300cc Overfilled to 350-370cc Natrelle Saline HP SubFacial Breast Implant? (photo)

29 yr old, 125lbs, 0 kids, workout frequently. Had my Pre-Op appointment this morning. my doctor stated the best for my measurements is 300CC overfilled to 350+ Saline HP SubFacial Implants. I want to look like the post-op photo i found below which i did show him and he said it will be very closely similar. What are your thoughts on HP subfacial saline implants? I am nervous they will droop bad not being under the muscle and/or too much rippeling for subfacial.

Doctor Answers 17

Saline implants and long term issues.

I've never really been impressed with the claims of subfacial implant placement. In essence, it's simply a subglandular placement of the implant. For saline implants, subpectoral or dual plane is typically advised to reduce rippling. However, if there is plenty of soft tissue coverage ( > 2cm in the upper pole) then subglandular placement rarely leads to visible upper pole rippling. Drooping of the breast has a lot more to do with the skin tone and the size of the implants than the pocket placement (submuscular vs. subglandular). Be advised that high profile implants will give you an "augmented" look. I do agree with overfilling those saline implants to reduce the rippling that tends to occur.

Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 reviews

Sizing Questions with Breast Augmentation

    In general, one cup size increase occurs with 200 cc to 250 cc.  Therefore, a 350 cc increase would be about 1.5 cups.  Other than these general ideas, the best thing to do is to try the volumes on to get a sense of how large these are.  Kenneth Hughes, MD Hughesplasticsurgery Los Angeles, CA 

Which size?

Thanks for this question and photos. The sizes mentioned are within the ballpark to achieve a solid augmentation. The bigger you go, then the less likely it will look natural. The final cup is better determined after  examination and seeing your natural shape by your plastic surgeon. Best wishes, Dr. Aldo.

Aldo Guerra, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 171 reviews

Consider Silicone

In your case, I would consider using silicone under the muscle instead of saline. You are thin and you stated that you like to work out frequently; hence, I think your concerns are reasonable. With any implant/ breast, some drooping with time/ age is inevitable. However, drooping would be minimized by going under the muscle. Be advised that with any breast implant future surgeries may be required (hopefully years down the road) as they do not last forever. As you age, if drooping occurs, you may - someday- be a candidate for a breastlift. This is usually done at the same time as removal/replacement of implants. Just food for thought. Good luck.

Silicone Gel Implants under the M

There is NO reason that you shouldn't have silicone gel implants...they look and feel more natural, don't ripple as often and are less prone to rupture.  The implants should be placed under the muscle, probably using the dual-plane technique.  100% of the Breast augmentations I show on my website were done with implants under the muscle...

You should not have Subfascial placement of the implants because it is essentially the same as subglandular (under the breast tissue) and you may have all of the complications you mentioned and potentially even more!

Eric Sadeh, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 52 reviews

Saline Implants Subfacial

I also have been unimpressed with the claims of subfacial implants.  Even if placed subfacial, the tissue is exceedingly thin and offers minimal benefit.  You will certainly hear different opinions and I'm not saying that it is wrong but rather a surgeons preference.  I prefer dual plane submuscular placement.  I would recommend considering another opinion if you have any doubts or concerns.  You would need to be examined to be any more specific on answering your questions.I also feel that subpectoral implants tend to look better with time while subglandulars don't.

Albert Dabbah, MD
Boca Raton Plastic Surgeon
4.5 out of 5 stars 9 reviews


I dont like the high profile look. I dont think it looks very natural. I also dont usually place subglandular or subfascial implant because the submuscular implants seem to do better long term.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 14 reviews

Breast implants

Although your size choice is in the ballpark, I usually like to place saline implants under the muscle to minimize rippling. If you want to have the implant in the subglandular or subfascial location, then a silicone implant might be a consideration.

High profile above muscle implant placement

It looks like the implant size and shape chosen should be able for you to achieve the volume that you wanted. There are two main concerns with using saline high profile implant on thin woman and going above muscle. First is the rippling. Most of the time the rippling becomes more pronounced after 1 to 2 years of your surgery, not right away. It's usually at lower part of your breasts. However, when the implant is above the muscle you are more likely to get rippling even at upper part, especially when you lean forward. Once again this issue usually becomes apparent after several years, not right away. Second is the overall breast contour, especially the upper pole. You are more likely to end up with a "shelved" look when the implant is place above the muscle and especially high profile implant. Once again, you wouldn't see this right away but typically after a few years. Most of the pre and post photos out there are taken within one year of the surgery. When I evaluate long term results, it's apparent that rippling and shelved look are quite common with high profile saline implant placed above muscle on thin woman. I think you went through a thorough evaluation of your surgical options, just a reminder for my patients to consider longterm consequences as well.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.5 out of 5 stars 27 reviews

Choice of Breast Implants Placement


Thank you for sharing you photos along with your post.

Different surgeons prefer to deliver certain results in different methods. However, with the anatomical features your photos show it seems that you could benefit the most from a subpectoral placement of the implants rather than the subfacial.

As for the choice of saline vs silicone implants, it would have to be a personal preference.

As a footnote, gel implants tend to provide patients with a more natural look and feel than the saline ones.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.
I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 185 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.