American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Breast Augmentation

If you have teardrop implants that are saline can you go to round high profile silicone implants? Which is better saline or silicone? Which one has a better chance lasting longer?

Procedure: Breast Augmentation
Location: Lexington, KY

Replies 6

Steven Wallach
ASPS Surgeon
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You can change from saline to silicone and shapes of implants. It all depends upon your anatomy and your desired volume. You would have to be seen in person Best of luck

Robert Freund
ASPS Surgeon

Good morning. The choice of implant is complex.

1- Shape? teardrop vs. round/high profile versus mid and low profile - I prefer the round implant to the teardrop implant because any rotational movement to a teardrop implant leads to asymmetry. Conversely, a round implant can rotate for ever and still look the same. The choice of a high versus low profile implant weighs the patients anatomy and desires. Usually, high profile implants trade width versus projection. The wider your chest, the less desirable are high profile implants.

2- Saline versus silicone - Todays silicone implants are better than ever. They feel great and are long lasting, saline has a water bag feel and are more prone to leakage, but are cheaper. If you have little breast tissue I suggest going with silicone implants. Of course, no implants are permanent devices and may need further interventions later on.

Mario Carranza-Garcia
ASPS Int. Surgeon

completely agree with dr. robert freund

Nelson Castillo

Thank you for sharing your question. You can switch from saline to silicone and this can improve a number of appearance aspects including any rippling or wrinkling currently present. For most patients, silicone is the preferred style of implant but it is a personal decision and needs to be discussed during a consultation.

Daniel Hatef
ASPS Surgeon

Hi Ally, thank you for your question! Yes you can switch to round high profile silicone implants for sure. It's tough to give medical advice over the internet without a true consultation, but if I were to see you I would probably talk to you about deflating the implants you currently have, then waiting about a month and then doing the exchange. This allows for a much easier procedure and decreases costs significantly. In my hands this has worked tremendously well. I prefer silicone to saline because today's silicone gel implants won't "bleed" and they feel more natural than saline. However, the advantage of saline is that you can drain them in the office if needed, and you know if there is a rupture because they deflate. This isn't the case with silicone; those ruptures are clinically "silent". That being said I prefer silicone because of their feel and better longevity. Good luck in your decision making and journey!


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