Are Saline or Silicone Implants Better for Tubular Breasts?

The treatment of the tubular breast is complicated. Implants are only one part. Saline and gel implants both work well. Gel implants generally feel and look more natural - so in general I prefer them. Specifically for the tuberous breast the inferior pole can be quite thin after it's treated ( scorred) so gel is definitely better.

Tubular breasts come in several versions and so there is no single best answer. What they all have in common is tightness of the skin envelope over the lower part of the breast, and so using an expander saline implant (Mentor Spectrum) can be very helpful for that. This is a saline implant that is connected to what is called a "fill port" which you would see as a bump under the skin below the breast. Every few weeks some more saline is injected into it so that the skin is slowly stretched. This way you also get to see different sizes during the exp-ansion, and within certain limits you can decide what you like. The fill port is removed under a simple local anesthesia procedure about 3 months after implant placement. Additional procedures may be required for tubular breast so you really need to see a plastic surgeon who does a lot of them.