...In your breast augmentation surgeries approximately what percentage are saline and what percentage are silicone?

From 2006, when Health Canada licensed breast implant manufacturers to resume selling silicone gel filled implants on an unrestricted basis, we saw a steady increase in the proportion of patients choosing silicone gel filled devices over saline implants. Today gel implants make up roughly 75% of all the implants we use, and saline the rest. There are advantages and disadvantages of each. Saline costs a little less. Leaks are obvious ( deflation occurs quickly, although rarely) and don't require special tests to detect ( MRIs are a requirement with silicone implants at three years and every two years thereafter in the USA, though not in Canada). The rate of capsular contracture is probably a little lower. Silicone implants, especially in women with minimal body fat and little natural breast tissue, tend to feel more natural, in the absence of contracture, and rippling/visibility is much less of a problem. Although up to early 2010, I had to use an incision under the breast for silicone implants, that has changed, and if conditions are right for the armpit (trans-axillary endoscopic augmentation) approach, this can be done for either saline, as we have done since 1997, or silicone devices.
Dr. Benjamin Gelfant Vancouver Plastic Surgeon www.gelfant.com

I currently use approximately 90% silicone gel filled implants and 10% saline filled implants for breast augmentation. Since silicone gel filled implants were re-approved in Canada through special access in 2001, there has been a steady increase in my use of these devices. My clients want the breast implant that is most likely to give them the best results and I believe that these implants are superior to saline filled implants for most patients. The safety profile of all types of implants is well established. Each implant has different strengths and weaknesses that must be evaluated in the context of each patient. During a consultation we evaluate different options of implant types and surgical techniques that will optimize the results for each patient.
Dr. Mathew Mosher Vancouver Plastic Surgeon www.drmosher.com

In my practice, at the current time, I have been using approximately two-thirds silicone gel implants and about one-third saline implants. And, of the gel implants, about two-thirds are smooth round gel implants and one-third and form stable anatomic implants.
Dr. Kyle Wanzel Toronto Plastic Surgeon www.plasticcosmeticsurgery.ca

Currently, our ratio of cohesive gel to saline implants has changed in a major way. Over 90%
of women currently choose cohesive gel implants. We use the soft cohesive gel implants (manufactured by Mentor). These give the best results in our hands. We place them in the subglandular or the submuscular plane, depending on the patients clinical findings.
Dr. Walter Peters Toronto Plastic Surgeon www.drpeters.ca

Presently I use 45% anatomic cohesive gel implants, 40% round gels implants and 15% saline implants.
Dr. Mitchell Brown, Toronto Plastic Surgeon www.torontoplasticsurgery.com

I typically perform 90% saline and 10% silicone gel in my breast augment practice, though the number of patients requesting silicone is definitely increasing since HPB and FDA approval.
Dr. Howard Silverman Ottawa Plastic Surgeon www.ottawaplasticsurgery.com

I tend to use saline filled implants most of the time as they can be placed through a small underarm incision and generally have the softest feel of any implant.
Dr. Wayne Carman Toronto Plastic Surgeon www.drcarmanplasticsurgery.com

Over the years we have seen the cohesive gel breast implants become more and more popular. The implant it is very soft and natural to touch, cuts down the chance of visible ripples plus avoids the potential risk of deflation. This past year 80% of our clients have requested the mobile cohesive gel implant over the saline.
Dr. David Ward Vancouver Plastic Surgeon www.drdavidward.com

60% Silicone Gel, 40% Saline.
Dr. Ronald Levine Toronto Plastic Surgeon www.breastimplantstoronto.ca

In my practice I use approximately 60% saline implants and 40% silicone gels.
Dr. Eric Pugash Vancouver Plastic Surgeon www.vancouvercosmeticsurgery.ca

85% Silicone Gel, 15% Saline.
Dr. Sean Rice Toronto Plastic Surgeon www.doctorseanrice.com

85% Silicone Gel, 15% Saline.
Dr. Leslie Kerluke Vancouver Plastic Surgeon www.drkerluke.com

100% Silicone Gel.
Dr. Anthony Lockwood Winnipeg Plastic Surgeon www.thefirstglance.ca

95% of my breast augmentation are Gel and 5% are Saline.
Dr. Robert Sleightholm Brampton Plastic Surgeon www.bramptoncosmetic.com

Over the last few years, silicone cohesive gel implants have become more popular than saline implants in my practice, mainly because the cohesive gels feel much more natural. I would estimate that I now perform 80% gels, 20% salines.
Dr. Jerome Edelstein Toronto Plastic Surgeon www.edelsteincosmetic.com

99% Silicone Gel.
Dr. Derek Ford Toronto Plastic Surgeon www.fordplasticsurgery.com