What is the most naturally feeling/looking breast implant?

The most natural feeling and looking breast implant is the one the fits you best.  Silicone implants feel better than saline (when sitting on a table top in front of you, not necessarily when implanted).  However, to give you the best results you want an implant that fits your existing breasts well, and you also want to have some pre-existing breast tissue.  If you are a C cup to start with, it doesn't matter what implant you get, it will be well hidden.  If you are an A cup, no matter what you do, you will always be able to feel your implants and most likely see them.

When a patient comes to me and says her
priority is a natural LOOK and FEEL, the discussion will turn to the Gummy Bear
implant. As you may know, this is the fifth-generation of silicone gel
implants. In my 15 years+ of active practice, Gummy Bears offer exceptional
outcomes – natural and healthy.



Implant type is one of the most important decisions you and your surgeon
will make. You’ll have chance to see and touch implants during your
consultation. You should absolutely review the surgeon’s work on the practice
website. After all, results are what matter.

Small
round textured silicone gel implants placed retro-pectoral look and feel more
natural, are more stable, less likely to ripple or have complications needing
revision. Implant profile is irrelevant
in the retro-pectoral since the muscle compresses it. Unfortunately, you have not told us your bra
size just your cup size. If you are 32
or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant
corresponds to 1 cup size change. From
this, you can compute the volume required to achieve your desired goal. Best Wishes,Gary Horndeski, M.D.

You can see the consensus is that silicone gel implants are the most natural feeling, at least to Plastic Surgeons. Patients who choose saline implants love their implants as well. There is a lot that goes into choosing the right implant for each patient. Get the complete story when you get a consultation from  good Board certified Plastic Surgeon. Good luck. 

Silicone implants, by far, feel much more natural than saline implants, in my opinion.  However, I have all my patients feel both implants during their consultation so that each woman can make up her mind of what feels best to her. The majority easily choose silicone gel implants because of their natural feel. Visit  a boarded PS to feel both types of implants and decide what is right for you. Good Luck!

Thank you for your question. The most natural looking and feeling implants are the silicone gel implants. These are softer feeling than the saline implants and can create a very natural looking breast. Currently there are 2 types of silicone implants available - the cohesive gel implants that have been available for the last couple of years and the form stable implants that have become more recently available. The earlier implants are softer and more natural feeling than the newer form stable implants. However, a very natural shape can be obtained by both and for thin women, the form stable implants can have less rippling.The choice of implant is especially important in thin women with smaller breasts. In these cases, there is less breast tissue to cover the implants, and the implants make up the majority of breast volume. Silicone implants are more important in these cases. When there is significant breast volume and soft tissue over the implants, the choice of implant becomes less important.I would suggest discussing the specific options for your chest with your plastic surgeon. They can go through the advantages and disadvantages of each type of implant with you, and help you select the best choice for your chest.Best of luck with your breast augmentation.Jeff Rockmore

If you have enough natural breast tissue relative to an implant, you can have saline or silicone filled implants and still feel/look natural.  If you have little natural breast tissue, implant type is more important.  The silicone implants generally feel more like natural breast tissue than do saline filled implants.  Meet with a board certified plastic surgeon in your area and you can see either type for yourself.  Best of luck to you.  

Dear Kelli,   There are 3 kinds of implants : saline, silicone and cohesive. My prefered implants are smooth round moderate profile saline implants made by Mentor for the following reasons : 1. A small entry incision is in the sub arela area which is favorable for scar as oppose to the other implants where large size implants require long incision in the sub mammary area which is less favorable for scar. 2. This is realy important. Since the incision for saline implants is under the areola, it allows for easier implant's pocket dissection , so a larger pocket can be created with nice and smooth cleavage and more precise positioning of the sub mammary crease as oppose to the other technique where the incision is quite far from the cleavage area and cumbersome for the creation of the new crease. 3. Cost of saline implant is 1/3 of the other implants. Other 2 important elements of the natural looking  breasts are the pocket location and post operative displacement massage. The sub muscular pocket gives better and thicker coverage of the implants and the displacement massage reduced dramatically the occurance of capsule contracture and hardening of the breasts. Always consult with board certified plastic surgeons and check their before and after pictures to make sure that you like the results. Also, make sure that their pictures are numerous and consistent and that they have good reviews.    Best of luck,                              Dr Widder

Is my opinion
the implants placed under the muscle tend to have a softer and more natural
look because the muscle drapes gently over the top of the implant. When
implants are placed above the muscle, particularly in the very thin patient the
result can look like a coconut stuck to the chest. There is also
clear evidence that capsular contracture rates and infection are lower
when implants are placed under the muscle and that mammography is better.
For my athletic patients, which is about 99% of my practice, when they go to
the gym and bench press or weight lift the implants will look less natural for
that moment in time because the pectoral muscle pushes on the implants.
But for the 97% of their lives, not bench pressing or weight lifting a
submuscular implant I believe he is a much more natural appearance. While
a woman with a fuller breast can sometimes hide a subglandular implant pretty
well, a subglandular implant can burn bridges for patients who might want a
breast lift in the future. A subglandular implant separates the breast
tissue from the muscle. If the patient wants a lift in the future the blood
supply to the nipple and the areola is more in jeopardy. Best wishes.

There is not one answer for this question. Silicone implants do feel more natural than saline, but size, shape of implant, position of implant and placement all make a significant difference in the final result. Many women believe that breast augmentation is a straightforward surgery and if they know the size of implant, the placement and the material, that any surgeon can provide the result they see in a before and after gallery. That simply isn't true. Breast augmentation surgery is a complex surgical procedure that takes time, experience, patience and exceptional training if the results are beautiful and natural consistently. A beginner cook and a master chef could take the same recipe and end up with completely different results. On occasion, the beginner cook will have a "home run" but consistently great results come from training, experience, patience and care. Take your time, do your research, look for consistently great results and find the plastic surgeon with the best training. You are making a permanent change to your appearance. Do all you can to make it the best the first time around.