Breast Augmentation: Q&A

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What Type of Implant is Best for a Breast Augmentation?

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29 Doctor Answers | Asked by kelly1126 in connecticut

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There is no one best implant for everyone

The great thing about breast implants, is that we have choices. While many of us prefer one implant more often than the other, both saline and silicone implants are good options. So, how do you decide? Silicone implants will be a little softer and feel a bit more like normal breast tissue in most women. Generally, I prefer the feel of silicone over saline. However, silicone implants are more expensive, require a longer incision, and a little more difficult to know if they have ruptured.... more

Saline and Silicone Breast Implants Can Both Provide Exceptional Results

The return of silicone gel breast implants raises an important question for prospective breast augmentation patients: are silicone gel implants better than saline implants? The answer, in my opinion, will be different for each patient, and will depend on the patient's personal feelings and opinions about a host of issues related to silicone gel implants, including implant cost, the monitoring required to detect silicone gel implant rupture, the incisions required, and the potential need... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

There are many options and many factors to consider.

There are many options and many factors to consider when deciding what type of implant to use for breast augmentation. Some decisions that need to be made include: saline or silicone; moderate, moderate-plus, or high profile; round or anatomical; smooth or textured. The implant is only part of equation to achieve a nice breast augmentation result. Of course, it is very important to choose your surgeon carefully. A nice place to locate some board certified plastic surgeons who are committed... more

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Smooth walled, round, cohesive silicone gel implants.

These are my favorite for most women. If a patient is afraid of silicone, or if there is asymmetry to correct, then I use saline filled implants. These give good results too, as long as they are overfilled. I don't use textured implants, or tear drop shaped ("anatomical") implants. These implants don't give better results and they are associated with more problems.

The "best" is in your hands

Choice of implant type is a personal one and may be guided by consultation with your board certified plastic surgeon. During the consultation you may have the opportunity to feel each type and the surgeon will assess your body characteristics to determine which type may best suit your individual needs. Good luck!

The answer depends on your priorities

Both saline and silicone gel implants can give patients a happy result from a breast augmentation. In my practice about 80% go with gel and the rest saline. Those that choose saline are willing to accept some potential wrinkles and ripples especially laterally when leaning forward in exchange for something their gut instinct tells them is "safer." Those that choose gel place the "feel" of the result as a high priority and accept the extensive work done by the FDA which indicates that... more

Silicone may look and feel more natural, but some women are more comfortable with Saline

Many women prefer silicone implants to saline implants because they feel and look more natural. However, they are more expensive and although the safety of these implants is well documented, some women are more comfortable having saline implants. The pros and cons of each type should be discussed with your board certified plastic surgeon. Andrew Kleinman, MD Board Certified Plastic Surgeon Westchester, New York

Silicone & Saline Implants are Both Safe, FDA-Approved, and Very Good Choices for Breast Augmentation

Several questions need to be answered before proceeding with breast augmentation surgery. These pertain to the following issues: 1) Implant size, 2) Implant type, 3) Incision location, 4) Under or over the muscle, and 5) With or without a breast lift. Depending on the answers to these questions, a large variety of treatment options potentially exist. Each patient should be considered individually since no two patients are the same. Patients may have unique anatomic findings and... more

New Gummy Bear Implants provide a great option for breast augmentation

Although there are many factors in making a nice breast augmentation, the type of implant is important. Over the last year I have been using a brand new implant which is more cohesive or "gummy bear" like. It seems to hold its shape better and still feels very much like a natural breast. They are made by Sientra. If you imagine the implant being sliced in half with a bread knife, it would sit there like a gummy bear and not ooze out. This is important in mimimizing issues if the implant were... more

Choosing the Right Implants

Women seeking breast augmentation usually have the choice between a saline-filled implant and a silicone gel-filled implant. Both implants are very popular and patients are very satisfied with the outcome of each type. The saline implants can usually be put into a slightly smaller incision than the silicone gel implants. After a small incision is made, the saline implants are placed without being filled. After they are inside the pocket, they are filled to the desired size. The silicone gel... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.