Choosing what type of implants to use is one of the main decisions when considering breast implants. Over 99% of women in my Seattle, Washington private practice choose silicone implants. Silicone tends to look and feel more natural than saline implants. silicone implants are also less likely to show visible rippling, which is caused by wrinkles and folds of the implant shell. Rippling is a bigger issue for thin women who have little breast tissue.
Silicone implants come with two basic types of gel. There are highly cohesive "gummy bear" implants or cohesive silicone implants. Most women in Seattle choose cohesive gel implants over the firmer gummy bears. The reason goes back to their more natural look and feel.