Breast Implants: Q&A
Ask a QuestionSaline Vs. Silicone. I Like the Upper Pole That Overfilled Saline Provides. What Should I Do? (photo)
I thought I was set on silicone but while looking at before/after pictures I noticed I like the longer term upper pole that overfilled saline tends to provide. My PS recommended 500 cc HP silicone implants to give me the look I want (perky DD) but as I look at 1+ year out after pictures they tend to settle into a natural position. I want to keep upper pole! I worry about the durability of saline though... Are my goals realistic? Is silicone still an option?
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10 Doctor Answers |
Asked by
socialitebaby
in New Mexico
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Overfilled Saline, Upper Pole Does Not Last
Your photograph shows that your breasts are low and you would benefit from a lift. There is a new technique called The Mini Ultimate Breast Lift, which reshapes and elevated your breast tissue higher on the chest wall. It will increase your cleavage and provides upper pole fullness that is natural and stable since it is secured to the underlying muscle. An implant can be done at the same time to give you the additional volume that you desire. However, as other...
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Saline v silicone
Either saline or silicone will offer you the fullness you are looking for especially with 500 cc's. There are many factors which influence the decision to go with saline over silicone, such as the cost, feel, future maintenance, and risks. Since you have a fair amount of your own breast tissue to cover the implants, however, I would recommend saline. You will get a nice result and saline tend to be trouble free and worry free over the long term, in my opinion.
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Saline vs silicone for upper pole fullness
Thank you for your insightful question. Unfortunately it is not a cut and dry answer but I will give you my overall opinion. Generally speaking I do find that HP saline implants that are overfilled do give a better long term upper pole roundness or fullness as compared to silicone. That being said, how the surgeon makes the pocket significantly contributes to the position of the implant. Hopefully your PS has seen several photos of the look you desire and he/she...
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Saline Vs. Silicone. I Like the Upper Pole That Overfilled Saline Provides. What Should I Do? (photo)
Great questions but over the internet very hard to give accurate responses. Best to obtain more in person opinions. Additionally think of upper pole fat grafting with the silicone implant (my choice the new uktra high profiles). Good luck.
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Saline Versus Silicone
Hello,
There are really so many points you bring up, it would be difficult to address them properly in a response to your post. I will try to touch on each one, but urge you to redress them with your doctor.
1. Appearance: You cannot determine the type of implant based on the appearance of the breast afterwards. In fact, other factors such as implant size, implant profile, position of implant (above or below muscle), and quality of scar capsule have a much greater impact on the...
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Upper Pole Fulness with Implants
Thanks for the question,
Both saline and silicone implants can offer great looks in patients having breast augmentations. If you want more fullness in the upper pole position saline implants are tough to beat. When you compare similar sized saline to silicone implants, saline implants will always offer more projection (i.e., more upper pole fullness). Saline implants are very safe and offer the same duration or lifespan as silicone implants. Be careful that...
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UPPER POLE FULLNESS
Hi,
The basic issue is weight not the implant type saline vs gel. When the weight of the implant is 500 grams or higher the breast ligaments are not able to support that much weight and over time the breast position will be lower and the upper pole fullness will be less. Even if you wear a bra 24/7 the gravity effects will take over. With a smaller size implant, a saline implant will provide more upper pole fullness for longer. Best of luck.
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Saline vs. Silicone
Based on your photos and goals I think you would be very happy with either saline or silicone. The saline would be a little firmer and a little rounder in the upper pole which may serve your goals better.
It is true that saline implants have a higher rupture rate than silicone and that is a factor to consider. However, a ruptured saline implant has fewer "concerns" than a ruptured silicone.
It comes down to pros and cons of both and it would take a consultation to discuss...
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Yes goals are realistic
Hello,
Thank you for your question and photo. It is true that the saline tends to maintain a higher upper pole volume and projection when you are standing compared to silicone implants. The most important issue, however, is pocket creation. If the pocket is over dissected or created too low than the implant choice will not be a factor and your upper pole will tend to be deficient regardless. You can certainly get a very nice result with the...
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Achieving Upper Pole Fullness; What Type of Breast Implants to Use?
Thank you for the insightful question.
It is very important that patients know exactly what they are trying to achieve with their breast augmentation procedure. It is also important that patients communicate their goals clearly with plastic surgeons who have significant experience achieving the variety of results possible. In my practice, I prefer the use of goal pictures to help with this communication process.
Given that you are looking for a “longer-term upper...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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