Can Breast Implants Ever Feel Completely Natural?

Can breast implants ever feel like natural breasts or do they always feel fake? Is there a special implant you can get that feels quite natural? Can you combine implants with fat transfer?

Doctor Answers 19

Natural implants

there is a lot of discussion about this topic but after 20 years as a plastic surgeon and 40 years as a heterosexual male,  i would say the answer is no

Newark Plastic Surgeon
4.5 out of 5 stars 55 reviews

Feel of breast implants varies from person to person.


There is significant variation of the degree of softness and how breasts feel from person to person, even in those who have never had breast surgery. There are multiple factors in how the breasts will feel after an augmentation:

·    1.      The fill material of the implant: Generally the feel of silicone is more natural than that of saline, especially in a person with very little breast tissue.

·     2.    The amount of a person’s own breast tissue: If someone has a fair amount of their own breast tissue, then the feel of saline versus silicone is not as important because the existing breast tissue provides a thicker cover over the implant.

·     3.    The position of the implant. Sub-muscular or sub-glandular: If an implant is under the muscle, there is additional tissue that covers the implant, usually resulting in a softer feel.

·     4.   The configuration of the implant: Higher profile implants may feel firmer. Form stable implants also known as highly cohesive gel implants and commonly called “gummy bear implants”, which may be appropriate in some patients, are claimed to feel more natural, but are actually firmer than the other current types of silicone implants.

·     5.   The implant covering: Smooth surface implants move more naturally than textured implants, so they feel more natural, especially when someone lies down.

·     6.   Implant size. Very large implants usually do not feel or look as natural. Saline implants that are significantly over-filled definitely feel firmer.

·     7.     Capsular contraction: Implants initially feel tighter and firmer and then get softer unless there is a tightening of the internal scar that forms around an implant which can make the breast feel firmer. It occurs in a lower rate with saline implants and in a sub-muscular position.

·     8.    The plastic surgeon: It is not only the type and position of the implant that is important in achieving an outcome. It is also the plastic surgeon. To maximize the probability of having a pleasing result, have a consultation with a plastic surgeon who is certified by the American Board of Plastic Surgery and ideally a member of The American Society for Aesthetic Plastic Surgery and address your concerns    .

Most patients who have undergone a breast augmentation are happy they did it.


Robert Singer, MD  FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.5 out of 5 stars 17 reviews

Natural Feeling Breasts Possible-- Dependent Upon Several Variables

Satisfaction rates following breast augmentation are related to how breast implants look and feel. Women not only want their breasts to look good following breast enlargement, but also want them to feel natural.Several factors are associated with more natural feeling breasts.These include the type of implant-fill material used, the position of the implant relative to the pectoralis muscle, the amount of native breast tissue and the size of the breast implants used.

Multiple implant materials are currently available for breast augmentation.These fall into three broad categories including silicone gel, cohesive gel and saline breast implants.Although each of these implants offers advantages and disadvantages, most surgeons feel that silicone gel implants feel more natural than cohesive gel or saline implants.

The position of the implant relative to the muscles is also extremely important.When implants are placed beneath the muscles, there’s more soft tissue coverage.There’s also more soft tissue coverage when patients have large amounts of native breast tissue.Both of these factors tend to make the implants less distinct which ultimately results in a more natural feeling breast.

In contrast, larger implants are less likely to feel natural because they exceed the ability of the soft tissue to adequately cover the implants.

All of these factors contribute to how breast implants feel once they’ve been placed.It’s important to realize that how implants feel, is just one of the many issues that must be considered before proceeding with breast augmentation.If you’re considering this procedure, make sure you consult a board certified plastic surgeon who has experience in this area.

Natural looking and feeling results

Factors such as technique, placement and implant type all contribute to how real implants look and feel, and these factors are all determined by a patient's unique physiology and expectations. However, in general, when it comes to implants cohesive silicone gel are considered to look and feel more natural.

Natural feeling breast implants...

Breast Augmentation is an excellent procedure to have if you are concerned with your breast size.  Breast enlargement can add curves and definition to the body's profile, while enhancing a persons breast size, and making one feel more confident about one's appearance.  No implant can ever give you the feeling of a totally natural breast.  However, if you are looking for an implant to give you the most natural feel, then silicone implants would be an excellent option.  Silicone implants have a soft silicone shell that is filled with silicone gel, and they have a smooth textural feel to them.  While Saline implants have a silicone shell that is filled to your desired size with sterile saline, they do not feel as natural as silicone.  Be sure to see a board certified plastic surgeon to discuss your options.




Breast implants

Breast implants can certainly feel natural in several situations.  First, silicone usually feels more natural than saline.  More soft tissue coverage( breast tissue, under the muscle) enhance the coverage, and implants that are not too large in comparison to the amount of tissue volume.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Naturally Feeling Breast Implants

No surgeon can honestly guarantee naturally feeling breast implants.  However, your best chance for breast implants which both appear and feel natural are silicone implants placed below the chest muscle by an experienced board-certified plastic surgeon.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Can Breast Implants Ever Feel Completely Natural?Answr:

They may not feel like natural breasts... but they can really can feel pretty close!!! They can be soft and very natural looking, depending on size of the implant and the build of the woman. As far as the fat transfer, I don't think it will add much to the natural feel...

John J. Corey, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast Implants

Many patients who have had the armpit/axillary incision (so no incision is visible on the breast) report their GYN doctor could not tell the difference during their annual breast exams.  This includes patients who have had silicone as well as saline implants.  So, yes, this is possible.  The "gummy bear" implants (which have not been cleared by the FDA in the US) are reported by some to be quite firm.  Implants are often combined with fat transfer in reconstructive patients.  All the best, "Dr. Joe" Gryskiewicz

Natural Feel Of Breast Implants ??

The concept of a naturally feeling breast augmentation result varies depending upon the evaluator. Many breast augmentation results do feel quite natural, particularly using silicone gel implants that are in a submuscular position. Saline implants above the muscle in many patients certainly do not feel natural wih their associated rippling and a higher risk of some degree of capsular contracture. Not having natural feeling breast implants is an uncommon complaint in my experience and more women seem to be satisfied with their feel than not. While adding fat around a breast implant is possible, it must be done as a secondary procedure and runs the potential risk of implant rupture. It is usually done in cases of breast reconstruction and not cosmetic breast augmentation. 

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.