Recommendation on saline or silicone
Doctor Answers 12
Saline vs. silicone implants for breast asymmetry
If breast asymmetry is a concern, then asymmetric silicone implants can be used. Also, keep in mind that every woman will have minor degrees of asymmetry between her breasts without surgery. Surgery won't completely eliminate these asymmetries no matter how hard we try. The bottom line is that I would recommend that you do what makes you comfortable. Good luck!
To best help you, a physical examination or picture evaluation is required in order to determine which procedures and techniques would be best for your case.
Gel or saline?
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A gel cohesive implant gives better shape and more natural appearance.
The most important factor to avoid rippling is the location of the implant, as more tissue covering the implant less noticeable it will be.
I would recommend the gel cohesive silicone implant under the muscle plane for minimizing chances of rippling.
Is important for you to know that saline implants have highest rate of reintervention than silicone ones.
Saline or silicone?
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you ask your plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Recommendation on saline or silicone
The type of implant used may determine the final outcome of breast augmentation surgery, 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. I hope this, and the attached link, helps.
Silicone breast implants a better choice than saline for thin person with minimal breast tissue
Hopefully your implants can be placed beneath your chest muscle which gives you further coverage.
A small 25 cc asymmetry in my experience does not require different sized implants. A photograph would help. Please follow your plastic surgeons advice as to whether different sized implants are needed. In my experience 25-50 cc difference represents about a tablespoon half and is not a great volume difference.
Saline vs silicone
Saline or Silicone
Discuss this with your surgeon during the consultation.