Breast Augmentation: Q&A

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Would Saline Be a Good Choice for Us with Very Little Breast Tissue?

I am a very petite 27 year old at 4' 11" and 90 lbs. I'm looking into breast augmentation, but I'm having a difficult time deciding if it's right for me. I am currently a 32AAA (34A before kids), therefore, I have very little breast tissue. I'm wanting a very natural look, but am a little hesitant going with silicone. I don't want to go much more than 250cc (mod plus). Would saline be a good option for me? I'm also worried about rippling with saline. I know it happens, but how common is it? Thx!

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age 25-34 AA cup 4 ft 11 in and under after pregnancy saline implants 090-109 lbs

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17 Doctor Answers | Asked by lindsayw121 in MN

Doctor Answers (17)
Community Comments (1)

Saline implants with very little breast tissue

Saline implants are likely to create some rippling if you have thin tissues. Placing the implants under the muscle is not a complete solution, because the muscle does not cover the lower outer portion of your breasts. Over time, you will likely feel and see ripples/ wrinkles there if you have very thin tissues. If you want to reduce ripples/ wrinkles and get a very natural look and feel, you should consider silicone. If you are concerned about rupture with silicone implants, you could... more

Best alternative for minimal scar is Breast Augmentation with Mini Ultimate Breast Lift

For patients with very little breast tissue I always recommend silicone gel implants. They look and feel more natural. The best position is underneath the muscle. This provides additional padding to conceal the implant and produces a normal feel. If you are size 32 each 100 cc of implant will correspond to 1 cup size change. A 250 cc implant will take you up 2 1/2 cup sizes. Since you had pregnancies, you have stretched skin and volume loss and you may... more

Saline breast implants are not a good choice for patients with very little breast tissue.

Saline breast implants are not a good choice for patients with very little breast tissue for several reasons. In patients who have very little breast tissue a sub-muscular breast implant pocket is often used inorder to better disguise the implant, which still can frequently create noticeable breast implant rippling on the upper area of the implant augmented breast. Also, unlike gel breast implants which are softer and more natural feeling, saline breast implants feel firm and... more

Saline vs. Silicone implant in woman with very little breast tissue

In situation where a woman has very little breast tissue and seeking larger breast augmentation, I would recommend silicone gel breast implant over saline implant because of the rippling issues more commonly associated with saline implant. Typically the rippling is most prominent at inferior and lateral breast areas. The larger the implant that you select the more likely you will experience rippling. There are other options available to decrease the risks of rippling such as using autologous... more

Saline-filled vs. silicone gel-filled breast implants

Here's how I view it -- opinion and experience. If a saline-filled breast implant is sized properly, filled properly, and placed properly behind the pectoralis muscle, it should look just like a silicone gel-filled implant but it won't feel like one. Most visible rippling can be avoided by proper sizing, fill, and positioning, but if you can feel the implant in the lower and lateral part of the breast where the muscle doesn't cover, then it will feel ripply. Silicone... more

Silicone versus saline implants

Silicone and saline implants will both give you the same look in terms of the results of the breast augmentation but silicone will definitely feel much more natural and softer. Since your biggest concern is that of rippling I believe silicone would be the best implant for you as you'll be less likely to feel rippling or the give of the implant which is sometimes interpreted as rippling.

Saline implants and rippling

Based on your height and weight, there is a good chance that you will feel rippling with saline implants. The rippling would be felt even if the implants are under the muscle because the muscle does not cover the implants completely. Silicone implants would be a better choice to minimize this problem.

Saline v Silicone Implants

Silicone implants look and feel better in a woman with small amounts of breast tissue cover. The silicone breast implant has been exhaustively studied and has a very high safety profile. I would encourage you to do your homework about the safety of silicone so that you can feel confident in your choice.

Breast augmentation in petitie patients

In someone with your measurements I would prefer using silicone implants under the muscle. Silicone implants will look and feel more natural than saline in someone with minimal breast tissue. I prefer to use silicone in thin patients however sometimes the goal is to have as large as an implant as possible and in those cases saline works better. Good luck with your surgery. You no doubt will find breast augmentation to have a positive impact in your life. more

IMPLANT SELECTION

Hi Lindsay, I would recommend silicone gel implants placed under the muscle. Natrelle style 20 or 45 would be most appropriate based on your measurements. Good luck.

Saline or Silicone - Which Implant Would Be Best For A Very Petite Frame And Minimal Breast Tissue?

Although some surgeons might recommend saline telling you that they don't always ripple, if it ripples on your body on either side, then it is 100% not a good idea. Silicone, especially the thicker shelled implants by Allergan, underneath the muscle would strike me as the best choice for someone who doesn't want rippling and a more natural look. Also, in the long run, saline implants, because of their valves which might fail, have a much greater chance of a second surgery,... more

Rippling Is More Common With Saline Implants

There is definitely a higher incidence of rippling with saline implants. This becomes even more of concern in a patient with little tissue like you. I think you will be happiest with silicone implants placed under your muscle.

Saline breast implants

You could get a nice result with saline smooth wall implants under the muscle in the size range you are describing. No implant is perfect and even silicone gel filled implants can cause rippling. This is usually related to the size and placement of the implant. At the size you are describing, it is possible to have rippling, but less likely than a much larger size. Remember that for years, saline was the only option for breast augmentation, and not everyone got... more

Best Breast Implant for Petite Patient Concerned about Rippling…?

Thank you for your question and good description of your body type as well as goals. Generally speaking, patients like yourself are better off with silicone gel breast implants. I would suggest that you continue to do your “due diligence” and learn about the pros/cons as well as potential risk/complications associated with each type of breast implant. Hopefully, as you do your research you will become more comfortable with the use of silicone gel breast implants, which I think will be... more

Would Saline Be a Good Choice for Us with Very Little Breast Tissue?

The primary advantage of silicone over saline is that they feel more natural, and are less likely to have palpable (or visible) ripples, but due to the increased viscosity of the fill. If you get a chance, fell a silicone and a saline implant in the surgeon's office. When a patient has a large amount of breast tissue and a small implant, say one going from a C to a D, the difference in the feel of the implants is minimal, because they are small and covered with lots of soft tissue... more

Saline or silicone

You are a relatively smaller framed lady without much native breast tissue. The standard answer for you is yes silicone implants are the better choice. However, this needs to something you can live with. I have hundreds of women like you with concerns about the silicone who have gone ahead with SALINE implants and are very happy with their results. Choose what feels right to you.

Saline or silicone

Thank you for your question. Given your frame and the self-described thin overlying tissue, you would likely be better suited for a silicone implant. The latest generation of silicon implants are quite safe, and offer the advantage of being softer and more natural looking and feeling. They also have less rippling. These features are especially important in women with thin overlying tissue and minimal breast volume. In these cases, the implant has less padding and coverage, so the implant... more

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Comments (1)

NoMoreBoobEnvy (RealFriend) 17 Jan 2013

Based on what I know silicone may be the best bet for you. :) Please feel free to take a peek at my pics/profile. I'm not as tiny as you, but you can get an idea of what I look like. Good luck and feel free to ask me any questions .. I am 36 and just now got my boobs! I have wanted them my whole life. My daughter will be 18 next month and after I breastfed my boobs (already small) deflated!!

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