What Breast Implant is Best for Size 29 Breasts?

I have small size breasts, so I want a Breast implants. However, I am afraid maybe its not safe?

Also, I don't know what is best, silicone or saline?

Doctor Answers 5

Implant choices

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Choosing the correct implant for you is done during a thorough exam and consultation, This is based upon your anatomy and decision for approximate size.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Safety of gel and saline implants

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Both the silicone gel implants and the saline implants are considered to be safe for you to use for augmentation.  There is no difference in their safety. 

Breast augmentation

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There is no one implant that is "safer" than the other. It is a matter of each one having different advantages and disadvantages. Your best option is to meet with a qualified surgeon to discuss the procedure and your fears.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Are breast implants safe?

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Saline and silicone implants are both FDA approved. Both are considered safe. They have the same shell (outer covering) ; the difference is the fill inside the implant. They look the same. The biggest difference is in the feel.

Saline implants are filled with salt water, which is what your body is primarily made of. If they leak your body absorbs the water, and the breast implant deflates. Many of my healthy Bay Area patients prefer the idea of saline implants. Saline implants allow for size asymmetry correction more than gels, which come in prefilled sizes. The biggest downside is the feel. If you don't have much tissue covering the implant, they can feel "water baggy," and you may see wrinkles and ripples.

Silicone, also known as gel implants, were open to the breast augmentation market again in November 2006. The implants were removed from the market in the early 90s due to concerns they caused health issues, but when large studies were done, there was no statistical significant difference. Gel implants feel more like fat. The true downside is a higher incidence of capsular contracture, where the breast capsule turns hard. The current gel implants are cohesive gel, to reduce the incidence of gel bleed, to try to reduce this incidence of capsular contracture.

I use both implants. I think they are safe. If you want an implant that feels more natural, particularly if you have thin tissue cover, then gels are better. You do have a higher risk of capsular contracture with the gels. If gel implants don't sit well with you and you want something more natural inside, then saline implants are a better choice.

Lauren Greenberg, MD
Palo Alto Plastic Surgeon

Best to see a surgeon

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It sounds as if you have several questions regarding breast augmentation. The questions that you were asking are very specific to you as a person and my recommendation would be to have a consultation with the properly trained plastic surgeon. The surgeon will be able to show you the different implants and different sizes and be able to discuss specific risks and benefits that apply to you.

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.