Silicone V Saline on Small Breasts? (photo)

       The information presented seems reasonable and accurate.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. 

Kenneth Hughes, MD Los Angeles, CA

There is no saying that one is necessarily better.  Silicone is more expensive but may feel nicer if you have very thin skin.  Silicone has a much greater incidence of capsular contracture requiring additional surgery.  Saline implants can ripple, but the high profile ones tend to ripple less than the moderate profile.  I believe saline implants have fewer problems over the long haul, but not all surgeons agree on that.  Taking all the pros and cons of each will allow you to make a more informed choice.

I agree with your plastic surgeon, silicone implants would be a better option for you because of the possibility of rippling.  The scar would only be slightly larger, no more noticeable.  It is hard to predict cup size without using different size implants with different bras. 

The newest biodimensional infants from Sienra and Natrelee are simply amazing,. If your goal is a natural looking breast the plastic surgeon and the placement of the implant may be your most important decision. Natural looks can be achieved with both saline and silicone with silicone feeling most natural in a woman with very title breast tissue t start with. What creates a natural look is the placenta of the implant. Are they too far apart> Too High? Too Close together> These are the giveaways someone has had breast augmentation surgery. Take a look at my gallery 

In markets like Canada and Europe (and more recently the US) where both silicone and saline implants are openly available, we tend to use predominantly silicone breast implants.  The reason is that these implants allow us many more options for size and shape and they are much less likely to ripple than saline implants.  The standard infra-mammary crease incision, depending on the size of the implant will range between 4 - 5cm, an incision not much bigger than the incision needed for saline implants.  The more you depend on the implant to give you breast shape the more important it is that the implant looks natural.  From what you have described I believe silicone sounds like the best option for you.  As we girls know, cup size varies depending on the make of the bra, the day of the week and the colour of the moon so please make sure you have an opportunity to try on an implant in a tank top or see 3D imaging like Vectra to understand what that size will look like on your body. 
I hope this helps and good luck with your surgery.

Dr K.