Is it possible to go under the muscle with saline after going over the muscle with silicone?

Question

Will getting saline over the muscle look really fake? Lets say about 550-650ccs saline?

Ronald J. Edelson, MD · Answer

The problem with saline over the muscle is the tendency for more rippling of the implants.  I always put saline under the muscle. If you currently have silicone and want to switch to saline, it is easy to convert them to under the muscle.

Gary M. Horndeski, MD · Answer

Yes,
you can change implant type and position but I always recommend small round
textured silicone gel implants placed retro-pectoral since they 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.  Unfortunately, you have not told us your bra
size but if you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size
change.  If you are 36 or 38 each 200
cc’s of implant corresponds to 1 cup size change.  550 cc to 650 cc implants are very large,
will extrude inferiorly and laterally requiring revision.  22% of women who undergo breast augmentation
alone require revision within 2 years because they are dissatisfied with the
result.  A frequent cause of
dissatisfaction is over implantation. Best Wishes,Gary Horndeski, M.D.

Amy T. Bandy, DO, FACS · Answer

I agree with both previous posts.  In general, when saline implants are placed in front of the muscle, in a tight skin person with little breast tissue, they will look more fake than the silicone implants.  If you have some breast tissue, then depending on the size of implants, it will depend.  The larger you go, the more fake the look.

Kenneth Hughes, MD · Answer

This is difficult to assess how something will look without pictures or an exam.  Transitioning to a different plane is possible and a submuscular augmentation does tend to provide more coverage and a more natural appearance.Kenneth Hughes, MDLos Angeles, CA

Jaime Campos Leon, MD · Answer

Thank you for the question.To best help you, a physical 
examination or picture evaluation is required in order to determine 
which procedures and techniques would be best for your case.Dr. Campos

Is it possible to go under the muscle with saline after going over the muscle with silicone?

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Answer: Is it possible to go under the muscle with saline after going over the muscle with silicone?

Answer: Is it possible to go under the muscle with saline after going over the muscle with silicone?

Answer: Breast aug

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Is it possible to go under the muscle with saline after going over the muscle with silicone?

Answers (9)

Answer: Is it possible to go under the muscle with saline after going over the muscle with silicone?

Answer: Is it possible to go under the muscle with saline after going over the muscle with silicone?

Answer: Breast aug

Answer: Breast aug

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.