Will silicone or saline give me a fake look?

Thank you for the question. As you can imagine, is not possible to provide you with precise advice without direct examination and the full communication of your goals. Below, I will summarize some of the pros/cons of saline versus silicone breast implants for your information. Before I do that, however I find that many patients who are looking for “round, high, firm looking breast” benefit from the use of saline breast implants ( sometimes overfilled).  I find that, on the other hand silicone breast implants tend to provide a more “natural” feel and look.

 Of course, there are many more variables involved in achieving the breast look/feel that you are trying to achieve; for example, the position of the breast implant pockets on the chest wall will be important in determining where the breast implants "sit". Much of what will be necessary  to achieve your goals will depend on your specific anatomy and goals. That is why the  physical examination and a full communication of your goals (I prefer the use of goal pictures) is critical.

Some general words regarding the use of saline versus silicone breast implants may be helpful to you:

The type of implant used may Influence the final outcome  of the procedure, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have.  If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants.  If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.



On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference.  Patients may need an MRI to diagnose a silicone gel rupture.   Saline implants are also less expensive than the silicone gel implants.
 Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.


 I hope this helps.

To achieve the "fake" breast look really depends on the placement, size, and shape of the implant, and can be achieved with either silicone or saline implants. What you want to discuss with your surgeon is getting high profile implants with enough cc's that will get you that "fake" breast look. An experienced board certified plastic surgeon will know how to achieve this look for you, so just make sure your surgeon knows what your goals are for your results. 

For the rounder, higher, more augmented look, slight overfilled saline implants fit the bill.  One of the reasons I don't like saline implants is because they do give a phony look.  The downside of saline implants is they tend to ripple and have a greater chance of deflation.  All that being said, if you are looking for round, high, less natural, more surgically done look, then saline implants are the implants for you.