Silicone gel or simply silicone implants feel soft and natural, and are often the implant of choice for women who want the most aesthetic result. Slender women can choose these implants for subglandular placement without sacrificing these aesthetics. Silicone gel weighs less than a comparable volume of saline, so the risk of the implant shifting downward with pull of gravity is reduced. Silicone implants are more expensive than saline implants and, because they are pre-filled by the manufacturer, require a larger incision than inflatable saline implants. There are also silicone gel implants that have a primary shell pre-filled by the manufacturer and a secondary shell that can be filled at the time of surgery.

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