Will I Have Squishy Breast? My Friend Said No Implants Feel This Way?

What you are asking for is not unreasonable or unobtainable. Saline implants have a different "feel" compared to silicone, and most plastic surgeons and patients believe that silicone gel implants have a softer, more natural, more homogeneous-with-breast-tissue "feel." But, of course, breasts can be quite firm and dense (more common in youthful breasts) or quite soft and "squishy," to use your term. This is more common in breasts that have breast-fed, or those that have more fatty tissue in addition to the glandular tissue. So implant feel is subjective.

More important to final "feel" is the degree of tissue tension on the implant, or the softness and pliability of the scar capsule around your implants. Take an implant and place it in a loose cloth container (like your exam gown in the doctor's office). Feel the softness with saline or silicone. Then tighten the cloth around the implant, simulating a scar capsule that tightens around an implant. They can feel rock-hard, whether saline OR silicone, if you develop capsular contracture.

So now you may wish to consider choice of incision in light of potential for bacterial contamination and formation of biofilm that can lead to capsular contracture. This can, of course, occur with any incision, but the armpit is warm, wet, full of bacteria, and high in movement. Periareolar incisions require the division of breast ducts that are themselves full of bacteria. Inframammary incisions are probably the "cleanest" bacteriologically, and allow the best visibility in terms of controlling bleeding from vessels in the pocket. Use of antibiotic irrigations or Betadine irrigations can reduce the risk of biofilm formation with any incision, as can use of the Keller Funnel for a true "no-touch" technique. To be sure, each incision has its pros and cons, and surgeons have their preferences based on training, experience, outcomes, and even habit, but it's worth the discussion if only because you asked. "Squishy" means capsular contracture needs to be avoided at all costs! For more information click on the link below. Best wishes!

I would tell you that if you desire a natural, soft breast after augmentation, silicone implants are your best bet, after augmentation and when things have relaxed and healed, it is often very difficult to feel the difference between a silicone gel augmentation and a natural breast.

Thank you for the question and pictures.

Assuming your procedure is done well, that you have no complications (such as encapsulation),  and that you have realistic  expectations, it is very likely that you will be pleased with the results of breast augmentation surgery.

If I were seeing you in consultation I would suggest silicone breast implants given your body type, the amount of “coverage” you will have over the breast implants, and the description of your goals.

I would also emphasize the need for realistic expectations and clarify (with the use of goal pictures) sees what you mean by “natural”.

Best wishes.