How does saline implants feel like? Can we tell the doctor that we want the outcome to be squishy/bouncy?

Good questions.  





Generally speaking much of the final look and feel achieved after breast augmentation surgery depends on several factors:











1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” and feel will be optimal. 











2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.











3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.







   4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc







   To summarize: select your plastic surgeon carefully. Communicate your goals carefully as well.  Chances are you will be very pleased with the outcome of breast augmentation surgery. 







I hope this, and the attached link (dedicated to breast augmentation concerns), helps. Best wishes. 

Thank you for your question. In general saline implants feel a little firmer than silicone. With that said, it really depends how much breast tissue you have. The more breast tissue you have the softer the saline implant will feel. The "bouncy/squishy" results only occurs with certain breast types. The more breast tissue and skin you have the more likely you will have this bouncy look. Hope that helps. Good luck. DrMaz

I believe that silicone implants (round smooth) feel and look a lot more natural than an overfilled saline implant. Simply put one is more like a breast and the other is like a balloon overfilled with salt water.