Should I do saline or silicone? Especially what size should I get too? (photo)

I'm 31 a stay at home mother of 5 kids that I breastfed. I'm 5'10 and 160 lbs my stomach is flat and so are my boobs! I'm done having kids so I thought I should work on me. Very scared have so many questions For my doctor. I'm scheduled to see Dr. Soler Baillo in a Miami, Florida. I was referred by a friend. I just wearing bathing because I have to buy a large because I have hips and a butt so the top is always to big for my breast. I just want to go the safer route and inexpensive too.

Doctor Answers 13

After breast feeding, implants alone are not enough

Your photographs are inadequate but since you have breast fed 5 children and it is highly likely that your breasts are ptotic. Many women focus on augmentation when they need a simultaneous lift to correct the shape asymmetries and ptosis. If that is your case, I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it.

Best Wishes,

Gary Horndeski, M.D.

Texas Plastic Surgeon
4.7 out of 5 stars 208 reviews

Breast augmentation

The bottom line is that you need to consult with a board certified plastic surgeon who can examine you and give a recommendation. There is no way on a forum such as this to provide this service. As for going the "inexpensive" route - remember that a breast augmentation is REAL surgery. Often cheap comes from inexperienced or non-plastic surgeons. Avoid cosmetic "factories" and look at a surgeons qualifications. Be wary of board certified "cosmetic" surgeons as this is an obvious sign they ARE NOT board certified plastic surgeons. Also, see more than one doctor. Not everyone approaches these procedures the same way and finding the right "fit" is important. Best of luck!

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 19 reviews

Saline or silicone

To my way of thinking there is no question to do silicone.I have doen so many over 30 plus years there is no questionb silicone is the best.i tell my patients the less tissue you have the more important it is to do silicone.As far as size goes I don't promise anything accept to make you as big as I can but look NATURAL.I make the pocket and will have 4 or 5 sizes available and whatever can fit into the pocket and look natural is what I give can not put a gallon of milk into a quart conatiner.Good luck.

Robert Brueck, MD
Fort Myers Plastic Surgeon
5.0 out of 5 stars 54 reviews

Breast augmentation

Although the choice is a personal one, I would be a happy to provide some facts about the two different options.

Silicone implants look and feel more natural, have a lower risk of visible "ripples or wrinkles" and are currently the more popular choice for patinets. Physicians may recommend silicone over saline for patients who are very thin or have little breast tissue to help lessen the visible "ripples or wrinkles". Silicone implants may be recommended for patients using an over the muscle placement technique.

Saline implants are slightly firmer if overfilled and hold their "round" shape better often making them a choice for patients seeking a "fake" look. The saline implants are filled with fluid that is very safe if "leaked" into the body and a patient usually immediately knows if they have a rupture or malfunctioning implant, whereas a silicone implant rupture may be undetectable or require expensive tests such as a MRI or Mammogram.

Both implants are FDA approved, come in several different shapes, types and sizes and have been used for years safely on many patients.

Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
4.6 out of 5 stars 99 reviews

Should I do saline or silicone? Especially what size should I get too?

Thank you for your question.  As far as size goes, you would need to have an in person consultation.  Given that you are thin, I would recommend silicone implants.  Saline will feel harder and more chance of seeing rippling on someone as thin as you.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

Saline or silicone breast implants?

Thank you for your question.  You need to have an in person examination and consultation with your plastic surgeon who will help him decide the best option for you.

That said generally speaking  Saline breast implants often cause visible rippling especially and then people with little breast tissue.  For this reason many plastic surgeons and patient's today prefer silicone gel breast implants placed beneath the muscle

Should I do saline or silicone? Especially what size should I get too?

With out having a better photos of your breast to evaluated you, I could see you have no breast tissue and in order to avoid any rippling in the breast after surgery I recommend you to have silicone/(gel or gummy bear).

Saline vs. Silicone

It is difficult to say without better photos.  Saline implants are less expensive but may be more palpable and give you a less natural feel if you are thin.  Silicone gels generally feel better and are indicated for thin women, plus the can be shaped like a teardrop and give thin women a more natural look.  The need for a lift also has to be considered depending on whether your breasts have dropped after breastfeeding.  Best wishes, Dr. T.

So many CHoices, so many questions

Dear SexyMama5, Congratulations on your decision to have surgery and for doing your research.  As far as the saline versus silicone, the preference is yours.  I can give you my experience that silicone feels more natural and wrinkles less while the saline implants cost less.  There are more choices available with silicone such as shaped implants and various projections which may be of benefit to you.  As far as size goes that is something that requires a visit to a board certified plastic surgeon.  Many of them, myself included, have 3-D cameras that can show you how you would look with implants.  Size depends on your tissue characteristics, how much drooping you have, your chest dimensions and how large you want to be in the end.  You may want to go on several consultations before making your final decision.  Good luck, Dr. Schuster in Boca Raton.

Silicone gel implants give a much more natural looking and feeling breast

I believe the best results from breast augmentation come from putting Textured Siltex Gel implants under the breast tissue. In my practice I put them through a peri areolar incision. The scar here is almost alway very minimal and is better than under the breast. If a woman does not have enough breast tissue in the upper pole of her breast to prevent the ripples in the textured gel implant (the least rippling implant) then it is better to use the same incision, make a pocket under the lower part of the breast and lift the pectoralis muscle off the chest wall and put the top of the implant under the muscle (dual Plane).
It is also possible to place smooth wall gel implants through the arm pit incision and under the muscle. This give a good result but the other is far better. 

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 15 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.