So, you’ve been thinking about breast augmentation. Maybe for years, maybe for a few months. Maybe you’ve already scrolled through before-and-after photos, clicked on a few Instagram hashtags, or read enough articles to confuse yourself. One question keeps popping up:
How do I choose the right implant?
Here’s the honest truth — there’s no single “perfect” implant. What’s perfect is what fits you — your body, your lifestyle, and your vision of what feels beautiful.
After working with thousands of women over the past three decades, I’ve come to realize that implant decisions aren’t just technical — they’re deeply personal. But there is a smart, thoughtful way to approach the process. Here’s what I want every woman to know before choosing her implant:
Your Body Is the Blueprint
Forget cup sizes and celebrity photos. The first thing we look at is your anatomy — your height, weight, chest wall width, existing breast tissue, and skin elasticity.
If your chest wall is narrow, you don’t want an implant that spreads too wide and makes your arms feel like they’re bumping into your Breast Augmentation. We aim to keep the implant inside your natural chest frame. That’s what gives that “this looks like you were born with it” kind of result.
And here’s something we factor in that many people don’t think about: gravity. Implants drop slightly over time. So, during surgery, we place them just a bit higher than you might expect — not to make you look fake, but to ensure that when they settle, they’re perfect.
Sometimes an Implant Alone Isn’t Enough
Let’s talk about sagging — or what we call “ptosis.” If your breasts have lost volume and started to droop (thanks to babies, weight changes, or just life), putting an implant under them won’t automatically lift them. In fact, it can make things look worse if the nipple sits too low on the new, fuller breast.
This is where a lift comes in. Now, no one wants scars, I get it. That’s why we specialize in the superior crescent lift — it’s minimal, hidden, and works beautifully for mild to moderate sagging. For more significant lift needs, we use the lollipop incision, which gives structure without sacrificing safety or appearance.
Bottom line: we’ll never recommend more than you need. But when a lift is the right choice, you’ll be glad you did it.
The Saline vs. Silicone Debate (Here’s the Real Deal)
Let’s clear this up: both saline and silicone implants can look beautiful. I’ve worked with both for over 30 years, and the differences come down to feel, safety, and personal comfort.
Silicone gets praise for its natural feel, but once inside the body, the difference is minimal—especially with existing tissue. Image Cosmetic Surgery Center.
Saline implants, on the other hand, are filled with sterile saltwater. If they leak (rare, but possible), your body simply absorbs the fluid — no harm done. Silicone, however, can leak into surrounding tissue and stick there permanently. Even new-generation silicone gels carry that risk. It’s not a scare tactic. It’s just the truth.
That’s why we often recommend saline — not because it’s trendy, but because it’s safer in the long run. That said, if silicone is your preference and you’re fully informed, we support that 100%.
Above the Muscle or Below?
This part of the conversation has changed a lot over the years. It used to be standard to place all implants under the chest muscle — but today, that’s no longer a hard rule.
If you’re a very active person — think athletes, weightlifters, first responders — you may want to keep your pectoral muscle fully intact. Placing the implant above the muscle means less disruption, faster recovery, and in most cases, a completely natural look (especially if you have enough tissue to cover the implant).
Placing implants under the muscle can help minimize rippling in very thin patients, but it can also lead to muscle distortion, some performance loss, and longer recovery.
This is where a thoughtful conversation comes in. We’ll talk about your hobbies, your goals, and how you live your life — and we’ll choose what fits that, not just what’s traditional.
Final Thoughts:
Choosing an implant isn’t about chasing a trend or fitting someone else’s version of beauty. It’s about feeling like yourself, just more confident in your own skin.
So ask the questions. Take your time. Look at real examples and talk to women who’ve gone through it. And most importantly, work with a surgeon who’s not just experienced, but who listens.
At the end of the day, the best implant is the one that fits your body, your goals, and your life — perfectly.
Thinking about breast augmentation?
We’d love to be part of your journey. Book a consultation and let’s talk through your options — openly, honestly, and with care.