35 Y/O- Which implants have a better jiggle silicone or saline? Do I need a lift? (Photo)

Hi, thank you for sharing your question. You are a great candidate for breast augmentation without the need for a lift. Silicone implants have a more natural feel than saline. Based on your photo, you will have a fantastic result.

Thanks for your question! I think you would be an ideal candidate for this surgery. You definitely do not need a lift. Please make sure you consult with a board-certified plastic surgeon to achieve optimal results. Good luck!

Hello there,
In our practice we use only silicone implants. For you implant placement alone is sufficient because your breasts are not saggy. So first get implants done. If you are not happy with the result you can consider a lift after 6months. Please consult a board certified plastic surgeon.
Hope this helps. Thank you for your query here.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear lm30269,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photograph. It appears that an augmentation alone should suffice to help you achieve your goals and silicone creates a more natural look and feel to the breast.

You do not need a lift. I would suggest getting gel implants placed behind the muscle for a better look and feel. Gel feel more real than saline.

Hello and thanks for your question. Based on your pictures, It seems that you don't need to have a breast uplift procedure together with the implants.