Breast Augmentation: Q&A

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Silicone Vs Saline?

I am having a breast lift with change of implants on sept 21. I am having a hard time deciding between silicone or saline implants. I currently have saline. This is the issue.... I do NOT want a natural looking breast. I was a round, high, firm looking breast. I like the look of a " fake" breast. The saline never fully gave me that look. Will silicone? I can't seem to get a straight answer out of any doctor. I like when the breasts are tight looking and appear to be implants. Thank you

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13 Doctor Answers | Asked by ria428

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Saline or Silicone Breasts Implants for "Round, High, Firm" Breasts?

Thank you for the question. As you can imagine, is not possible to provide you with precise advice without direct examination and the full communication of your goals. Below, I will summarize some of the pros/cons of saline versus silicone breast implants for your information. Before I do that, however I find that many patients who are looking for “round, high, firm looking breast” benefit from the use of saline breast implants ( sometimes overfilled). I find that, on the other... more

Saline or gel for the unnatural look

In general, if you desire the look as you describe, saline implants are usually better for producing that look. I equate gel implants with a more natural look. Implant styles such as high profile implants can certainly exaggerate the projection, provided your body can handle the increased volume to give you the base diameter you desire and need. The emerging highly cohesive gel implants could also help creating the fake look. You should review this more with your... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Implant choice

Since you are looking for that "fake" implanted look, then you probably should consider a high profile implant. In addition, whether or not the look that you want can be achieved will also depend on your anatomy. It sounds like you want that high riding look. But if your breasts sit lower on your chest or you have stretched out skin, this may be difficult or nearly impossible to achieve. Talk to your plastic surgeon about your concerns.

Saline v. silicone

In terms of producing a breast as you have described, I personally think that the profile of the implant will be more important than the implant material. Discuss your desired shape with your plastic surgeon so you are both on the same page.

Silicone vs Saline

In terms of how they look and feel, silicone implants are considered to be a more natural-looking option compared to saline implants. Many women believe that silicone implants offer a much softer feel and look more like natural breasts, and are less likely to produce rippling, while saline implants tend to feel hard. Saline implants also are more likely to appear wrinkled or rippled, especially among women who have very little breast tissue of their own.

Breast shape is not determined by whether implants are silicone or saline.

Hi. The "fake" look you like (and so do many women) is achieved by HOW the operation is done. You need large, high profile implants (silicone or saline) placed high on your chest. Your existing implant pockets will need to be modified. see video

Silicone vs. saline for fake look...

I practice in Miami, where a lot of women prefer the "fake" look. It has more to do with implant size (larger is more fake); style (high-profile is more projecting) and surgical position, (keeping the submuscular pocket higher) -----than whether the implant is silicone or saline. Personally, I prefer silicone. It lasts longer and feels great. hope this helps, Dr. Michael in Miami

Appearence difference between silicone and saline implants is none. They differ in effect.

In appearence silicone and saline implants look identical. Only difference between them is difference of feel. Silicone gel implants feel more natural and have less ripples. Result from breast augmentation depends greatly on existing breasts of patients and everything is not always possible in everyone. A good plastic surgeon can navigate you through possibilities of achievable results with varying implant profiles and their placements. Result that you are seeking... more

Tight appearing implants - type of implant does not matter.

You can have tight, "fake" appearing implants with either saline or silicone. It depends more on the size of the implant, the shape (projection) of the implant, and the pocket space. Saline can be overfilled in order to make them very firm and thus may be a better option for you.

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Saline vs. Silicone - Which One Gives the Less Natural, More Augmented Look?

For the rounder, higher, more augmented look, slight overfilled saline implants fit the bill. One of the reasons I don't like saline implants is because they do give a phony look. The downside of saline implants is they tend to ripple and have a greater chance of deflation. All that being said, if you are looking for round, high, less natural, more surgically done look, then saline implants are the implants for you.

Silicone vs saline

The main difference between saline and silicone is that the silicone usually feel softer With saline it is easier to detect a rupture. With saline it is also a bit easier to match asymmetries.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

"Implant" Look

In general saline implants will tend to give more of an augmented appearance than silicone implants which tend to give a more natural appearance. The experience of your surgeon, however, will determine what he or she is comfortable with. A larger high profile silicone implant will also give an augmented look and if your surgeon is more comfortable with that procedure he will direct you to silicone. Ask to see before and after photos of the look you are interested in. If... more

Ralph R. Garramone, MD

7 reviews

Fort Myers Plastic Surgeon

Patients Desiring the "Done Look" with Breast Implants: How it Works and Who is a Candidate

Occasionally, plastic surgeons are asked to create very round, and unnatural appearing breasts by patients. Some women like this look, while others prefer the "done" look because they want to be real "perky" and not wear a bra. In our practice, we have experience doing very natural breast augmentation procedures as well as offering to a select group of patients desiring the "done" look procedures which will make them happy. Breasts which look "done" are usually large for the... more