Silicone Breast Implants to Get More Upper Pole Volume?

After spending months and months doing research and getting opinions and a few consultations, I have decided that I'll need to get breast implants with my breast lift. I'm currently 34B and don't want to go up a cup size. I partially fill out a B cup so willing to go to full B. I was measured 13.5 breast diameter.

I've been looking at Mentor's dimensions for both saline and silicone moderate round implants. It seems that the silicone is wider with less projection, while saline is narrower with more projection. Since all I want is to fill my upper pole and not go up in size, would silicone be a better choice? Also I'm going under the muscle.

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breasts Mentor saline implants silicone implant under muscle B cup breast size moderate profile round implant volume

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9 Doctor Answers | Asked by Star24 in Texas

Doctor Answers (9)
Community Comments (0)

Implant size with Breast lift to fill out upper pole

In general, you are correct: most surgeons use a lower profile implant in conjunction with a breast lift if upper pole fullness is requested or needed. Whether saline or silicone is better is more dependent on the shape of the implant than how it is filled. Yes, in general, saline implants are slightly more projected than gel because saline implants are overfilled. I usually recommend gel implants for all my patients since I believe they are a superior product. A low... more

Breast implant sizing

It is great that you have done extensive research in preparation for your upcoming surgery. However, I would caution you to communicate your goals clearly with your surgeon (I like to use pictures as the clearest communication tool) and to allow your surgeon some discretion in the operating room. The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with... more

Implant choices

Choosing the right implant fo ryou really depends upon your goals and dimensions. These are best determined in person during an exam.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Upper pole fullness

A moderate sized implant with an appropriate base diameter should help you acheive your goal of improved upper pole fullness without making you too large. With the information that you posted it would seem that a good percentage of the implant volume would be directed to upper pole fullness...

Silicone vs saline for breast lift

The differences in silicone vs saline are primarily the look and feel being much more natural with silicone gel than saline and saline not requiring significant follow up. The dimensions are close enough with all the varieties of implants available that dimension should not be the reason to chose saline or silicone. You should also be aware that any implant will add volume to your breasts so your size will increase.

Silicone or saline implants with mastopexy

Both saline and silicone gel implants work very well for augmentation with mastopexy, and you should not let very small dimensional differences concern you. You have raised an issue with increasing the size of your breast a small amount, perhaps just one half to one cup size, small B to full B, with your breast lift. You mentioned also that your implant will be placed under the muscle. My concerns with augmentation breast lift are this: will the implant be large enough to fill out the skin... more

Silicone breast implants for more upper pole volume

Star, "I've been looking at Mentor's dimensions for both saline and silicone moderate round implants. It seems that the silicone is wider with less projection, while saline is narrower with more projection. Since all I want is to fill my upper pole and not go up in size, would silicone be a better choice?" It sounds like you are comparing MENTOR's HIGH PROFILE Smooth Silicone Gel implants with the Mentor Style 2000 Moderate Plus Saline implants. For all practical purposes these... more

Upper breast fullness with breast implants and lift (mastopexy)

Clearly the best technique to achieve upper pole fullness is placing the implant ABOVE the muscle. There may be compelling reasons to place them under the muscle but this is the single most important technique to acheive upper pole fullness. I am not sure about the other part of your question which namely comes down to: Which implant achieves the greates upper pole fullness: a larger diameter or a higher projection implant?

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast implants and lifts for upper pole fullness

First of all, you are doing good research. You should have implants under the muscle and the implant should have a base width that fits your breast's base width. At 13.5 cm, the volume of a moderate profile implant WILL add size to you. There is no way to add upper pole volume without adding cup size. So, try to forget the cup size restriction and go for the final "look" you want. Let the cup size just follow that.