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Breast Augmentation Raleigh Natural Looking Results with Saline or Silicone Implants
Date:7/14/2008

has a conservative philosophy about plastic surgery and believes that great plastic surgery looks natural. As silicone gel implants are pre-filled, they require a larger incision for implant insertion, which of course varies with the size of the implant that is used. Saline implants are filled after insertion, and can therefore be rolled into a long, narrow shape for insertion through a smaller incision. A patient with a small areolar diameter may not be a good candidate for silicone gel implant insertion through a peri-areolar incision, while essentially any patient may have a saline implant inserted through that approach.

Most surgeons agree that silicone gel breast implants, in general, tend to feel more natural than saline breast implants. However, the degree to which this difference is significant varies a great deal with regard to two issues: the amount of breast tissue that exists prior to augmentation, and the size of the implant that is used. The more natural feel of a silicone gel implant will be much more important to patients who are slender and fit in an A cup bra preoperatively, as they have less subcutaneous soft tissue to conceal the implant. The difference will be less noticeable to a patient who is more full-figured and has wears a B cup bra.

"Smaller saline implants, in my opinion, better simulate natural breast tissue than larger implants. If the goal of breast augmentation surgery is to produce a natural-appearing breast profile, and by 'natural-appearing' I mean that it matches the rest of a woman's figure and does not look like surgery, I think that most patients are best served by an implant smaller than 350cc in volume," says Dr. Michael Law. "Saline or silicone implants in a somewhat smaller size range, in my experience, tend to produce results t
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