Saline or Silicone for Someone with Adequate Breast Tissue?
- Asked by Improvedme
- 2 years ago
Getting BA done next month.My doctor usually recommends silicone because most of his patients have an A cup.After my exam, he said I could go with silicone or saline because I'm a full 34B cup. He said I have enough breast tissue so there wouldnt be a difference, and would get the same results.
It will be soft as silicone, and give me good projection. I'm a 34 full B, shooting for a 34 full D.What would you suggest? Also, 450cc or 500cc?Would like fuller, natural feel, look, and movement.
Are Saline or Silicone Breast Implants Better?
One of the most popular questions patient ask me regarding breast augmentation is "are saline or silicone breast implants better?" Unfortunately, there is no absolute answer. Both saline and silicone breast implants are good choices, each with millions of satisfied patients, but they each have their own advantages and disadvantages. In general, silicone implants are a little bit softer and more natural feeling, with less tendency to ripple, but they require a slightly larger incision to place, MRI exams after surgery to watch for leakage, and are more costly. Saline implants can be more easily placed through the axilla and require less surveillance after surgery but are slightly firmer to the touch. The less breast tissue you have to begin with, the more noticeable the implant usually is. Hence, many surgeons will recommend silicone implants for women with naturally small breasts.
Best of luck with your procedure,
Larry Fan, MD
Saline and Silicone are both good options
Both silicone and saline implants can provide a nice result if done properly. Many surgeons prefer silicone, but there are also those who prefer saline for most patients. I have over twenty years experience using both silicone and saline implants, but for your situation, I would most likely choose a saline implant.
There are many advantages to a saline implant which include; a smaller incision which can be hidden in the armpit leaving no breast scar, in my practice saline implants have a lower rate of scar tissue problems than silicone implants, and the leakage rate for saline implants over the last twenty years has been less than two percent. Therefore, if your saline implant doesn't leak (98% don't) then it may not be necessary to replace it, and you won't require expensive MRI's to look for silent rupture as you would with a gel implant. This is the recommendation of the FDA and the manufacturer of the gel implants. I have hundreds of patients who have been extremely happy with their results from saline implants and when performed properly and with good patient selection, the implants look and feel very natural. Ultimately, the decision is yours. Good luck.
Saline versus Silicone Breast Implants
Which is better, saline or silicone breast implants? There is no right answer, but there are many factors to consider:
- The same size saline implants weigh more than their silicone counterpart.
- Saline implants are firmer and more tense.
- Silicone implants are softer and more "lifelike".
- Saline implants tend to ripple, which can be felt or seen, specially at the lower outer quadrant of the breast where the implant won't be covered by muscle.
- Saline implants have a slightly greater chance of rupture over their lifetime.
- Both implant companies guarantee their silicone implants for life. Saline implants are only guaranteed for 10 years.
Web reference: http://www.elpasoplasticsurgery.com/pages/dr-agullo
Recent Breast Augmentation Reviews
Breast Augmentation Photos
You will be happier with silicone implants!
As others have stated, silicone will feel softer, more natural, and more homogeneous with your own breast tissue. Saline implants will have sufficient tissue coverage in your anatomy for a good result as well, but you may have rippling, a "water-balloon" feel, and potential for eventual deflation requiring re-operation. (All to save a few hundred bucks?) 98% of my patients choose the newest cohesive silicone gel implants for a reason (and NO, you do not have to get an MRI every two years to check for rupture--these implants are cohesive and cannot leak).
As to size, this (and the saline vs. silicone issue) is discussed in detail on my website (link below) and in my article "What is the Right Breast Implant Size for You?" found on my "About" page. Realize that a 50 cc difference is 3 tablespoons and 1 teaspoon of volume, which you cannot even detect. Discuss this with your surgeon, try on implants in a bra (and then allow your surgeon to use 50-100cc more than what you choose), and show your surgeon photos of models or patients (unclothed) with what you consider your own goal--that way your surgeon can use your own anatomy and measurements to select the best size and implant profile to give you as close to ideal results as possible!
Web reference: http://www.mpsmn.com/html/breast-augmentation.html
Saline vs Silicone Breast Implants
Your doctor is right except for one small consideration. The most obvious area of concern is superiorly if you do not have significant breast tissue to cover the implant. For people like you, this is no problem. However, because of the way the breast tissue drapes over the implant, there is one area, even in you, where there will be thin tissue coverage. That area is just above the inframammary crease. If you ballot the breast in this area, you will be able to tell the difference between a saline and silicone implant. The silicone one will feel more natural. This may not make any difference to you, but you should be aware of it.
Saline vs silicone
if you consider your implant as the frame work of a tent, if you drape a thin sheet over the framework you will see the edges of the framework. If you drape a quilt over the framework you will lose definition due to the thickness of the quilt. Coming in with a solid B, you are a quilt. In your case, it probably does not matter as your tissues will camouflage your implant. You could use saline or silicone, the saline being cheaper. both are guaranteed for life. One other thought I would re size you to verify what size implants you are placing 500 sounds large but, it would also depend on your height and weight.
Saline vs silicone
The choice of implant is yours, but in general the silicone are softer than the saline. AS for the volume, it really depends upon your exam and your specific goals. These are best addressed in the office during consultation.
Saline vs. Gel implants
I generally see three sets of women, I want a gel, I want a saline and what is the best implant for me. If your breasts is going to be more implant than you then a gel will always be better. Other than that is is all up to personal choice. In my practice it is about 85% GEL and 15% saline. There is nothing wrong with a saline filled implant as long as there is enough soft tissue to cover the water baggy nature of the implant. Under thin breast tissue and skin a gel will always be better and appear more natural.
Sometimes deciding whether a saline implant or a silicone is best for your breast augmentation can be the
hardest decision to make, and that's because each time of implant has advantages and disadvantages. Certainly a silicone gel implant has a more natural feel, and I agree that patients with little breast tissue of their own get a more natural look and feel with gel implants. If you want to have the implants placed above the mscle, again silicone is better because there is more potential for visible rippling with saline implants, and you aren't hiding the implant under the muscle. If, however, you have adequate breast tissue and just want to be bigger, and if you are having the implant placed under the muscle, then there is little difference between silicone gel and saline, and the saline costs half the price of the gel implants. In addition, if there is a problem with the implant, it is generally easier to remove a ruptured saline implant than a gel implant. In sum, you would be well advised to discuss the specifics of your situation with an experienced cosmetic breast surgeon.
Web reference: http://www.plasticsurgeryweb.com
Breast implant size and type?
The more breast surgery I do the more I realize that there is no correlation between the size of implant and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saiine/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size.
Much of the final “look” achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant. 3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result. On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants. Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants. On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational. As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22. 4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. By the way, the most common regret after this operation, is “I wish I was bigger”. I hope this helps.
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.