Make An EnquiryReception


Breast Implant Choices

Breast Implant Choices

Breast augmentation using Breast Implants offers a myriad of choices, each tailored to meet individual preferences and anatomical needs. There are a lot of options out there, and it’s all about finding what’s right for you. As you look into breast implants, it’s important to know about the different types, shapes, and ways they can be placed. Every choice you make matters in getting the look you want.

Thanks to new medical devices and better surgery methods, there are more choices now than ever. If you’re thinking about getting breast implants, whether for medical reasons, to change how you look, or a bit of both, it’s key to know your stuff.

Chester Consultant Plastic Surgeon Anca Breahna performs breast implant surgery, as well as other face, body and skin procedures.

Download Miss Breahna Breast Augmentation Guide

Breast Augmentation Guide

See more plastic surgery guides.

Factors to Consider when Choosing the Best Breast Implants

When making the important decision of choosing breast implants, several factors warrant careful consideration.

  • First and foremost, contemplate the type of implant – saline or silicone – that aligns with your desired look and feel
  • Evaluate the implant size and shape, ensuring it complements your body proportions and desired outcome
  • Reflect on the projection and profile of the implant, as this influences the overall contour
  • Texture matters too – smooth or textured implants – and their potential impact on aesthetics and comfort
  • Deliberate on the incision placement that suits your preferences and healing process
  • Long-term implications like durability and potential revisions should also be weighed
  • Ultimately, each facet contributes to a decision tailored to your unique needs and aspirations

Before you decide on breast augmentation, it’s best to know your options and understand which breast implant choices may be best suited for your body and desires. Anca will offer guidance, but having prior knowledge can help you communicate your wishes more clearly. Here are the factors to consider:

1. Breast Implant Type – Saline or Silicone Breast Implants

Breast implant types

When you’re considering this procedure, one of the first breast implant choices you’ll face is the type of implant. Let’s look at the two most common options: saline and silicone implants.

Saline Implants

Saline implants consist of a silicone outer shell filled with sterile salt water (saline). They can be pre-filled to a predetermined size, or they can be filled during surgery to adjust the size.


  • If a saline implant leaks, the saline (salt water) will be absorbed safely by your body
  • Typically, the incision required for saline implants can be smaller than for silicone implants, because your plastic surgeon fills them after insertion
  • They may be more easily adjustable in terms of size, as your plastic surgeon can alter the amount of saline during surgery


  • Some people feel that saline implants don’t mimic the feel of natural breast tissue as closely as silicone implants
  • There’s a potential for visible rippling or wrinkling, especially if you have thin skin or little natural breast tissue

Silicone Implants

Silicone implants are made of a silicone outer shell filled with a silicone gel. They tend to feel a bit more like natural breast tissue compared to saline implants.


  • Silicone implants often offer a more natural feel and look because their consistency is similar to that of human fat
  • There’s typically less chance of visible rippling or wrinkling with silicone implants


  • If a silicone implant leaks, the gel might stay within the implant shell, or it might escape into the breast implant pocket. This makes it harder to detect a rupture, which is why regular check-ups are important
  • The incision for silicone implants might be larger than for saline implants because they come pre-filled

2. Breast Implant Size and Shape

The size and shape of the implants play a significant role in the final result. Consider your body proportions, lifestyle, and aesthetic preferences when choosing implant size. It’s crucial to strike a balance that enhances your natural beauty while maintaining a harmonious look. Implant shapes, such as round or teardrop, can affect the projection and contour of your breasts.

Implant Sizes

Volume-Based Sizing: Implants can be categorised based on their volume, usually measured in cubic centimetres (cc). The right volume largely depends on your personal preference, your body frame, and the recommendation of your plastic surgeon.

  • Smaller Sizes (up to 250cc): These offer a subtle enhancement, often preferred by individuals wanting a natural look
  • Medium Sizes (250cc to 500cc): A popular range for those seeking a noticeable but balanced enhancement
  • Larger Sizes (above 500cc): These are for those who want a significant increase in breast size

Remember, it’s not just about the number. The same implant size can look different on different body types. It’s a good idea to discuss with Anca and try different “sizer” implants to gauge the potential outcome.

Implant Shapes

Round Implants: These are circular and tend to provide more fullness at the top of the breast. They’re versatile and can suit a variety of body shapes.


  • Offers a fuller look
  • Less likely to cause visible abnormalities if they rotate


  • Might not mimic the natural slope of some breasts

Teardrop (Anatomical) Implants: These have a sloped contour and are fuller at the bottom than at the top, mimicking the natural shape of the breast.


  • Can provide a more natural-looking silhouette
  • Often favoured for reconstructive surgeries


  • There’s a risk of the implant rotating, which might need another surgery to correct

3. Breast Implant Projection and Profile

Breast implant candidates

Breast implants come in different projection levels, which determine how far the implants extend from your chest wall. The profile of the implant affects how much the implant projects forward versus its base width.

