Dear Lizzy, You live in a great country and you are free to choose implants as you wish, however I would like to give you information about saline implants that will make you rethink about it and , hopefully, will change your decision. Saline implants have no age limitation. I have been in plastic surgery practice for 29 years and performed breasts augmentation surgery on thousands of patients. I use almost exclusively smooth, round, moderate profile saline implants made by Mentor , for the following reasons: 1. Cost $1000 less than silicone implants. 2. Statistically has less capsule contracture (breasts hardening) than silicone gel implants. 3. Allow for a short sub areola incision entry, which is scar friendly. Large silicone implants require long sub mammary incision which is not scar friendly. 4. The sub areola incision, allows for the creation of consistently nice cleavage and precise fold, because it can be done under direct vision and feel, while the sub mammary incision is too far for comfort. 5. I have performed breasts augmentation surgery on many mothers and daughters and it is inconceivable that mothers would have referred me their daughters , if they were not happy with the outcome. 6. It is a myth that silicone implants are more natural than saline implants. I have replaced many silicone implants with saline implants due to problems with the implants, to the delight of my patients. Moreover, quite a few of my patients had the breasts augmentation surgery before meeting their husbands and the husbands did not realize that their wives have implants... 7. In case of leakage or implant rapture (rare but happens), the saline implant replacement is very simple and can be done under local anesthesia, while silicone gel implant removal is more complex. Finally, it is wiser to choose the right doctor over the 'right' implant or the 'right' tool. That is because not all results are the same, since experience, skills and aesthetic eye are critical for good outcome. Always, consults with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and look natural. Also, check the 'realself' reviews for ratings and positive experience reports. Best of luck, Dr Widder
