Breast Implants: Q&A

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I Have Read Many Different Views on Saline Vs. Silicone. What Gives Saline the "Harder" Feel? (photo)

Trying to determine which would be better for a 32B who breast fed and now has deflated, sagging boobs that engorged to a size 36C. I like the idea of saline in a sense that you can expand it while in the breast ( I feel like that would make the look more accurate ). Yet, I'm a very petite person with a small chest and would prefer to have a natural look and "feel". Suggestions are highly appreciated :)

9 Doctor Answers | Asked by Mamabear23 in Central MO
+2

Saline or silicone gel

Saline implants have to be filled enough to prevent rippling and this can make them feel firmer than silicone gel implants. The difference is not that much actually. The bigger you go in size the more difference there is though. Saline implants can be very natural and I am still using them about half the time. I especially like the fact that you can put them in a much smaller incision. Just make sure you visit with a Board Certified Plastic Surgeon and have all... more
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Saline vs. Silicone For My Breast Augmentation

I, like many other plastic surgeons, once the pocket is created inter-operatively will put in a saline sizer to determine exactly what size silicone implant would be best for the patient. I place all my implants in through the armpit underneath the muscle. Then I put a saline sizer inside, inflate it to the pre-operative planned size, do this bilaterally, then sit the patient up to be sure the two sides are as symmetrical as they can be. I then replace them with silicone... more
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Silicone versus Saline...

Each has their benefits and risks. I have a comparison chart on my website but in summary, gel (or silicone) implants are softer, more natural, ripple less, and you are never faced with a spontaneous deflation where you awaken with one breast essentially flat. Gel implants are softer because they compress more easily. Put a gel and saline implant on a table and just push down on them equally and you will appreciate the difference. As for size, I do not use sizers... more

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+1

Silicone vs. saline

The most natural look and feel would be attained with a silicone implant. Saline implants may feel firmer because they are a bag of water, similar to that of a balloon. Silicone implants may feel softer because the gel is softer and feels more like your natural breast tissue. In a petite person such as yourself, you may want to consider smaller implant sizes to be more proportionate with your frame.
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What gives Saline the Harder Feel as compared to Silicone Breast Implants

I am in agreement with the statement that Saline Implants feel firmer that Silicone Implants because they must be overfilled in an attempt to avoid the rippling effect they can produce. This overfill is perceived has a unnatural feel of the breast with the saline as compared to the silicone implant. However, the feel of the saline implant has not been the most signicant concern of my patient's. My patient's hate the rippling that can actually be seen on the side and bottom... more
+1

Silicon implants generally feel more like a real breast

Hi there- Especially in thin patients, there is going to be a noticeable and significant difference in the appearance and feel of silicone implants and saline implants, regardless of placement position (although this difference will be magnified if placed on top of your muscle). While I would have to get to know you a lot better to be able to give you more firm advice, I would say that in general, because silicone implants now come in increments of 25cc (and this is a very small jump... more
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I Have Read Many Different Views on Saline Vs. Silicone. What Gives Saline the "Harder" Feel?

Your questions/statements place you in a dual position. You want very accurate sizing but a natural look and feel. Salines are like water balloons they are filled and fell FIRMER than the silicones. While the silicones are softer more natural in look and feel. You need many in person consults in your city with boarded PSs. Ask yo feel and touch the samples of implants.
+1

Is silicone really softer after breast augmentation

If a saline breast implant is filled correctly it will have a soft and 'huggable' texture and can blend will with the breast. The silicone gel is more viscous and has a 'flow' more like the natural breast and might have a better feel to some (not highly cohesive implants). The sofness is determined more often by the capsule and capsular contracture will make any implant firm and round.
+1

Silicone feels softer because it does not have to be filled as much

Hello, Both silicone and saline would feel the same if the same volume was placed in the same implant shell. Saline feels firmer because for any given implant shell it must be filled more than silicone implants do. The reason for this is that a saline implant that is under-filled will likely form a sharp fold in the implant shell and eventually develop a leak. Silicone implants on the other hand tend to maintain a smoother shell contour even when they contain less... 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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