Breast augmentation with minimal natural breast tissue?

My fiance is Asian and has little or no breast tissue. She wears a bra that is essentially all foam, as there is no need to wear one. She is very self-conscious about it and wants to have breast implants.

I am concerned that with so little natural tissue that it would not look right, and she might be even more self-conscious.

Would breast implants look natural on a woman with little or no natural tissue, and if so, how much enhancement could she expect ? She is very thin with very tight skin.

Sort: Date | Helpful
13 answers to “Breast augmentation with minimal...”

A: Breast implants that look natural

David J. Levens, MD

There is an important component of planning a breast augmentation that involves matching the patient's proportions and chest wall measurements/soft tissue characteristics with the appropriate sized implant. This process is key to assuring a natural ''fit" for the implant to minimize... more

A: Natural breast augmentation

Ralph R. Garramone, MD

Most women having breast augmentation fit the description of your fiance.  There are some considerations: 1. Silicone implants in this situation will not only feel more natural they will look more natural because they have a softer consistency.  The edges are less obvious than saline.  Wrinkling... more

A: Breast Augmentation in Asian females with a tight skin envelope and minimal breast tissue

Raffy Karamanoukian, MD

Breast Augmentation in Asian females with a tight skin envelope and minimal breast tissue Many patients requesting breast augmentation have minimal breast tissue and tight skin overlying their breasts.  There are several things to consider prior to scheduling surgery: Submuscular vs. subglandular... more

A: Dimensional selection of Implants is Critical

Armando Soto, MD

In any patient, it is important that the desired outcome of surgery be frankly discussed in the context of the patient's starting anatomy and examination. This becomes more important the less natural breast tissue is available, as more of the resultant breast mound will be due to the implant. As long as your... more

A: Natural Looking Breast Augmentation Small Breasts

Michael Law, MD

It is very common in my practice to perform a breast enhancement that changes the breast profile from an A cup to a B cup. I rarely have patients in my practice requesting large implants anymore. Most women are opting for smaller, more realistic appearing breast augmentation. Professional women (including... more

A: Breast implant size in small breasted women can be challenging

Steven H. Williams, MD

Thanks for your question - A natural appearance for breast augmentation is something that most women strive for and it is correct to be concerned with minimal breast tissue that the implant may be more obvious. Dr. Salemy has characterized some of the techniques your fiance may employ - Of these the most... more

A: The key is not to go too big.

George J. Beraka, MD

To Jon P, It is possible , with the anatomy that you describe, to get a nice result and have your fiancee feel more feminine. I recommend using relatively small, round, smooth walled high profile implants placed under the muscle.  Saline implants are fine in this setting, and can be put in through a very... more

A: Respect some limits to look as natural as possible

Sutton Graham II, MD

Thin tight skin with little breast tissue is a situation in which it is more difficult to look natural, if you mean that the implant is not detectable.  However, patients such as this can be some of the happiest patients, because modest improvement is so significant for them. My brief advice would be to... more

A: A natural result IS possible

Richard P. Rand, MD

My recommendation to obtain a natural result would be to have a moderate profile silicone gel implant placed under the muscle.  The implant's width should match hers behind the breast and by staying away from the higher profile implants, the upper pole won't have that tell-tale unnatural buldgy look.

A: Depends on what you mean by natural

Robin T.W. Yuan, MD

When a patient comes in saying they want breast augmentation but want to look matural, I oftne tell them they look natural already, but they just don't like it. What they usually mean is that they don't want to look obviously unnatural. The general philosophy and approach to naturalness (or minimal... more

More answers to Breast augmentation with minimal natural breast tissue?
New York City - Implants could look very nice
Seattle - Consider silicone implants
Post your question

Breast implants before & after photos

SPONSORED Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.