Silicone or saline? - Will 425 cc in silicone look as big as 425 of saline?

Saline and silicone implants of the same volume (425 cc) will be the same size although the shape may vary in a subtle way. High profile implants do have more projection and this style is available in both saline and silicone.  I would try on as many of these implants as you can (in a bra) in order to find the size and shape that is best for you.

I use 3D imaging on my patients which allows them to visualize what they will look like with certain implants in place (saline/silicone/high profile/etc.) before having surgery.

Best wishes,

Dr.Bruno

            Breast implants come in a large
variety of shapes, sizes and styles.  As
a general rule when comparable silicone and saline implants are evaluated they
should have similar appearances.  It’s
important to note that although they have similar appearances, they often have
a different feel depending upon the amount of soft tissue coverage that’s
present.

            If you’re considering breast
augmentation, you should carefully discuss this issue with a board certified
plastic surgeon.  This surgeon should be
able to determine which type of implant is best for you.

Saline tends to look just a bit bigger, and requires a small incision.  But, gel feels more natural, has no valve, and very durable.  There are different profiles so take that into consideration.

Hi, the difference in dimensions between saline and silicone is a factor of the profile, diameter and volume of the implant.  Your surgeon will guide you between the different profiles and diameter, at the same volume, based on your expressed preferences on breast shape, cleavage, etc., and your physical examination.  The ability to distinguish the saline implant from surrounding breast tissue is easier than a silicone implant, especially if the implants are placed above the muscle.  So, it is easier to make a breast appear "larger" by placing a full/high profile, fully filled saline implant above the muscle.

I agree that, in general, saline implants seem larger (more projection) than silicone implants (which tend to conform to the chest wall). Determining exact implant size is very difficult. Consult your board certified plastic surgeon to discuss the best and safest possible option for you. Every surgeon has a certain technique to determine the best implants to use. It is very important that I communicate with my patients prior to surgery to discuss the look they would like to achieve. Intra-operatively, I use sizers to determine the size and the profile of the implants to be used. This is best determined based on the patient’s body type and overall goals. The main difference between saline and silicone is the feel of the implant. Silicone gel is the more natural feeling of the two. Saline is not recommended for patients without enough coverage or breast tissue to begin with.