Breast augmentation: Implant selection

Breast implants can be quite complicated when it comes to choosing the right fit. For my Breast augmentation patients, one of my roles as a plastic surgeon is to help you choose the best breast implant for your body and for what you want to accomplish. There are more choices to make than most patients originally think and the making the right choices are essential to really getting the desired result that you’re after.

In this video I show some of the various types of implants as I discuss some of the breast implant decisions you’ll need to make as you’re consulting with your plastic surgeon prior to breast augmentation surgery. To help you prepare, I look at saline vs silicone implants, implant placement, implant types and surface types, while going over the pros and cons of some of the decisions you’ll be making.

For even more breast implant choice considerations, check out this blog post I wrote that gives you a list of 7 Questions to Answer before your Breast augmentation surgery and for other breast implants and augmentation information, take a look at all of our breast related blog posts, too.

We perform the majority of our breast augmentation cases in our brand new state-of-the-art accredited surgery center located here in Baltimore, Maryland. I have performed hundreds of breast augmentation cases over my 20+ year career and would be happy to discuss your goals with you during a consultation.

Contact our office for a consult


Hi, my name is Ricardo Rodriguez and I am the medical director at I trained at Yale University, where I taught for a few years, and I have been in practice now for 20 years. Today I want to talk to you about breast implants. I want to help you make the decision for the best breast implant for your body and for what you want to accomplish.

There are differences in the implant, generally both implants will look the same, but they will feel different. A saline implant, when you compress it, comes back really fast; whereas, a silicone implant is more like a gel and it will come back softer, so it has a slightly more natural feel.

No implant is better than the other, but I find myself recommending silicone implants because they have a more natural feel.

Where do you want the implant to go in?
Some people might pick an axillary incision, or slightly above the nipple, or below the nipple, or finally, below the breast. The decision is individual and each has its pros and cons and I help you decide which approach is better for you.

There are different kinds of implants and you should really get to know the difference between all of them. If you look at these two implants, side by side, you will see that one projects much more than the other one. I tend to prefer these kinds of implants on women on whom I’m also doing a lift, or in some women who have a very narrow chest, in which case, you want an implant that, for a given volume will have a smaller diameter and in those cases we will pick a high-profile implant… mainly because it fits the chest cage better.

There are also decisions to be made about the surface of the implant. Some implants have a textured surface, and this is a textured implant, and you will notice how the surface is different from the smooth implant.

I think that if you take all these things into consideration, you’re going to be very happy with your choice of breast implant.

Leave a Reply

Your email address will not be published. Required fields are marked *