Do Saline and Silicone with the Same Cc's Look the Same? Is HP the Best to Option? How Many Cc's to Achieve in the D Range?

You ask very good questions,  the answers to which  are not as simple as one would think. For example, dependent on a specific patient's situation, the use of saline versus silicone breast implants may not matter. For another patient,  for example one with less breast tissue coverage,  the type of breast implant used can make a big difference. In other words, there are many variables to consider when selecting breast implant type, size, profile etc. for a specific patient.  This is why “online consultation” can never be as useful as in-person consultation. 

 Furthermore,  there are many variables besides body measurements that come into play when deciding upon the best implant type/size/profile to help achieve a specific patient's goals. This is where plastic surgery becomes "an art”, not just a science.

Generally speaking, I do find that it takes different volumes using saline versus silicone gel breast implants to achieve the same “look”.   Usually, a larger volume silicone gel breast implant is necessary to achieve the same look that is achieved with a saline breast implant (at least in my experience).

  Also, generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:





1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.





2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  or “C or D cup” or "fake look" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.






3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.



I hope this (and the attached link) help.

Typically a gel implant of the same size will look about 50 ccs smaller than a saline filled implant.  If you currently have 275 cc implants filled to 300 cc saline filled implants then to go up one cup size and use a gel implant I would estimate that you should use in the 450 to 475 cc range.  Of course, a complete physical examination is necessary.