Alongside the choice of shape and size, there are different types of implants for you to consider when looking at breast augmentation surgery, each with their own pros and cons.


The original type of implant, silicone, continues to be popular today due to its similar feel to natural breast tissue. In cases in which the implant rupture, even if the gel escapes, the shell won’t collapse due to its ability to retain its shape. Follow-up appointments will be necessary however to ensure that the implant is functioning correctly. Both silicone and saline implants have a limited lifespan, with studies showing leakage on average occurring around 10 years and rupture around 13-14 years, so replacement is likely to be required.


Consisting of a silicone shell, these are inserted empty into the breast then filled with a saline – sterile salt water – solution. We don’t use this type of implant very often as they tend to deflate and are prone to rippling which may be visible, particularly on women with thin breast tissue. One advantage of saline is that it requires a smaller incision for the insertion. Additionally, as the implant is not pre-filled, adjustments can be made by using different levels of solution, making this an ideal implant type to correct asymmetrical breasts. This is also a heavier type of implant, which will feel firm and less natural.

Cohesive Gel 

This is a silicone shell that is pre-filled with cohesive silicone gel and is generally considered the superior option for implants. It’s firmer and retains its shape well – so it’s less likely to ripple than other types of implant. It’s texture and consistency is close to that of breast tissue, so it has a more natural feel to it than the other implant types. And unlike regular silicone implants, there’s no risk of leaking. In fact, they shouldn’t need to ever be replaced. The downside with these implants though, is the bigger incision required to insert them. 


An important consideration of the choice of implant is the discovery of a new type of cancer, Anaplastic Large cell Lymphoma (ALCL). Dr Vucak is closely following this medical development, which is believed to be the result of friction from macrotextured implants. Following this discovery, Dr Vucak’s preferred implant type is smooth gel. This is an that Dr Vucak takes very seriously to ensure the best outcome for his patients – if it is something that concerns you, make sure to discuss it with him in your consultation.

Choosing the right implant for your breast augmentation is another decision to be made on the transformation journey. The procedures, products and trends when it comes to implants are always changing, but your QPS surgeon will be able to talk you through your options and make sure that you have all the information you need to make the right decision for you.

Visit the Queensland Plastic Surgery Breast Augmentation page to find out more about this procedure.