In my opinion, silicone gel implants feel more natural and nearly eliminae he problem of rippling
that saline implants
sometimes cause. Sagging is not an issue with either implant if you require a lift at the same time. I find both implants are safe and, in fact, I persoanlly have never taken out the current generation of gel implants for any problem. Gel implants, however, are more expensive than saline.