I’m not sure what size implant I should get and if I should get Saline or Silicone implants - advice?

An examination in person would be required with proper measurements to determine exactly which implant would be suitable for you. That said, your breasts are pretty and normal. You appear to have a slight asymmetry (which, by the way, is also "normal" and very common), however you also appear to be a good candidate for a breast augmentation. You are off to a good start by providing photos of your "wish" result, however from a clinical perspective, standard medical views from a plastic surgery gallery would d be most useful to your plastic surgeon.

Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. For a given volume a high profile implant will have a narrower diameter, and a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame. Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Thanks for your question! I would suggest a silicone implant in a submuscular position. I think a full profile would be best suited for your petite frame to get you a look similar to what you are hoping for. Seek out an in person consultation with a board-certified plastic surgeon. Good luck!

Hello,
Thank you for the question and the photos.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection.
Based on your photos, 275cc-350cc range size implant will likely give you a nice full cleavage that you desire.
Typically, silicone breast implants are used because they offer more natural feel than saline (salt water filled) implants.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon