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Saline or Silicone for Someone with Adequate Breast Tissue?

asked 1 year ago by Improvedme
Latest answer by Michael H. Rosenberg, MD
Question viewed 681 times
Tags: saline implants, silicone implant, 450-499cc, breast tissue, comparison, fuller, natural, projection

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.

14 answers to Saline or Silicone for Someone with Adequate Breast Tissue?

Are Saline or Silicone Breast Implants Better?

Dear Improvedme, 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... more

Larry Fan, MD
San Francisco Plastic Surgeon

www.77plasticsurgery.com

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... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

www.stevenringlermd.com

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... more

Frank Agullo, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

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... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

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... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

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.... more

Roger J. Friedman, MD
Bethesda Plastic Surgeon

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

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... more

Michael H. Rosenberg, MD
White Plains Plastic Surgeon

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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Breast implant type

It is true that the more breast tissue you have the less likely you mare to have palpability issues that come with saline implants. You may get a good result with either implant type. Silicone implants are always softer and more natural feeling than a saline implant, however for the price difference in some cases like yours it may not matter.

David Nicholas Csikai, MD
Jacksonville Plastic Surgeon

You do have choices, use where you prefer your scar to guide choice

Let your incision choice and size of implant dictate your type of implant. If you prefer to scar in the arelar complex, then use a saline implant as your areola is not large enought to permit placement of a large silicone implant. If you prefer the inframammary incision then go with the cohesive get as the feel more natural. Request for them to be place in the submammary position as it is far less painful and you have sufficient breast to adequately prevent... more

Chen Lee, MD
Montreal Plastic Surgeon

Saline vs. Silicone

Patients who have adequate tissue coverage, as you do, will usually be quite satisfied with saline implants, as they are softened by overlying breast tissue. The advantages are lower price, early knowledge of rupture, and no need for follow-up MRI's. I use silicone implants in all reconstructive patients, inpatients with thin tissue coverage, and those who specifically request them. The cost is approximately $1500 more than saline. Patient are recommended to have an MRI 3 years after... more

Karen Vaniver, MD
Seattle Plastic Surgeon

Saline vs. Silicone implants for you

The key to getting a natural result is camouflaging your implant. For those women with very thin tissue, even with muscle coverage or dual plane techniques, in my opinion, they tend to get a softer result with silcone gel implants. However, as I tell my patients, in these cases, if they opt for saline - its not as if they are getting a suboptimal result. Saline will tend to ripple a bit more in the inferior outer quadrant. Now in your case, if you have enough... more