Will silicone or saline give me a fake look?

Occasionally, plastic surgeons are asked to create very round, and unnatural appearing breasts by patients.  Some women like this look, while others prefer the "done" look because they want to be real "perky" and not wear a bra.  In our practice, we have experience doing very natural breast augmentation procedures as well as offering to a select group of patients desiring the "done" look procedures which will make them happy.

Breasts which look "done" are usually large for the patient's frame, very round, overly close cleavage, and high on the chest.   The easiest way to accoomplish this in my opinion is to use a large saline implant with an overfill.   The problem with this approach in the long term is the thinning of the skin and breast tissue which can occur as well as the feel of the breasts which is firm and less than natural.

 

Other options include the use of a high profile or ultra high profile silicone gel implant.  These implants give a roundish look, especially the ultra high gel.  Patients desiring this look should be careful that they do not injure or damage their breasts by going "too big" or having their cleavage "too close" because of the risk of tissue thinning, rippling, and damage to the cleavage area (symmastia).   Consult a very experienced board certifed plastic surgeon before considering these procedures.

 

My recommendation is to balance the look you wish with safety and good choices for the long term.

 

Good luck!

 

Dr. Bresnick

In terms of how they look and feel, silicone implants are considered to be a more natural-looking option compared to saline implants. Many women believe that silicone implants offer a much softer feel and look more like natural breasts, and are less likely to produce rippling, while saline implants tend to feel hard. Saline implants also are more likely to appear wrinkled or rippled, especially among women who have very little breast tissue of their own.