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What Do Breast Implants Feel Real?

The answer is, it depends. There are three things to consider when thinking about how implants feel. First - Where has the implant been placed. Typically, breast augmentation is done "below the muscle". This means that the implant is usually placed in a subpectoral plane.

This provides a significant amount of camouflage for the implant (you feel skin, subcutaneous fat and breast tissue and muscle before you feel the implant). The qualifier here is that it is rare to have an implant that is completely under the muscle and typically the inferior border is not covered.

Most people have more breast tissue at this level. Second - What type of implant was used? Silicone implants mimic breast tissue more readily than saline implants do. Properly filled saline implants tend to feel more like water balloons in your hand.

The larger the implant, the more you may be able to feel that implant. Third - What is the nature of the capsule around the implant? Over time, patients can develop capsular contracture. This is typically what causes breasts to feel hard after the implant.

This is not a normal result after breast augmentation, but there is an increased chance of occurrence over time. For patients with capsular contracture, the capsule usually needs to be removed surgically to improve the feel of the breasts.

In addition, remember that immediately after breast augmentation surgery, the breasts will feel more firm until the swelling comes down.

Clinical Context

Breast augmentation is one of the most commonly performed cosmetic procedures in the United States, with over 300,000 procedures annually. Modern breast implants are available in saline and silicone gel formulations, in round and anatomic (teardrop) shapes. Implant placement can be subglandular (over the muscle) or submuscular (partially or fully under the pectoralis muscle).

The American Society of Plastic Surgeons recommends choosing a board-certified plastic surgeon for any cosmetic procedure.

Dr. Wasicek in the OR

Answered By

Dr. Philip Wasicek

Double Board-Certified Plastic Surgeon

Dr. Philip Wasicek is a double board-certified plastic surgeon specializing in deep plane facelift surgery and rhinoplasty, with a practice focused on achieving natural, refined, and long-lasting aesthetic results. He is widely sought after for his expertise in facial rejuvenation, particularly deep plane facelift techniques, as well as primary and complex revision rhinoplasty.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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