Implant Profiles

The profile of an implant refers to its width in relation to its projection. Let’s explore the common types:

Low Profile

  • Description: These implants have a wider base and offer less forward projection
  • Best Suited For: If you have a naturally wider chest or breast base, low profile implants might be a good fit. They spread out more across the chest, providing a subtle enhancement

Moderate Profile

  • Description: As the name suggests, these are the middle-ground option with a balanced width-to-projection ratio
  • Best Suited For: They can work well for a broad range of individuals, offering a natural look that isn’t too flat or overly projected

High Profile

  • Description: These implants have a narrower base but offer more forward projection
  • Best Suited For: If you’re seeking a more pronounced projection or if you have a narrower chest, high profile implants might be your pick

Implant Projection

Projection refers to how far the implant sticks out from the chest wall. The profile you choose will directly influence the projection.

Subtle Projection:

  • Look and Feel: Provides a boost in size without being too noticeable. It respects the natural contours of the chest, offering a soft curve
  • Best Suited For: If you’re aiming for a gentle enhancement and prefer a look that aligns closely with natural curves

Noticeable Projection:

  • Look and Feel: This gives the chest a more defined, standout appearance. It’s more about making a statement and reshaping the silhouette
  • Best Suited For: If you’re aiming for a dramatic difference and want your augmentation to be more evident

Maximum Projection:

  • Look and Feel: As the name suggests, these implants provide the most significant forward projection
  • Best Suited For: If you desire a profound change and seek the most pronounced silhouette possible

4. Breast Implant Texture

Breast implants can have either a smooth or textured surface. Textured implants are designed to reduce the risk of capsular contracture (scar tissue formation around the implant), but they may have a firmer feel. Smooth implants tend to move more naturally within the breast pocket. Your surgeon will discuss the advantages and disadvantages of each texture based on your specific situation.

Smooth Implants

  • Description: As the name suggests, these implants have a soft and smooth outer shell
  • Advantages: They tend to move more freely within the breast pocket, mimicking the natural movement of breasts. This can result in a more natural look, especially when lying down
  • Considerations: Over time, there’s a possibility, though rare, for smooth implants to rotate or move within the pocket. It’s essential to discuss potential long-term effects with your plastic surgeon

Textured Implants

  • Description: These implants have a rougher surface, almost like a fine sandpaper
  • Advantages: The primary benefit is that the textured surface can help the implant adhere to the surrounding tissue, reducing the chance of implant movement or rotation
  • Considerations: While they offer stability, there have been discussions and studies around textured implants and their potential association with certain medical conditions. Make sure to have a comprehensive conversation with your plastic surgeon about the risks and benefits

5 Breast Incision for Implant Placement

The incision for implant placement can be made in various locations, including under the breast fold, around the areola, or in the armpit. Each option has its advantages and potential drawbacks. Anca will help you determine the most suitable incision placement based on your anatomy and preferences.

When it comes to breast augmentation, not only do you need to consider the type, size, and texture of the implant, but also where it’s placed in relation to your breast tissue and muscles. Each placement option has its distinct set of advantages and considerations.

Submuscular (or Subpectoral):

In this placement, the implant is positioned beneath the pectoralis major muscle.


  • Natural Appearance: Offers a more gradual transition from the upper chest to the breast, often resulting in a more natural contour
  • Reduced Rippling: The muscle layer can mask potential rippling or wrinkling of the implant
  • Imaging: This positioning can lead to less interference during mammograms


  • Recovery: Recovery might be slightly longer with more initial discomfort due to the muscle being manipulated
  • Animation Deformity: In some cases, muscle movement can cause the implant to move, creating what’s known as an animation deformity

Sub-glandular (or Submammary):

The implant is placed directly behind the breast tissue but in front of the pectoral muscle.


  • Simpler Surgery: Often involves a shorter surgery time and less initial discomfort during recovery
  • Flexibility: Allows for larger implants in some cases
  • No Animation Deformity: Since the implant isn’t placed under the muscle, there’s no risk of animation deformity


  • Visibility: There’s a higher chance of the implant edges being visible or palpable, especially in women with thinner skin or limited natural breast tissue
  • Mammograms: The implant might obstruct more breast tissue in imaging

Dual Plane:

A combination method where the upper part of the implant is positioned beneath the pectoralis muscle, while the lower part is sub-glandular.


