Do Saline Implants Feel/look Better if Filled to Max or Overfilled?

asked 1 year ago by 6164anon in Ontario, Canada
Latest answer by Otto Joseph Placik, MD
Question viewed 355 times
Tags: saline implants, filling

10 answers to Do Saline Implants Feel/look Better if Filled to Max or Overfilled?

Do Saline Implants Feel/look Better if Filled to Max or Overfilled?

Overfilling is a point of contention and taste among plastic surgeons. To me, it depends on the profile. While I may overfill moderate implants, I generally fill to the upper limits of moderate plus, and fill less than max with high profile because this creates an overly round shape

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Filling saline-filled breast implants

The look and feel of saline-filled breast implants has much more to do with getting them sized correctly and positioned correctly along with the degree of tissue coverage over them than the fill but I also include that saline-filled breast implants have to be be filled correctly. This means they have to be filled to at least their minimum rated volume and no more than 10% more. If they are filled below rated volume or above maximum rated volume they are not only potentially outside of... more

Scott L. Replogle, MD
Denver Plastic Surgeon

How much to fill saline breast implants?

As a basic principle, I always encourage a patient to choose an implant which has a "footprint", which will fill their chest. The choice of "profile" depends on how much superior pole (area between the collar bone and nipple) fullness they'd like to achieve as well as what their native breast tissue provides. For example, a tight chested young individual may target a more projection (high profile) than a post pregnancy woman who wants to modestly fill... more

Lavinia Chong, MD
Orange County Plastic Surgeon

Saline implants should be filled to the specified volume

Saline breast implants are manufactured with a fill range depending on the size of the implant, and the particular manufacture. For example, the implant may be manufactured to accept a volume of 350cc plus 50cc saline. Any fill within the fill range should allow the implant to perform well, remain soft and smooth, and wear according to design and warranty. Implants have been extensively studied, both saline and silicone gel implants, and carry approval by the FDA based on recommended... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Saline implants feel/look better if filled to max or overfilled

I would ONLY recommend to fill to max as per the implant companies guide lines because if over filled than your warranty can be refused. Yes the rippling is better the more it is filled, so you and I are in a catch 22 situation. I fill just to the max. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Saline Breast Implants should be filled FULLY

All breast implants suffer from one major failing; They have ripples. These are seen MORE in Saline filled implants than in silicone gel filled breast implants. The less saline is placed in the implants, the MORE the ripples are obvious. As a result, saline breast implants should be filled FULLY and never be under-filled. However, adding a much greater amount of saline to the implants will make them harder AND worsen rippling around the implant edges.

Peter A. Aldea, MD
Memphis Plastic Surgeon

ALWAYS Overfill the Saline Implants

You always want to overfill the saline implants to some degree. If you do not, then there are usually a few bigger folds in the implant. By overfilling them to some degree, you can help decrease the folding of the implant. However, if you overfill them too much, you can get some very small, but numerous, rippling on the edges. The goal is to find that balance between the two.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Saline implants

Filling the implants to the max fill volume is usually recommended. Some surgeons fill them even more to minimize rippling. If you have alot of breast tissue, you may not even feel the implants.

Steven Wallach, MD
Manhattan Plastic Surgeon

Optimizing fill volume for saline implants

Saline breast implants are sized according to the minimal fill volume. There is also a maximum recommended, usually about 10% more than the nominal fill, so when we say overfilling it is something above that. For example, a 330 cc implant has a recommended fill range of 330 to 360, above 360 is overfill. The trade-offs are that at lower fill volumes they will feel softer but more ripply, at higher fills they will have less rippling but be firm and unnaturally round. The optimum fill... more

Richard Baxter, MD
Seattle Plastic Surgeon

Filling saline breast implants

In general we recommend completely filling or slightly overfilling saline breast implants because we know from experience that if the implants are underfilled significantly, there is a higher chance of rupture (the edges of the implant fold and rub against each other and over time the wall of the implant weakens. I don't think overfilling the implant will make it look or feel too much different, and if your priority is the best look and feel, the silicone implants are the best... more