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

Both saline and silicone can give you a very natural, pretty result.How "porn star" they look depends on the size you choose.  I willsay that in my practice we are just not using many saline implantsthe gel just feels so much better much more natural.   It is always patient preference, rarely do the patients  choose saline.  Make an appoinment to see a board certified plastic surgeon(s).   Good Luck

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    

Hello and thanks for your questions. For a natural look silicone is the way to go! And for the most natural look - then shape implants are the way to go, in my opinion. Saline has a tendency to look and feel more "fake" by most standards. They're also know for rippling more as well. Go to my photo gallery in the reference below for more information and results on all 3 types of breast implants.As far as size and shape ? There's no way to give you specific answers without seeing you in consultation and performing an examination. Use the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. You have to go into the office for true sizing.When patients feel unsure about a size and shape, we ask them back to the office to try sizing until they're very confident with the choice they're making. I suggest you see at least 3 board certified plastic surgeons to see what is achievable in your case.Best wishes always,Dr. Aldo

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision. I would not recommend saline implants.  I would recommend you consider silicone or the Anatomic implants. 

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr Schwartz

Thank you for the question.  Most patients want silicone implants since they look and feel more natural compared to saline. The choosing of implants is a very crucial and
is one that should be done through an in-person exam. Various aspects
could affect the choice of implants like breast tissue, body measurements,
desired end result and the like. It is always best to visit a board-certified
plastic surgeon and have a full evaluation for your concern. Best of luck. Dr.
Michael Omidi.

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 for your question.  During your breast augmentation consultation, your surgeon will discuss the differences between saline and silicone implants, round vs anatomically shaped, submuscular or dual plane vs subglandular pocket, incision location, and size goals.  Given your petite build and small breast volume, I would suggest silicone implants placed in a dual plane through inframammary fold incisions.  The safety of silicone breast implants has been proven over the past couple decades.  You would be sized in the office to determine what volume and look your are trying to achieve.  Before and After photos of other women with similar builds and breasts would help your surgeon get an idea of your goals.  Consult with one or more board certified plastic surgeons to discuss your options.  Best wishes!

Silicone tend to fee more natural but both will look about the same. Choosing the right implant for you requires an exam.

Saline implants are less natural looking and less natural feeling in most people requesting breast augmentation. The only real exception may be in women with thicker and more abundant breast tissue to start with.Most women given the choice will choose silicone over saline if they have had both at some point in their life. Neither behaves better than the other with respect to exercise. Good luck with your decision