Best Option: Saline or Silicone Breast Implants?
My doctor said I wasn’t a candidate for under the muscle breast augmentation due to sagging. I was naturally a 34DD. While I was breastfeeding, I was a very full E or F. Now that I am no longer breastfeeding, I am a C. I want my breasts to be full again and we discussed putting a 600cc implant in my right breast and 650cc in my left -- since I am different sizes. I want to use saline, but since I have to do an over the muscle implant placement, I am concerned I will have very obvious “fake” breast look. I know silicone will look and feel more real, but I prefer saline. My doctor does not want to sway me either way, but I would prefer to be swayed! Any opinions and advice?
I almost never perform breast augmentation over the muscle as it significantly increases the risks of complications such as rippling and capsular contracture. The likelihood of rippling with over the muscle saline implants is extremely high, especially when there is a significant loss of volume such as in your case. I would be very wary about doing breast augmentation over the muscle in your situation, and I would strongly recommend silicone implants as they will likley look and feel more natural. I will also tell you that correcting breasts that have already had complications after having implants that were placed over the muscle is a very complicated procedure.
Dr. Gary Breslow has 32 Breast augmentation, Breast lift before & afters:
Hi. Putting large implant over the muscle usually winds up being a mistake in the long run because the extra weight causes a lot of sagging going forward. It is usually a better idea to put the implant under the muscle (for several reasons) and to have a lift if you need one. If you are saggy now, but don't want a lift, it becomes difficult. The lift gives a much more youthful shape and can allow an implant to be put under the muscle to give better fullness especially in the upper pole. Talk to your surgeon about these issues.
Regards to implants, you should be able to do saline or silicone if you go under the muscle. Best of luck!
Dr. Jonathan Heistein has 17 Breast Augmentation before & afters: