Pros & Cons of Different Types of Breast Implants

The number of people seeking cosmetic procedures such as breast augmentation has surged by 10% since the COVID-19 pandemic. Clinics in Singapore are seeing an uptick in breast implant procedures, hence it is needed more than ever to understand the importance of choosing the right types of breast implants for bigger, natural-looking breasts.

Choosing the right type of breast implants

Breast implants come in various shapes and sizes. The right type of breast implant will be closest to your desired appearance. Too big an implant, and it can look far from natural. Too irregular a shape, and your breasts may look disproportionate to your body frame, giving overall asymmetry. 

Many women in Singapore have returned to clinics to change the sizes of their breast implants. Bigger breasts often means heavier weight, and this can become uncomfortable over time. 

Choosing the right type of breast implants

In Singapore, qualified aesthetic clinics will use registered breast implants that are approved by the Ministry of Health (MOH). With the recent global reports about incidents involving macro-textured implants, people are urged to discuss with their plastic surgeons about the risks and complications that may accompany breast augmentation procedures.

A board-certified plastic surgeon can tap into his years of experience and keep abreast on the current plastic surgery trends and news to provide only the best recommendations for his patients. Choosing the right plastic surgeon for you entails a list of questions to determine your compatibility and gauge his expertise in different breast augmentation procedures so that he can give you his best judgement on the matter. 

The different types of breast implants

You will find that there are more than just two kinds of breast implants in Singapore. The main characteristics that differentiate between the kinds of breast implants are the material, size, and shape.

  • Material

The most popular material used in modern breast augmentation procedures is silicone. Silicone-filled implants offer a better impression of natural breasts, whereas saline gel-based implants provide an alternative to silicone-type material for individuals who share concerns about silicone. Until recently, only silicone-filled and saline gel-filled implants were available. 

torn gummy bear implant cohesive gelAs their names suggest, silicone and saline gel-based implants are made of their respective fillers. Gummy bear implants were made popular in the mid-2000s due to the ability to retain their shapes in the event of a rupture as they have a thicker gel viscosity that is highly-cohesive. This means that the gel will be less likely to leak and spread in the chest if the implant ruptures.

  • Size

The plastic surgeon will help you decide on the appropriate size of your breast implant for you. Depending on your goals and your body anatomy, the size differs from person to person and what can be practically achieved is roughly up to 3 sizes.

different sizes of breast implants diagramA rule of thumb you can follow is: 

  • 200 cc’s: The size of a large lemon
  • 300 cc’s: The size of a large orange
  • 400 cc’s: The size of a grapefruit

For example, moving up from an A-cup to C-cup may require a breast implant of about 375 to 400 cc. Additionally, it is not recommended to go beyond 2 sizes up if you have ample breast tissue as this can make the chest look less natural.

  • Shape

Teardrop-shaped implants are the common choice as it comes close to the ideal appearance for natural-looking breasts. 

different shapes of breast implantsHowever, breast implants may rotate in the chest over time, and the malrotation of teardrop implants can cause the breasts to look asymmetrical or irregular should this happen. Round-shaped implants provide the advantage of lesser visibility in the case of implant rotation.

  • Texture

Lastly, breast implants can be categorized under different textures. Where the traditional ones have a smooth surface, newer implants have a textured lining to reduce the risk of capsular contracture (inflammation around the implant) and malrotation. 

different textures of breast implants

What is the best type of breast implant?

Not all types of breast implants are one-size-fits-all. Since the first successful breast augmentation surgery in the 1960s, implants have gone through leaps and bounds of refinements to the material, shape, and texture.  

The differences are marked out in the table below.



Silicone implants

Saline gel implants

Gummy bear implants


  • Natural-looking shape and feel
  • Keeps the shape when chest is upright, or when ruptured
  • Lower risk of gel bleed, wrinkling
  • Lightweight compared to saline implants
  • Natural-looking shape and feel
  • Only outer shell is made of silicone, thus saline will be absorbed by the body in the event of a rupture
  • Affordable option
  • Lower risk of capsular contracture
  • Lower risk of rupture and leakage
  • Lower risk of capsular contracture


  • Risk of capsular contraction
  • Contains silicone
  • Unable to keep teardrop shape after insertion
  • Saline volume tend to decrease over time
  • Possible risk of wrinkling
  • Risk of losing shape in the event of a rupture
  • Thicker and denser to the touch
  • Only available in teardrop shape

How will I be assessed for the right type of breast implant?

It is important to be honest with yourself about the changes you would like to achieve. Before visiting an aesthetic clinic for a consultation, consider reading up on the breast augmentation process with breast implants to manage your expectations. 

Picking the right plastic surgeon who can perform the surgery for you in a safe and practical way is also crucial. A certified clinic or plastic surgeon can help to answer any question you may have about breast implants. 

Specialized plastic surgeons or breast specialists who have performed many breast augmentation procedures are well-equipped to discuss the right type of implant that suits your goals and put your safety first. 

breast augmentation with implants consultationTypically in a consultation, your plastic surgeon will take a comprehensive medical history from you, including existing medical conditions (if any), allergies, and prior surgeries. These can help to determine a suitable implant, method of placement and procedure for you. 

A good plastic surgeon will also run through the different kinds of breast implants that his clinic offers and share the pros and cons with you.

Are breast implants the right choice?

Breast augmentation with breast implants may seem like a huge undertaking with long-term results in the horizon. But with the proper research, guidance, and care, a breast implant procedure can be a safe and worthwhile experience for you, with realistic and natural-looking results for years to come.

Why choose Illumia Medical's Plastic Surgery?

Illumia Medical continuously strives for excellence in aesthetic treatments and surgical services in Singapore, pushing the boundaries of science and technology to offer innovative solutions to the modern man or woman. Illumia’s team of qualified and accredited doctors, plastic surgeons and industry gurus is committed to providing the best solutions at affordable prices with minimal effort. 

At Illumia, three types of breast augmentation services are available. Click on the following links to learn more about each surgery.

Schedule a consultation with our board-certified Consultant Plastic Surgeon Dr Adrian Ooi to find out your best options today.


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