Are Saline or Silicone Implants Better for Tubular Breasts?

The treatment of tubular breasts in our practice usually consists of

- not selecting a size larger than the base diameter of the breasts (or they bulge out)

- using relaxing incisions (these only help to a degree)

- using higher profile implants (that maximize the volume given the small base diameter)

- performing a periareolar lift for the baggy areolar area.

Patients must be realistic about their outcomes.  The choice of which implant is a personal one based on weighting the risks, necessity of getting MRI studies after silicone gel implants, etc.

In general I prefer silicone implants for all breast work as I think they feel more natural and are better implants. For tubular breast treatment you are having reconstructive work,  therefore, you are eligible for silicone implants. The comments about the severity of the deformity are very germane so without a picture it is difficult to be more specific. I suggest you find a surgeon you are comfortable with and let them guide you.

Tubular or constricted breasts can be improved with or without breast implants and may require additional incisions to improve the shape of the breasts. It all depends on the severity and complexity of your case and what look you would like to achieve. I recommend consulting with a board certifed plastic surgeon to discuss the best and safest possible options for you. During your examination, your surgeon will let you know whether you are a good candidate for saline or silicone gel depending on your body type. Silicone gel is the more naturally feeling of the two and is recommended for patients who have very little breast tissue to begin with and a low percentage of body fat. Saline implants can provide a fuller look but has a higher risk of rippling and palpation of the implants if you do not have enough coverage. Providing photos of what look you would like to achieve will be very helpful to your surgeon. Communication is very important between you and your surgeon. Good luck and take care.