Please Help How Can I Choose a Right Procedure for Me? Saline Vs Silicon- Scars, Are They Visible? (photo)

F 32 years old, 5'4", 110 lbs no kids. A surgeon suggested for me saline, 400 cc- transumbilical and under muscle. As I saw his pictures and other surgeons I've notice more round shape of breast in the end which I'm hoping to have a tear drop shape also I can see the scar which is one my concerns in the belly button or other area. I've read and tried to understand better but still not sure whats right for me.

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age 25-34 5 ft 4 in to 5 ft 7 in 110-129 lbs

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9 Doctor Answers | Asked by Gabi300

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Please Help How Can I Choose a Right Procedure for Me? Saline Vs Silicon- Scars, Are They Visible? (photo)

I would suggest a silicone implant if you were my patient. You are fairly lean and not a lot of breast tissue. And if you decide to go thru the belly button, I would really suggest that the doctor be trained in the use of the endoscope for more proper placement. I have seen many misplaced implants when done through the underarm and the BB without the endoscope.

Saline or silicone gel?

There are essentially four ways to put in implants: transumbilical, armpit, under the breast, under the nipple. There are two places where you can put the implants: under or over the chest muscle. There are two types of implants on the market: saline and silicone gel. There are numerous sizes and shapes to implants. Each of these issues should be addressed by your plastic surgeon during your consultation. As a plastic surgeon who has performed over... more

Implant selection

I would choose: -anatomic implant (teardrop) -submuscular (dual I-II)(behind muscle) -inframammary incision -silicone implant (cohesive gel; f.e. Allergan's "Soft Touch / TRU FORM 2") -textured implants In the other hand, photos are not quite good... I think that there is a slight asymmetry that will need to be corrected. A proper exam with a board certified Plastic Surgeon will definitely give the correct decision. Good luck!

IMPLANT SELECTION

I would recommend a submuscular gel implant either cohesive gel or highly cohesive gel. I have not found the scar to be much of an issue no matter where it is placed.

Cosmetic Surgery is an Art and a Science

Thanks for the question. You have an asymmetry that will need some attention including 1 size difference on the implant size. Under ordinary circumstances, I advise patients to have implants placed behind the muscle. You can better discuss this issue with an exam by a board certified plastic surgeon in your area.Best Wishes Dr Thomas Narsete Austin, Tx

Implants

Based on your photos, you would have the best result with silicone gel implants. The incision should be placed in the breast crease, or around the areola. Seek consultation with Board Certified Plastic Surgeons to discuss your expectations and concerns.

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Implants

Saline are the only implants that can be placed via the TUBA procedure. I have done both through a tummy tuck procedure but it is for a limited patient population.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best Implant for a very thin woman.

Dear Gabi, Thank you for your question and photos. You clearly have very low body fat, a small amount of breast tissue, asymmetry in your breast folds, as well as high riding folds. Since you have so little tissue, I highly recommend against saline implants. They will feel like water balloons under your tissue, even if placed under the muscle. Silicone is your best bet, and a shaped implant would be even better, given your desire for a natural tear drop shape. The best incisions for... more

Please Help How Can I Choose a Right Procedure for Me?

As a surgeon who has done quite a number of TUBA procedures, I would not recommend it for you because your folds are uneven. (Now that most patients choose silicone, I seldom do TUBA's.) Similarly I would not recommend incision in the axilla. Rather a direct approach that will permit some adjustment of the fold as needed is best--either an incision in the fold or around the areola. With the modest amount of breast tissue you have, and the large implants you are considering, the... more