Saline or Silicon implants? Is one better for sagging?

You are focusing on implants when more important is a
simultaneous lift. 22% of women who
undergo breast augmentation alone require revision within 2 years because they
are dissatisfied with the result. A frequent
cause of dissatisfaction is not performing a simultaneous lift when
required. I recommend a new technique
called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be
placed. Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed. Best Wishes,Gary Horndeski, M.D.

Hello, thank you for your question. Neither one is better than the other for sagging in terms of surgical indications, you can have a lift done with either one. What I can tell you is that silicone implants tend to give a more beautiful conical shape than saline, and since they're firmer, it gives you a firmer look on your cleavage, which in my perspective, is a big plus. Hope to have been of some help. 

Thank you for this question. Your needs are best determined by an in-person consultation with an experienced board-certified plastic surgeon. Saline and silicone are good options for size/volume enhancement. Neither saline nor silicone is best for sagging depending on what aspects have descended. Nipple position is usually best handled by some type of lift (mastopexy) procedure that is determined by physical exam. "South" facing nipples sounds like at minimum a lift is needed. You (like many patients) may be best served by both augmenation and lifting simultaneously. Ask a board-certifed plastic surgeon. Good luck!