  • Natural Look: Combines the natural appearance benefits of submuscular placement with the flexibility and easier recovery of sub-glandular
  • Adaptability: Can be tailored to individual anatomies, making it versatile for a variety of breast shapes and sizes


  • Complexity: The procedure is a bit more intricate than the other two methods
  • Recovery: Recovery experience might vary based on how the dual plane technique is tailored to the patient

Long-Term Considerations

Breast implants are not lifetime devices, and they may require replacement or removal at some point due to factors like implant rupture or changes in personal preference. Understanding the longevity of your chosen implants and the potential need for future surgeries is essential for long-term planning.

Realistic Expectations

While breast augmentation can enhance your appearance, it’s essential to maintain realistic expectations. Discuss your desired outcome openly with your plastic surgeon, and understand the limitations and possibilities of the procedure.

Recovery and Aftercare

Consider the recovery process and aftercare involved with your chosen implants. Follow your plastic surgeon’s post-operative instructions carefully to promote proper healing and achieve optimal results.


Before & After

See the difference Breast Implant Choices
has made for our clients

Breast Implant Type

Saline Implants

Saline implants consist of a silicone outer shell filled with sterile salt water (saline). They can be pre-filled to a predetermined size, or they can be filled during surgery to adjust the size.

Silicone Implants

Silicone implants are made of a silicone outer shell filled with a silicone gel. They tend to feel a bit more like natural breast tissue compared to saline implants.

Recovery and Aftercare

Consider the recovery process and aftercare involved with your chosen implants. Follow your plastic surgeon’s post-operative instructions carefully to promote proper healing and achieve optimal results.


Patient satisfaction is the top priority for Anca. You can find how patients feel about her work below.


Frequently asked questions

  • There are primarily two types of breast implants: saline-filled and silicone gel-filled. Each has its benefits, with saline implants being filled with sterile salt water and silicone implants filled with a thick silicone gel. The choice between them often depends on individual preference, desired feel, and the recommendation of your plastic surgeon.
  • While breast implants are designed to be long-lasting, they are not guaranteed to last a lifetime. On average, implants can last anywhere from 10 to 20 years without complications. However, it’s possible they might need replacement or adjustment due to various reasons like implant rupture, shifting, or other factors.
  • Not necessarily. While many individuals go years without needing a follow-up surgery, changes in preferences, complications, or the natural ageing process might lead to a desire or need for revision surgery in the future.
  • Many women with breast implants breastfeed successfully. The placement of the implant and the incision site can influence this. However, it’s essential to discuss your future breastfeeding plans with your plastic surgeon before the procedure.
  • While implants can obscure certain parts of the breast during a mammogram, technicians are trained to handle this scenario. If you have breast implants, it’s vital to inform the mammography clinic beforehand so they can adjust their imaging technique accordingly.

About Anca Breahna – Consultant Plastic Surgeon

top UK cosmetic surgeon anca breahnaMs Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of breast, body and face surgery and minor skin procedures.

As one of the very few female Plastic Surgeons in her region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care.

Anca Breahna’s surgical training has been largely undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK to further extend her qualifications and training.

Anca’s NHS practice is now focused on Breast Reconstructive Surgery, Skin Cancer Surgery, Hand Surgery and soft tissue reconstruction. Over the last 15 years, through her pursuit of further training and education, Anca has developed a special interest and expert practical experience in a range of Aesthetic Breast and Body Surgery.

It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca will treat you in a straightforward manner, with respect, consideration and empathy to ensure you are comfortable with your choice.



Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Making The Most Of Your Consultation

  • A Medical Referral from your Doctor before your consultation is not compulsory however  it is recommended.
  • Please arrive slightly early for your in-person consultation with Anca – Car parking is available on-site at all hospitals.
  • You are welcome to bring a friend or relative to help consider the information and discuss your options.
  • Please be aware you may need to undress for a physical exam so wear simple clothes.
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided.

Want more information before scheduling your consultation?

Please call to find out more about availability, pricing and medical payment plans or to request more information about the procedure, contact us.

How to Book your Consultation with Anca Breahna – Plastic Surgeon

You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire on 0800 080 6026 or Joedy on 03332 244111 to arrange your consultation or email us for more information.

We look forward to hearing from you soon.

Newsletter Signup

Send a Message

Send an enquiry

  • Please upload any relevant photos of what you are trying to achieve or your current situation. This may help you get an earlier surgery or consult appointment. Limit 20MB & 3 images. Only include your face if relevant.
    Drop files here or
    Accepted file types: jpg, png, jpeg, gif, Max. file size: 20 MB, Max. files: 3.

    Let's Talk

    Get in touch


    03332 244111



    Cheshire Cosmetic Surgery
    Chester Wellness Centre
    Wrexham Road
    Chester CH4 9DE

    Nuffield Health
    Wrexham Road
    Chester CH4 7QP

    Practice Manager: Claire Bate – Phone 0800 080 6026

    Patient Coordinator: Joedy Williams – Phone 03332 244111

    Get Directions