I spend a great deal of time and effort in my practice educating women about their options for surgery, and when discussing breast augmentation, I emphasize that all implants, both saline- and silicone-filled, are SAFE.
In fact, silicone breast implants are the most extensively studied implantable medical device in the history of medical devices!
All breast implants have a silicone shell; the fill material is what differs. For most of my patients, I recommend silicone specifically, because it can have a more natural look and feel.
The website breastimplantanswers.com is an excellent resource for women to learn all about breast implants. I send each woman I see in consultation to this site to do some "homework" and to learn more about this medical device.
Here are some excerpts from the site (I encourage you to also visit the website for additional information):
Learn more about the technology and innovation behind silicone and silicone gel-filled breast implants
1. In addition, countless published, peer-reviewed studies and research support the safety of silicone and silicone gel-filled breast implants. The FDA also considered in their decision the opinions of advisory panels made up of outside experts.
Breast augmentation is a personal decision for a woman, and one that should not be taken lightly. I encourage all women to educate themselves about the safety and science of breast implants before considering any surgical procedure.