. Moreover, the gel consistency is thicker than that found in traditional silicone implants.

Pros and Cons of Cohesive Gel Implants

Cohesive gel implants are known for their stability and the natural contour they provide. Their shape retention means they are less likely to fold or ripple, which can be an issue with other implant types.

However, cohesive gel implants require a larger incision for insertion due to their firmness and pre-filled nature. They are also generally more expensive and, in cases where the implant rotates, may lead to an unnatural breast shape. Patients considering this option should weigh these factors carefully.

Autologous or “Fat Transfer” Breast Augmentation

Autologous breast augmentation, also known as fat transfer, involves using the patient’s fat to enhance breast size. This method is different from traditional implants and may be used in conjunction with breast implants after a personalised consultation with your surgeon.

What Is Fat Transfer Breast Augmentation?

Fat transfer breast augmentation involves harvesting fat from other areas of the body, such as the thighs or abdomen, through liposuction. The fat is then purified and injected into the breasts to increase volume and improve shape. This method avoids the use of synthetic implants and relies on the patient’s natural tissues.

Pros and Cons of Fat Transfer Augmentation

The main advantage of fat transfer breast augmentation is that it uses the patient’s fat, reducing the risk of allergic reactions. However, fat transfer is generally limited in the amount of volume it can add, making it less suitable for those seeking a significant increase in breast size. Additionally, some of the transferred fat may be reabsorbed by the body over time, potentially requiring multiple procedures to achieve and maintain the desired outcome.

Consult a Certified Plastic Surgeon to Learn More

Choosing the right type of breast implant or augmentation method is a personal decision that should be made with the guidance of a qualified plastic surgeon. Each option has its own set of benefits and considerations, and a detailed consultation is essential for making an informed choice that aligns with your goals and medical history.

Book a Consultation with Dr Tavakoli

For those in Sydney considering breast augmentation, Dr Tavakoli offers comprehensive consultations to discuss the types of breast implants available. Dr Tavakoli can provide expert advice on which option may be best suited for you. Contact the clinic today to schedule a consultation and learn more about the different types of breast implants and what each option entails.

Types by Fill Material

The filler material inside your breast implant directly influences how your breasts look and feel. Australian regulations permit two primary categories. Each offers distinct characteristics that may align differently with your preferences and body type.

Modern breast implants represent decades of research and refinement. Material science advances have enhanced safety profiles across all approved options. The choice between fill types affects texture, movement, and long-term outcomes.

Cohesive vs Highly Cohesive Silicone

Silicone gel implants dominate the Australian breast augmentation market. The gel consistency varies from softer cohesive formulations to firmer, highly cohesive options. This spectrum allows plastic surgeons to match implant feel with individual patient anatomy.

Cohesive Silicone Advantages

  • Texture closely matching breast tissue
  • Softer texture preferred by many patients
  • Dynamic movement and drape characteristics
  • Suitable for various placement positions

Highly Cohesive Considerations

  • Firmer feel may be noticeable to the touch
  • Requires a larger incision for placement
  • Less movement in some cases
  • Higher cost compared to the standard cohesive

The TGA monitors all silicone breast implants on the Australian market. Manufacturers must demonstrate biocompatibility and safety through rigorous testing. Regular audits ensure ongoing compliance with safety standards.

Saline — Fill, Feel & Detection

Saline breast implants contain sterile saltwater solution. The surgeon places an empty shell and fills it during surgery. This approach allows for smaller incisions compared to pre-filled silicone options.

The feel of saline implants differs noticeably from silicone alternatives. Many women detect a more obvious implant presence. The fluid moves differently from gel, sometimes creating rippling visible through thin skin.

Detection of saline implant rupture occurs immediately. The body safely absorbs the saltwater, and the breast visibly deflates. This obvious change contrasts with silicone ruptures, which may remain undetected without imaging.

Volume adjustability represents a unique saline advantage. Surgeons can fine-tune the fill volume during breast augmentation surgery. This precision helps in addressing breast asymmetry.

For a detailed comparison, explore our comprehensive guide on saline vs silicone implants. Understanding material differences helps you articulate preferences during consultation.

Round Implant Characteristics

  • Uniform fullness throughout the breast mound
  • Enhanced upper pole projection
  • Rotation does not affect appearance
  • Available in smooth and textured surfaces
  • Preferred by the majority of Australian patients
  • Suitable for most body types and goals

Anatomical Implant Characteristics

  • Natural teardrop contour mimics breast tissue
  • Less upper pole fullness than the round options
  • Textured surface prevents rotation
  • Ideal for reconstruction procedures
  • Requires precise surgical positioning
  • May suit women seeking subtle enhancement

Types by Surface Texture

The outer shell texture of breast implants affects how they interact with surrounding tissue. Surface characteristics influence capsule formation, implant stability, and long-term safety profiles. Recent years have brought significant changes to texture availability in Australia.

Understanding surface texture options requires knowledge of both benefits and risks. The Australian regulatory environment has evolved based on emerging safety data. Current recommendations prioritise patient wellbeing while maintaining choice where appropriate.

Smooth, Microtextured, Macrotextured — Safety Comparison

  • Smooth implants remain widely available
  • Microtextured options provide moderate adhesion with good safety profiles
  • Macrotextured implants face restrictions due to BIA-ALCL associations
  • Current Australian guidelines favour smooth or lightly textured surfaces
  • Your surgeon discusses texture options based on current evidence

For comprehensive information about implant safety considerations, review our detailed article on breast implants and cancer. Staying informed about evolving research helps you make confident decisions.

