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

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.

Its difficult from the pictures you submitted. Without actually looking at your breasts, it's all a guessing game. Because of the large weight loss and your breasts biegn post-partum, I would suggest using silicone gel implants. THis will definitely improve your chnaces of avoiding rippling and the feel to your breasts will be more natural. You don't have adequate tissue coverage and therefore the saline implants will be very palpable underneath.Without pictures, it's very difficult to recommend sizes of implants. They should, however, be placed behind the pectoral muscle. Always seek out surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic breast surgery. Look at many, many photos to make sure that there is consistency to the work. Good luck.

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.

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.

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.