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Silicone Vs Saline Breast Implants for a 37 Year Old?

asked 2 years ago by anon
Latest answer by Steven Wallach, MD
Question viewed 1,709 times
Tags: age 35-44, sagging, comparison, deflation, flat, loose

I'm considering Breast Implant with Breast lift since aging impact and having baby left me with flat breast with loose skin no volume on top. I hate the look of my saggy deflated breast at the age of 37 with small frame and not much breast tissue and thin skin.

I'm confused which one would be best to choose silicone or saline as far as safety, complication, price, pain, and age is considered. What is most important to keep in mind while choosing implants? Thnx for your help.

15 answers to Silicone Vs Saline Breast Implants for a 37 Year Old?

Saline vs. Silicone Breast Implants?

Hi there- First of all, it is important to realize that there is absolutely NO reason to have any health concern whatsoever with either silicone or saline implants. The differences that are real have to do with cost, aesthetic outcome, and simplicity of follow up, if you will. Silicone implants will give most women a superior cosmetic result, with a much more natural feel to the breasts. They are a bit more expensive, because medical grade silicone is more expensive to produce than saline... more

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Most women choose silicone breast implants with breast lift.

Hi. You will get a fine result with either silicone or saline breast implants. Both are extremely safe, and silicone feels a little more natural. So most patients opt for silicone for a combination breast lift and breast augmentation.

George J. Beraka, MD
Manhattan Plastic Surgeon

Silicone versus saline implants

Both silicone breast implants and saline breast implants have pros and cons. It’s important that the educated patient understands these differences before making an informed decision. Before delving into these differences, though, it’s important to state unequivocally that currently utilized silicone breast implants are safe. Over the past 15 years, many large and rigorous studies have been performed investigating whether silicone breast implants are associated with autoimmune... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Silicone or Saline Breast Implants

Each implant has its positives and negatives. Generally speaking gel implants give a more consistent softer feeling and looking result. The gel implants require closer follow up. The FDA recommends an MRI scan after 3 years then every 2 years therefater. It is felt that insurance companies will not cover that expense. Also if the implant breaks and the gel leaks out some patients develop local reactions of nodules or the implant changing position or shape. The saline implants do not need any... more

John P. Stratis, MD
Harrisburg Plastic Surgeon

Silicone implants usually feel more natural when skin is thin

Given your description of thin skin and not much breast tissue, the way the implants feel will make more of a difference. When there is more tissue around the implant, you don't feel the implants as much so it isn't as important which type you choose. In your situation, most patients would go with silicone because the consistency is closer to that of breast tissue. With saline, the lower fill volumes leave them ripply, and the higher fill volumes make them firm and too round. Silicone gel... more

Richard Baxter, MD
Seattle Plastic Surgeon

Saline vs. silicone

A great but very complex question with no real answer except that there is no such thing as best. All the variables you mention are significant and need to be considered but saline and silicone implants measure up differently with each variable. You really need to prioritize the variables you accept and those you don't. While the complications might be somewhat more with silicone gel, your chance of a more natural feel and look is greater. Submuscular or subglandular placement is also a... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Saline vs silicone implants in small, thin frame

If you have thin skin overlying your breast and don't have a lot of breast tissue, you may be better served with a silicone breast implant. The reason for this is the lower incidence of rippling and wrinkling which occurs with silicone compared to saline. The saline implant has about a 15-20% chance of rippling vs. 1-2% rippling with silicone. This would be my primary concern in a thin patient without much breast tissue. Please visit a board certified plastic surgeon to discuss this issue in... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Silicone vs Saline

The choices between silicone or saline is yours. Silicone tend to feel more natural but cost more. Saline are easier to detect a rupture.

Steven Wallach, MD
Manhattan Plastic Surgeon

Silicone vs Saline Breast Implants

You will likely get the best result with silicone gel implants. With thin skin and a scanty amount of breast tissue, you are likely to get rippling and an unnatural feel to the breast with saline implants. Gel implants are less likely to get rippling and feel softer. The silicone gel implants do cost more, but in your case are worth it. You are going to spend a fair amount of money on this procedure anyway, so you might as well get the maximum benefit. The implants are equally safe.... more

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Silicone vs Saline implants

One of the most important things to remember when choosing implants is that they are not forever and you may require revisionary surgery with time. Without a photo or examination, I must qualify my statements. Given your statement that the skin is very thin, it is likely that I would recommend silicone implants to enhance the palpability as well as the visibility. To some degree, most recent studies have shown tha the silicones have a lower complication rate then salines. However, there is... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Individaulized choice of saline or silicone filled implants

Modelchic: The choice of implant material may be less important for you than the choice of surgeon. Get plenty of information and visit experienced surgeons before you choose. Your outcome is a combination of surgeon's evaluation and skillful surgery, along with insertion of an implant. (You are not simply buying an implant, but rather someone's expertise.) There are many differences between the implants, but neither is simply better. Gel are more viscous, have fixed sizes, go in fully... more

Sutton Graham II, MD
Greenville Plastic Surgeon

Silicone vs Saline Implants

Since the FDA returned silicone implants to the market (after a number of scientific studies deemed them safe), women have had to choose between the two. Most plastic surgeons feel that better results are achieved with silicone. The cost is roughly double the cost of saline implants. There is no difference in post-op pain between silicone and saline.

John Whitt, MD
Louisville Plastic Surgeon

Silicone vs saline breast implants

Both of these can create a nice looking result. The salines can be followed by clinical exam, mammogram and ultrasound while the gels require MRI exams for integrity evaluation. The gels feel more natural but there is less difference under the muscle and in a patient who has some breast tissue and is not bony thin. The gels cost more for the surgeon to buy and this is passed on to the patinet. The gels require a little longer incision and are less versatile with subtle asymmetries... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Silicone vs Saline Breast Implants for a 37 year old a personal choice

It is a very personal choice. The salines are 'firmer to feel vs the softer more natural silicones. As for price the silicones are almost double or more than the salines. If there were the same price I think over 90% of the saline patients would have chosen silicones. The incisions are larger with the silicones, and choices of location are limited with the silicones. There is no significant differences between them in complication rate, level of pain, and safety. Hope this helps. more