Saline Breast Augmentation

with DrBfixin in Long Island, NY

Currently, there are two types of breast implants approved by the FDA: saline and silicone. When older silicone implants were taken off the market, saline breast implants became a patient’s only option. Today, silicone breast implants remain the most popular choice for women seeking breast augmentation. However, some patients do still opt for saline implants for several reasons. Dr. Scott Blyer at Cameo Surgery Center performs the best saline breast augmentation Long Island offers.

Everything To Know About Saline Breast Implants

Saline breast implants came around at roughly the same time as silicone gel implants. They were also among the first implants to be manufactured. Since the mid-to-late 20th century, saline breast implants have stayed on the market. For roughly fifteen years, the FDA removed silicone breast implants from the market for further study. Saline implants then became the standard when breast augmentation surgery began to become more popular and widespread.


  • Saline filled
  • More prone to rippling
  • May be ideal for patients with more natural breast tissue
  • Approved for patients age 18 and over
  • Believed to look and feel less natural
  • Rupture rarely goes undetected and is not likely to harm the body
  • Can be placed through the inframammary fold, areola, underarm, and belly button
  • Fewer shape and texture options


  • Filled with silicone gel
  • Less prone to rippling
  • Often recommended to patients who have little natural breast tissue
  • Approved for patients age 22 and over
  • Believed to look and feel more natural
  • Rupture may go undetected and while rare it can leak silicone gel
  • Can be placed through the inframammary fold, areola, and underarm
  • More shape and texture options

While the two primary types of implants have many differences, there are also meaningful similarities. For example, both contain a silicone outer shell, carry similar risks, and aim to achieve the same end goal.

Pros & Cons

Choosing saline breast implants offers a unique set of pros and cons. Dr. B will review these with the patient at their consultation. However, patients who understand why or why not saline breast implants may work for them often make a more informed decision that they are happier with in the long run.

Some of the pros of saline breast implants include:

  • Require a smaller incision than silicone breast augmentation
  • Can be placed through a transumbilical incision
  • If it occurs, rupture is immediately evident
  • Size somewhat adjustable during surgery
  • More affordable than silicone implants

Some of the cons of saline implants include:

  • More likely to ripple and wrinkle (become visible underneath the skin)
  • May look or feel less natural in patients with little natural breast tissue
  • Sloshing sometimes felt
  • May be slightly rounder than with silicone breast implants

Saline Breast Augmentation Surgery

Plastic surgeons place saline implants in basically the same way as silicone ones. The implant is inserted into the breast and into the proper position (either above or below the muscle). Dr. B then will fill the implants with saline. He may adjust based on the patient’s goals to achieve symmetry.

Because plastic surgeons place saline implants empty, this opens them up to more incision options. This includes the newest method of breast augmentation: the belly button incision. More formally known as transumbilical breast augmentation, this technique involves making a small incision in the belly button. The surgeon then creates a tunnel just beneath the skin and feeds the implants into the breasts.

The procedure usually takes around an hour. Patients are placed under general anesthesia. Since breast augmentation requires little surgical time, Dr. Blyer can also perform other procedures such as breast lift or tummy tuck.

Wonder If Saline Breast Augmentation Works The Best For You?

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In the right patient, yes, saline breast implants can look completely natural. Generally, saline implants look best in women who have a good amount of breast tissue already. This existing breast tissue helps disguise any possible wrinkling or rippling. Even in patients with only a moderate amount of breast tissue, if the implant is placed under the muscle, this can help make the implant look and feel more natural.

Recovering after the placement of saline implants mirrors that of any other breast augmentation surgery. Dr. B crafts personalized aftercare and recovery instructions based on the procedure. Patients can expect directions such as:

  • Avoid exercise and strenuous activity for at least two weeks. Some activities may be limited for up to four to six weeks
  • Massage the breasts when and as instructed
  • Attend post-operative appointments
  • Wear only the surgical bra until otherwise cleared
  • Avoid lifting anything heavier than 10 pounds
  • Do not lift arms above chest level
  • Sleep on back
  • Avoid hot and wet environments including hot tubs and saunas

Patients tend to do well after breast augmentation Long Island surgery. Most only take prescribed pain medication for two to three days. Some do not use them at all. Ultimately, every saline breast augmentation recovery is unique though patients do not find it overly painful or difficult.

A saline breast implant rupture will quickly become noticeable. When the rupture occurs, the saline will leak out of the implant. Saline poses no risk to the body. As this happens, the affected breast will begin to deflate visibly. 

Patients will then require the removal of the ruptured implant and the placement of a new implant. If desired, patients can change the size, type, shape, or other aspects of their breast implants at this same time.

There are indications for placing implants both above or below the muscle. The majority of breast implants placed today are under the pectoral muscle. However, certain patients may choose to place the implant above the muscle. 

Above the muscle placement is usually favored among bodybuilders. It may also provide a very small amount of lift to the breasts. Above the muscle placement does tend to have a higher capsular contracture rate. Additionally, saline implants are much more likely to show rippling or wrinkling in this position.

Under the muscle placement of breast implants does help reduce the risk of capsular contracture. With saline implants, it can help disguise rippling or wrinkling. Most surgeons and patients choose this placement because it offers a more natural breast contour and less risk in most cases.

The cost of saline breast augmentation depends on several factors. Upon consultation with Dr. B at Cameo Surgery Center, patients will receive a personalized price quote based on their needs and specific procedure.

The Best Long Island Saline Breast Augmentation In Long Island, NY

Dr. Scott Blyer is an accomplished plastic surgeon who specializes in breast procedures, Brazilian butt lifts, and mommy makeover surgery. He values providing transparent, honest, and compassionate care to every patient. Dr. B understands that patients all have their idea of what their ideal body looks like. He helps patients achieve this so they can always look Instagram-ready. 

Cameo Surgery Center is located in Islandia, New York on Long Island. As a premier and luxury outpatient surgery center, Dr. B and his team help patients meet their aesthetic goals.

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