Surface Texture Characteristics Advantages Considerations Australian Availability
Smooth Polished shell, high mobility Dynamic movement, soft feel, lower BIA-ALCL risk May rotate in anatomical shapes Widely available
Microtextured Light surface pattern Moderate stability, good safety profile Limited brand options Select brands only
Macrotextured Pronounced texture pattern Strong position stability BIA-ALCL association, restricted availability Limited due to TGA restrictions

TGA-Registered Brands in Australia

Only TGA-registered breast implants can be legally used in Australian breast augmentation procedures. The registration process ensures rigorous safety testing and ongoing quality monitoring. Understanding which brands meet Australian standards protects your health.

The Australian Register of Therapeutic Goods lists all approved breast implant brands. This public database allows patients to verify implant legitimacy before surgery. Checking registration status represents an essential step in your safety verification process.

Brand Name Manufacturer Fill Material Surface Options TGA Status Notable Features
Motiva Establishment Labs Silicone gel Smooth, SmoothSilk Registered RFID tracking chip, soft touch
Mentor Johnson & Johnson Silicone gel, saline Smooth, Siltex Registered Long track record, extensive sizing
Allergan Natrelle AbbVie Silicone gel Smooth only Registered Biocell textured withdrawn, smooth available
Silimed Silimed Silicone gel Smooth, textured Registered Brazilian manufacturer, polyurethane options
Eurosilicone GC Aesthetics Silicone gel Smooth, Opticon Registered European brand, quality gel formulation
Sebbin Laboratoires Sebbin Silicone gel Smooth, microtextured Registered French manufacturer, B-Lite lightweight option

 

Frequently Asked Questions

What types of breast implants are available in Australia?

Australian women can choose between silicone gel and saline implants for breast augmentation. Silicone options include cohesive and highly cohesive formulations. Shape options include round and anatomical teardrop designs. Surface textures range from smooth to microtextured, with macrotextured options restricted due to safety concerns. All implants must have TGA registration to be used legally in Australia.

Are silicone or saline implants better for breast augmentation?

Silicone gel mimics the texture and movement of biological tissue better than saline. However, saline implants offer advantages, including smaller incisions, immediate rupture detection, and lower cost. Your body type, breast tissue amount, and personal preferences guide the recommendation. For a comprehensive comparison, read our detailed guide on silicone vs saline implants.

What is the difference between round and teardrop breast implants?

Round breast implants provide uniform fullness throughout the breast with enhanced upper pole projection. They cannot rotate out of position because of their symmetrical shape. Teardrop or anatomical implants mimic breast contours with more volume in the lower portion. They require textured surfaces to prevent rotation and are used more commonly in reconstruction than cosmetic augmentation. Round implants remain the preferred choice for most Australian breast augmentation patients.

Which breast implant brands are TGA-registered in Australia?

Major TGA-registered breast implant brands in Australia include Motiva, Mentor, Allergan, Silimed, Eurosilicone, and Sebbin. Each manufacturer offers different product lines with varying characteristics. Motiva includes innovative RFID tracking technology. Mentor provides extensive sizing options with long-term safety data. Allergan focuses on smooth implants following the textured product withdrawal. All registered brands meet stringent Australian safety standards.

How do I verify my breast implants are TGA-approved?

Visit the TGA website and search the Australian Register of Therapeutic Goods database. Enter your implant brand and model number to confirm active registration status. Your plastic surgeon should provide complete implant details, including ARTG number, before surgery. Check registration shortly before your procedure date, as status can change. You have the legal right to receive full device identification information.

Do different implant types require different recovery times?

Recovery time depends more on surgical technique and implant placement than on implant type. The position of your implants relative to the chest muscle affects healing duration. Submuscular placement typically requires longer recovery than subglandular positioning. Implant size influences comfort levels during recovery regardless of fill material or shape. Your plastic surgeon provides specific recovery timelines based on your chosen procedure approach.

Can I see examples of different implant types before choosing?

Quality plastic surgery practices maintain implant sizers that allow you to feel different options. During consultation, you can hold various sizes, shapes, and gel consistencies. Some surgeons use 3D imaging to show predicted results with different implant specifications. Try-on sessions wearing implant sizers in a bra help visualise potential outcomes. Dr Tavakoli provides a hands-on comparison during your breast augmentation consultation.

How long do different types of breast implants last?

Modern breast implants are not lifetime devices but can last many years. Both silicone and saline implants typically function well for ten to twenty years. Implant longevity depends on multiple factors, including surgical technique, your body’s response, and lifestyle factors. Regular monitoring helps detect issues early. The Australian Society of Aesthetic Plastic Surgeons recommends periodic imaging to assess implant condition regardless of type.

Ready to Choose Your Implants? Start with Expert Guidance

Understanding the types of breast implants in Australia represents just the beginning of your augmentation journey. The information in this guide provides a foundation for informed discussion with your plastic surgeon. Your unique anatomy, aesthetic vision, and lifestyle requirements shape the final recommendation.

Dr Tavakoli combines extensive surgical experience with a patient-centred approach to breast augmentation. Our detailed consultations explore your goals, examine your anatomy, and explain how different implant options align with your desired outcome. You receive honest guidance based on what works best for your body, not what is easiest to sell.

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Dr Tavakoli requires video for accurate assessment for all BREAST procedures. View video instructions here

Schedule A
Consultation

Schedule A Consultation

Are Your Ready to Take The Next Step?

Contact Form
Dr Tavakoli requires video for accurate assessment for all BREAST procedures. View video instructions here