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?

Hello and thanks for your post. I suggest you sit down again with your PS and review the differences between your options including how these different shapes can affect your breasts. On the other hand, silicone breast implants tend to be softer and lead to a more natural result. Move forward with surgery when you are confident about the plan and know what to expect. Best wishes, Dr. Aldo.

A 300 mL silicone implant outwardly looks the same as a 300 mL saline implant. The large the implant the more likely contour irregularities are to be seen with saline implants and they tend not to feel as natural the silicone gel.

   The smaller the amount of breast tissue, the more likely silicone is a better choice due to smaller chance of noticeable rippling, particularly in a revision where the tissue has already been thinned.  For a size increase, at least 100 cc if not 150 cc would be appropriate, particularly if you want to increase one cup size.  HP will probably be necessary.  The volumetric increase should be the same for either saline or silicone in most cases.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast augmentation revisions 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

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. 

A volume is a volume.  The shape depending upon the choice of implants may be a different shape. The +'s and -'s of each are many.  Best to discuss in the office during consultation.