Breast augmentation with minimal natural breast tissue?

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

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

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

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

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

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

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

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

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.

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