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Michael C. Fasching, M.D.

Board Certified Plastic Surgeon


What Kind of Breast Implant is Best for Me?

Submitted by Dr. Fasching on Mon 09/26/2016 - 23:06

So you’ve decided to get breast augmentation. The next step—picking the right kind of implants. It’s not an easy choice; different implants can have markedly different effects on the size, shape, and look of your new breasts. That’s not all, with each different implant you get different options for placement, incisions, shape, feel, and form.

Saline Implants

Pro: Patients tend to like saline implants because they’re filled with a sterile salt-water solution that is easily absorbed by the body if they ever leak. Also, since they’re filled after they’re placed inside the body, saline implants usually need smaller incisions.  For that same reason saline implants are more easily placed through a trans-axillary incision.

Con: However, if you think that you don’t have a thick subcutaneous layer or natural breast tissue, the saline implant might not be the best choice since they might be visible under the skin as a wrinkle or ripple.

Silicone Implants

Pro: Silicone implants are filled with silicone gel that makes it feel and look more natural—it’s also less likely to wrinkle and fold than saline implants.  The new FDA approved cohesive gel implants are greatly improved devices from the previous degeneration of silicone gel implants.

Con: Silicone implants are not filled inside the body, so they do require slightly larger incisions than saline implants.  Implant failure or rupture is contained by the periprosthetic capsule your body forms around the implant.  This can be detected by the use of an MRI or ultrasounds.  The FDA has recommended patient’s have an MRI of their breasts every few years to check implant integrity.

Gummy Bear Implants

Pro: This is typically considered to be one of the latest generations of Silicone implants, gummy bear implants deserve a mention of their own. The gel inside gummy bear implants is his labeled form is stable, so that they’re less likely to wrinkle or fold and they can actually hold their shape when they’re cut open. Because they come in different shapes and sizes, they’re highly customizable and can give a specific form and feel to your breasts.

Con: If shaped gummy bear implants change positions, they might make your breasts malformed and mis-shapen.  Some patients find the stiffness and density of the implants to be less desirable.  The implants are used best and only a certain subset of patients


Once you’ve decided on your implants, another decision for breast augmentation is their placement. There are two options: subpectoral placement which places implants under the chest muscle, and subglandular placement which places the implants above the muscle. Subpectoral placement makes it easier for patients to get mammograms and results in a more natural shape of the breasts.  Long-term preservation of breast shape and coverage of the implant is best with submuscular placement.  However, in some patients the movement of the implants is also more likely. While subglandular placement results in a more increase risk of rippling, they also help improve the shape and position of the breasts.

If you decide to work with a talented surgeon like Dr. Fasching, your breast augmentation will be perfectly customized to complement your features. While having so many options might seem overwhelming, Dr. Fasching has enough experience and talent with breast augmentation that he can expertly guide you to best choices. Contact his office now, to schedule a consultation.