Which would make my breasts look/feel more natural - silicone or saline (or any other?)? Is it possible with my breasts? (Photo)
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Doctor Answers 23
Saline or silicone for natural breats
Reasonable Expectations Required
If a silicone implant leaks, as it gets older, most of the time you will not know it leaked. You will have a failed device in your chest and exposure directly to the silicone gel. Even with cohesive gel implants. This is why the FDA recommends continued MRI scans of your implants forever! How many years apart between MRI scans is open for debate. So, you have to ask your plastic surgeon what are his/her recommendation for follow-up MRI scans? And ask yourself if you are prepared to pay $1,000 to $1,500 in the future for routine surveillance or anytime you think there has been a change in the look or feel of your implants?
I have a page on my website dedicated to leaking silicone implants.
Both types of implants are along term commitment of follow-up and care.
Gordon Telepun, MD
Most natural looking breast augmentation
I have found that for many of my patients that have a body type similar to you, and that want a very natural look, that anatomic (or shaped) silicone implants are the best choice. This type of implant will give you a very natural upper breast slope with a perky and full lower breast shape that usually cannot be achieved with round implants in patients with your body type. Shaped implants do not create a noticeable bulge/fullness at the upper breast the round implants will, and look very natural.
Fat transfer augmentation is also a great choice if you only want to go up 1-1.5 cup sizes and have a very natural result. I have found that even very fit women have enough fatty tissue for a small augmentation if their abdomen, flanks, back, and entire thighs are utilized to harvest the cells for fat transfer. This may be a great choice for you as it is also a great method for correcting asymmetry. This is a very involved procedure with many steps that should be discussed at length with your surgeon before opting for this treatment method.
You should seek consultation with several board certified plastic surgeons in your area to find someone that you are comfortable with after a comprehensive exam and discussing your treatment options. Please see the link below for example breast augmentation before and after photos. Best wishes!
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Silicone v Saline
Silicone will give you the softest, most natural result possible! I would place your implants under the pec muscle, through either a nipple or crease incision.
Which Would Make My Implants Feel More Natural
good when done for the right indication. If you have minimal to no breast tissue I usually recommend silicone implants as they have less chance of visible rippling. This should be done in the hands of a Board Certified Plastic Surgeon.
Which would make my breasts look/feel more natural
Silicone vs Saline Implant
Silicone vs Saline Implants - What is Ideal?
The only exception to this is the IDEAL implant which is planned to be released in 2015.
Silicone implants have distinct advantages over saline implants in terms of performance: they wrinkle less and conform to a more natural breast shape, and also have a softer feel that is more breast-like. However, silicone implants have gained a reputation for being less safe than saline implants. Despite the fact that there is no known toxicity of silicone gel breast implants, the possibility of a “silent rupture,” undetectable except by MRI, has been enough to make many women opt for saline implants or wait for a better product to come along. The time will be here most likely within a year or so with the advent of the Ideal Implant, the name given to a new design saline hybrid implant. It has the natural feel of silicone and safety of saline.
Saline implants, though providing peace of mind by being perceived as safer than silicone, often do not create a result that seems as natural. Wrinkling, scalloping, a globular shape, and water balloon-like feel, and increased risk of capsular contracture have been the trade-off for peace of mind with breast implants. The Ideal Implant solves many if not all of these concerns.
The Ideal Implant has bothThe Ideal Implant is one of the major technological advances to come along in the past few decades in implant manufacture. Using a novel design with internal baffles, the saline implant is manufactured to achieve a similar feel and performance comparable to a silicone implant. Approximately 95% of both patients and their surgeons expressed satisfaction at the current two-year data point by the FDA. The Ideal Breast Implant is soon to be released in the US market, hopefully with in the year.