Saline or Silicone for Someone with Adequate Breast Tissue?

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.

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450-499cc saline implants silicone implant breast tissue comparison fuller natural projection

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14 Doctor Answers | Asked by Improvedme

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Breast augmentation

The choice of implant type can include many factors including the amount of native breast tissue, size of the implant and personal preferences.

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

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

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

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

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

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

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

12 reviews

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

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