Breast Augmentation: Q&A

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Can Saline Feel Natural? (photo)

I am looking into a BA to improve symmetry. In one breast I am a full 32 B, in the other a full 32 C. I am 5"5 and I'm around 122 lbs. My doctor wants to do saline because a.) I am only 19, b.) he says saline is adjustable so he can get the best symmetry. I am most concerned about looking and feeling natural. Do I have enough breast tissue that saline implants won't feel like a water balloon? Do most patients report natural-feeling results with small/moderate saline implants? I don't to be big.

27 Doctor Answers | Asked by Sleepless in Turquoise in Palm Beach, Florida
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Can Saline Feel Natural?

Saline implants do not feel as natural as silicone gel implants. The thicker your tissue, the less noticeable the difference. The main difference in feel is in the lower portion of the breast as the pectoralis muscle (assuming they are being placed beneath the muscle) does not cover the implant down that far. With saline you will generally feel the edges and wrinkles of the implants in the lower pole with your fingers, whereas with silicone gel implants you will not or, if so, very... more
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In a patient with substantial breast tissue, submuscular saline and silicone gel implants feel similar

Be reassured that saline implants are an excellent option. The vast majority of women are extremely pleased with their results. The difference in feel characteristics is very slight, particularly when the implants are placed behind the muscle. Sometimes I will recommend silicone gel when large implants are used in a woman with little of her own body fat or breast tissue, but you are not at all such a patient - quite the opposite, you want average-sized implants and you have... more
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Saline pros and cons.

Saline implants can give a very nice result if one has sufficient breast tissue to cover the implant. In your case, that should prove to be true. The relatively minor asymmetry that you have can be minimized by overfilling the right implant to a greater degree than the left. Silicone implants will always feel more like breast tissue than saline will but an argument can be made in your case that the advantages of saline outweigh the disadvantages. Also, your surgeon is... more

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Saline Implants

I have had many very nice results with saline implants but, as you have noted, the amount of breast tissue that you have to provide coverage over the implants is very important. I suspect that avoiding excessive enlargement will also be helpful as it will not stretch and thin the tissue as much over time. In general, however, I think most women would agree that silicone gel implants provide a result that is softer, less likely to ripple and more "natural". I do not think it... more
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Silicone or saline ?

Thank you for your question. Saline implants are indeed more like a water balloon. In fact, that is really what they are. Because of this when they are filled they tend to be more firm and have more fullness in the upper portion of the implant. This looks less natural but in some cases can look sexier. Because silicone gel implants are filled with a gelatinous substance, the silicone gel, they are softer and for lack of a better word "mushier". The silicone... more
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Saline versus silione.

The answer to the question of "feel" depends upon the amount of breast coverage over the implant and the size of the implant. A smaller saline implant with plenty of coverage will not be felt. A submuscular placement of the implant will certainly cover the upper portion of the implant. However, the implant may be palpable in the lower portion of the breast. At 19, you do not meet the FDA recommendations for silicone gel implants.
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Natural feel of saline implants

Saline implants can indeed feel natural. This has alot to to with placement under the muscle, overlying breast tissue which you seem to have especially on the left, as well as slightly overfilling the implants. I agree with your surgeon as you are a very good candidate for saline implants. Slight assymety is better managed with saline implants. I would recommend looking for a surgeon in your who performs the TUBA procedure as you are a great candidate for this procedure.
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Everything is Relative... Saline will never feel as "natural" as silicone gel

Hi there- Saline implants can, under the right circumstances, be difficult to detect as a saline implant (this is, after all, what we mean when we say an implant feels natural- that you cannot tell by feel that it is an implant). The problem is that it is very difficult to control the circumstances to the point where you could be very confident that the result you want is going to be achieved, especially as you are a very thin young woman. In all patients, a silicone gel filled... more
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Saline BA and natural feel

Saline implants can feel natural if they are place under muscle, and a small implant is used with moderate breast tissue to cover the implants. Silicone will look and feel better but your age limits you to saline implants according to FDA guidelines. You should do just fine if you use smaller implants in a sub-pectoral pocket (under muscle.) and have the implants filled to higher end of recommended volume.
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Can Saline Feel Natural?

There are many factors that will contribute to a natural feeling breast augmentation. Overall patients will say silicone feels much more natural that saline. You should have enough breast tissue coverage over the implant to allow for a more natural result and it does appear that you have enough tissue. I think an implant placed below the muscle will give you a great result. You have to be 22 years old for silicone anyway according to the FDA. You can still have a wonderful result with saline... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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