Breast augmentation is the most commonly performed cosmetic surgical procedure in America. As a female plastic surgeon, it is also my most requested and performed procedure. In New York, my average patient is in her 20’s or 30’s, wants to do it for herself to improve the appearance of her breasts, may have one or two children, and has arrived at the decision to have it done independently and privately after conducting her own research. Besides me doing this procedure multiple times every week, breast augmentation has also been the most commonly performed cosmetic surgical procedure for women in the United States the past two years!

I am using silicone implants about 85% of the time and saline implants about 15% of the time. I find that silicone implants more closely resemble the consistency and texture of normal breast tissue, and that the tactile and visual aesthetics are more pleasing. That being said, saline implants are still a nice option in women under 22 years of age for primary breast augmentation or when dealing with an asymmetry where it will be helpful to fill the implants different volumes intraoperatively. One of the benefits of saline filled implants is that they can be adjusted in the operating room, as opposed to pre-filled silicone implants which often require the use of sizers intraoperatively for cases of different sized breasts. 

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