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Saline Slightly over Filled on Small Breast, Thin Frame - is This Right?

asked 1 year ago by rvf4uk in nj
Latest answer by Otto Joseph Placik, MD
Question viewed 626 times
Tags: age 25-34, female, saline implants, overfilled

I saw a surgeon who recommended saline 275cc slightly overfilled (under muscle) to minimise rippling I am 100lb and 5.3 with very petite frame but do work out and have good pec muscle, he said. I am only a 34 n/a and dont have a lot of stetch, plus work out so only want large B, (proportionate). I can see my ribs all the way down my sternum will i still have that? Every answer here points to silicone though I am still worried about ruptures and am also looking into the gummy bear implant.

13 answers to Saline Slightly over Filled on Small Breast, Thin Frame - is This Right?

Saline breast implants in a thin patient

Saline breast implants are more prone to rippling/wrinkling, especially in a thin patient. Silicone implants are less likely to have visible signs of rippling. True gummy bear implants are made of a harder silicone and are available in the US only under certain clinical trials. These have a low incidence of rippling. You can try to overfill a saline implant, however, rippling can still occur. The rupture rate with silicone implants at ten years is about 3%. ... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Saline vs silicone

I don't think there is any question you should go with silicone.I tell my patients that the less tissue you have the more you need silicone.So go with silicone.It is safe and will give you a better result.

Robert Brueck, MD
Fort Myers Plastic Surgeon

www.beauty-by-brueck.com

Overfilled saline implants

You are really tiny. I think a 275 might be a little too big if you only want a B cup. Overfilling is a really good idea to minimize rippling as is putting the implants under the muscle. I also use only smooth implants. I have found the textured ones tend to ripple more. I also tend to use low profile implants on thin patients who want some cleavage and lateral fullness but don't want too much projection. But the best way to minimize rippling is to... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Overfilling saline implants is OK, within reason

Overfilling saline implants is safe to do as long as the volume does not exceed the manufacturer's recommendation for maximum allowed volume. Depending on the manufacturer, the volume maximum for a saline implant is probably about 50cc. Exceeding the recommended volume maximum can lead to fatigue of the implant shell and a higher liklihood of rupture.

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Breast enlargement

It sounds like you are a candidate for breast implants,silicone, placed under the muscle. This will decrease the chances of seeing and feeling the implant in someone as thin as you. We are offering an unbeatable allinclusive special at this time. Watch my videos.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Saline vs silicone gel implants with a thin frame.

You should definitely go with silicone gel or gummy bear implants in order to minimize the possibility of rippling. The gel implants are unlikely to rupture and feel softer. I would recommend submuscular placement even though you work out regularly. This should, at least partially, camouflage the prominence of your ribs.

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Saline implants or silicone on a small frame (5'3, 100lbs)?

Since you are quite petite and don’t wish to be excessively large, then a 250cc or 275cc saline prostheses in a submuscular position is certainly reasonable. Although the majority of the augmentations that I presently perform are with cohesive gel silicone, it does surprise some patients that for over 14 years, surgeons were limited to utilizing only saline prostheses. The vast majority of those cases had nice results and the vast majority of women were quite satisfied. Saline... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Silicone breast implants are better choice.

Hi. 1) If you work out a lot, silicone implants over the muscle are your best bet. Under the muscle, the breasts get deformed when you flex your pectoral muscles. 2) If you use saline implants, they should be very overfilled, beyond the manufacturer's recommendations. 3) Overfilled 275 cc's sounds too big for you frame. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Saline Implants Should be Overfilled

I feel that saline implants should essentially always be overfilled as the incidence of rippling is too high if they are not. I also feel that a silicone implant placed under the muscle will give you (and most women) a better result.

John Whitt, MD
Louisville Plastic Surgeon

Overfilling implants

Saline implants can be overfilled for just this effect. Silicone are prone to ripple less, and placing them under the muscle may help as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

REcommended fill range of sailine breast implants

It sounds as if you are well versed in the risks and alternative options, In thin patients preferring saline, i tend to prefer the appearance of the Mentor Moderate Plus Prfofile implants filled about 2/3 of the recommended final fii range. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implants in athletic women.

The choice of saline versus silicone is an important decision in breast augmentation. The advantages and disadvantages have been discussed at great lengths on this site. For women who are very small chested, the implant will make up the majority of breast volume following augmentation. For this reason, the "feel" of the implant becomes a more important factor as does the ability to ripple. I recommend silicone gel as this has a lower incidence of rippling and provides a more... more

David Bogue, MD
Boca Raton Plastic Surgeon

www.drbogue.com

Slight overfill is standard practice with saline implants

Dear rvf4uk, Without photos or other measurements, it is very difficult to tell if this implant is 'right' for your frame and preferences (that is the role of a consultation). However, slightly overfilling a saline implant is a well accepted practice during breast augmentation. In fact, the manufacturer provides guidelines for the range of fill volumes for each implant. Note that overfilling beyond these recommendations may actually cause rippling and decrease the lifespan of the... more