For a natural look, should I choose saline or silicone? Size recommendations? Health pros/cons? (Photo)

It's silicone all the way!   I would never recommend that any patient get saline.  They tend to feel fake, look fake and rupture more commonly.  Cohesive Gel Silicone implants have been proven to be safe.   I have taken out many saline implants that were put in in the 1990's and early 2000's (when  saline was the only option) because of patient complaints of ripples or a fake feel to the implants.  I've never taken out a silicone implant due to a fake feel or ripples.   

Thank you very much for this interesting question.In my practice i recommend using - Cohesive Gel - Silicone Breast Implants with textured cover.They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Kind regards,Dr. Emmanuel Mallol Cotes.-

Dear madam,   Thanks for submitting your picture. From observing your picture, you appear small a cup with wide cleavage.   You will get different opinions from different surgeons in regard to your questions. Opinions are meaningless, if they are not supported by numerous, consistent and beautiful results. So, you owe it to yourself to do your due diligence and choose wisely after inspecting the different before and after photo galleries.   I have been in plastic surgery practice for over 28 years and operated on thousands of breasts augmentation patients, many of whom are mothers and daughters (testament to the natural look and non 'porno star boobies ' look)' .  I use almost exclusively saline implants, placed under the muscles through sub areola incision. The satisfaction rate among my patients is extremely high ( check 'Realself reviews).   It is a myth that silicone gel implants are more natural than saline implants. I have removed many silicone gel implants and replaced them with saline implants, for many reasons, part of which were hardening and palpability.    Moreover, silicone gel are more expensive due to their troubled history and not their quality advantage.    Being that you are avid runner, I would recommend full B or small C cup size, so, that you will be comfortable in your sports activity. You did not provide your chest circumference in inches which is critical for the correct implants size selection. Let's assume that you are 32 small A cup size. To become 32 full B cup you will need implants with volume of 250 cc. For 34 full B cup - 300 cc . Make sure that your surgeon teaches you the implants displacement massage, in order to obtain the natural look and reduce the likelihood of breasts hardening.                              Best of luck,                                                 Dr Widder