Video: Saline Breast Implants, Ruptures, and Under the Muscle

Today, I'm talking about the basics of saline breast implants, why I felt most comfortable getting them, and if I have "over the muscle" or "under the muscle" implants. Today I want to talk about the basics of saline implants.

Video Transcript

Today I want to talk about the basics of saline implants. Now as you know, there is saline and silicone, and one of the differences for saline is the shell they come in.

Saline implants do not come pre-filled like silicone implants do. With saline implants, you're going to know when you have a rupture immediately. Your breast is just going to deflate. That's the best way to put it.

But with silicone implants, it's called a silent rupture or a silent leak because you're not going to know immediately. With silicone, you're going to need to get an MRI every 2 years—that's what the FDA recommends—just so you can see if you have a leak, because you may not know.

I personally have saline. One of the draws for me was that I would know when I had rupture immediately. I didn't want to wait 2 years to find out. I mean, you could go yearly, but MRI's are pretty costly. Especially since insurance won't cover it right now, because it's a cosmetic procedure and not mandatory.

That can be pricey out of pocket every 1 to 2 years. With saline, I'm going to know immediately and I can get something done about it as soon as possible. That was a huge draw for me.

Another thing I like about saline implants, is when you have that rupture your body can absorb that solution immediately. It's a sterile salt water solution, so your body knows exactly what to do with it. But with silicone, it's a foreign object, and your body's not meant to absorb silicone.

That comes a whole world of questions and research. I just felt most confident and comfortable with saline—so that's why I chose saline.

One of the draw backs of saline implants is that you may experience rippling. That's when the implant kind of folds on itself on the edges, and you can see that on the outside and underneath your breast. It looks like rippling, just like it sounds.

Another draw back of saline implants is that they don't feel as natural as silicone implants. They can be a little firmer, especially if you overfill them to decrease the amount of rippling.

It depends how much breast tissue you start out with for whether or not they look more natural. I was a B-cup when I started, so when I had my implants put in, I had that extra breast tissue padding the implant. So they look more natural than someone who starts out with an A-cup.

Without having any fat covering it, you're pretty much just getting implants. It'll just feel a little less natural than someone who starts out with a little more, like a B.

So that's a good overview of the basics of saline implants. I kind of dabbled in silicone, but we'll really dive in in another video.

Question #1: Why did you choose to get saline breast implants?

That's fitting for the topic! I chose to get saline implants because I try to live a very all-natural holistic lifestyle. I felt that saline reflected that for me. If I had a rupture, I wouldn't have to worry about having to absorb silicone, I would know immediately.

I also liked the idea of the incision site being smaller than larger, and that's about it. I weighed the two—for me and my lifestyle, for what I felt comfortable with, I chose saline. But everyone's different. You could live an all-natural lifestyle and get silicone. To each their own. That's just what I wanted, and I'm happy I chose that.

I've had saline implants now for 4 years, haven't had any problems. I do have a little bit of rippling, but I can't see it when I'm just standing up or looking at them. I have to be doing something like a yoga move naked—but when do I do that, never. So I have nothing to worry about haha.

Question 2: Did you get "over the muscle" or "under the muscle" breast implants?

I don't think I've touched on that yet. I've got under the muscle. The reason I got under the muscle was because my surgeon suggested it. I took him my Boobie Guide (which is a woman of choice that you like her results). I found pictures of her in a bikini, a tank top, a bra, and actually topless.

I really got an idea of how those breasts would like in all aspects of life. I showed it to my surgeon and he suggested I get under the muscle implants. He also recommended a specific projection too, which we'll talk about later.

Also, with under the muscle implants, they hold their shape a little better—as in, where they're at on your chest. With over, they'll sit a little lower on your chest and they look a lot more natural. I wanted to look a little natural, but I also wanted people to be able to tell, "She probably has implants." So under the muscle was the best option for me.

If you have any questions, just submit them below and I will answer them at the end of my next video or the one after that. Thanks for stopping by, and I look forward to connect with y'all later!

Thoughts from Dr. Michelle Roughton

For those women who want the peace of mind in knowing whether an implant has ruptured, saline is the better choice. That being said, silicone and saline implants have the exact same safety profile, even if they happen to rupture (which is unlikely with the newest generation implants).

A new type of saline implant, called a structured implant, is designed to feel more like a silicone implant and reduce some of the downsides of saline implants such as rippling, while still providing the benefit of being filled only with saline.