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Saline implants tend to be better on those who already have a reasonable cup size to begin with, as the breast tissue already there will envelop the implant and give it a softer and more natural outline. In addition to the slightly lower cost if, on the rare chance the implant ruptures, the body will naturally absorb the contents of the implant. It’s also easier to tell if a rupture has happened with saline implants so for these reasons it’s sometimes seen as the safer option.
The history and culture of the implant have probably also contributed to the popularity of one over the other. The States witnessed a 14-year ban on silicone implants which has resulted in the perception that saline is the preferable option - between 1992 and 2006 only saline implants were available.
The UK on the other hand has never had such a ban and silicone has remained the number one choice.
Ultimately, it will be down to the doctor and the patient to discuss and decide between them both, based mostly on desired outcomes and personal preference.