Should I Switch from Silicone to Saline? (photo)

   This upsize is technically possible and is done in a few women if they understand and accept the risks.  Tissue thinning as others have mentioned, back, neck, and shoulder pain, increased rippling, increased risk for extrusion, and increased droop over time, among others.

Hello,

I can't tell you whether your 'favorite boobs' pic is a woman with saline or silicone. However, based on your current appearance, you would need around 1000 cc implant to achieve that result (roughly 40 to 50% increase in current volume), and could only be gotten using saline.

As the others have said, it's a trade off between the size you want and unwanted potential problems that will, sooner or later, rear their ugly heads: tissue thinning causing unpredictable breast shape or feel, malposition and dropout, rupture and deflation, and capsular contracture.  Having said that, the first silicone to oversized saline switch I performed was in 2008, and she is still extremely happy (even though her breasts are not as naturally soft as I would want for my patients due to the thinness of her tissues).  I perform a few every year, and it does not require any specialized training or techniques over and above those required to be a competent breast implant surgeon.

Dr. John Grossman is in Denver, and he is a seasoned, well-respected surgeon capable of performing this surgery.  Dr. Paul Zwiebel is in Littleton as well, although I am not as familiar with him.

Best of luck!