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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.

Asked 39 months ago by Jon P in Michigan

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Asian candidate thin skin

Natural breast augmentation

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 occurs less often but it does still occur. 2. Submuscular place will increase soft tissue coverage and will give a more natural appearance as well. 3. Choose a conservative size implant. This is... more

Ralph R. Garramone, MD

Fort Myers Plastic Surgeon

ASAPS ASPS

Breast implant sizing/type

The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree... more

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Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Breast Augmentation Works Well for a Slender Small Breasted Woman

You can expect excellent results! Your concerns are very appropriate and should be expressed just as explicitly during consultation. Of course, many women who seek augmentation fit the very description you've given. With any surgery, there will be tradeoffs; it's important to know what these might be, before undergoing surgery. A frank discussion with the plastic surgeon should clarify reasonable expectations, and achievable goals to obtain a gratifying cosmetic... more

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Dimensional selection of Implants is Critical

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 friend's goals and the dimensions of her chest wall and breast diameter are not at odds (in other words, as long as she doesn't want breasts that are larger than what would look natural... more

Armando Soto, MD

Orlando Plastic Surgeon

ASAPS ASPS

Natural Looking Breast Augmentation Small Breasts

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 physicians!) want to look their best, but they don't want to look done. Women with very small breasts and very little breast tissue can acheive a natural looking result provided... more

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Breast implant size in small breasted women can be challenging

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 important is likely size. Choosing too large an implant will typically appear unnatural and in my practice we strive to balance the patient's desires and expectation with a shape that will... more

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Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

A natural result IS possible

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.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Implants could look very nice

Jon, Implants in patients with little breast tissue can look very nice. My suggestion would be silicone implants placed in a submuscular pocket. This will provide muscular coverage to most of the implant. With little overlying tissue, the silicone implant will look and feel more natural. The best plan would be to talk to a plastic surgeon and have your fiance try putting a few different size implants into her bra - one without padding. She does not necessarily need very large implants,... more

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David Shafer, MD

New York Plastic Surgeon

ASPS

Consider silicone implants

For women who are very thin with very little breast tissue, I will usually recommend at least considering silicone implants. They will give a very natural look and feel and can produce a wonderful result. Here are a few things to consider in order to increase the chance at a great result: Silicone implants (saline implants without extra tissue to hide them run the risk of looking very obvious as they may not sit in a natural position) Placing the implant underneath the muscle (the... more

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

Breast Augmentation with Minimal Natural Breast Tissue?

Ample breast tissue is not necessary for a breast to look natural after a breast augmentation. Even, men with zero breast tissue sometimes get implants and can look natural. Suggestions to achieve a natural appearance are:1 - choose aconservative size. It is much easier to create a natural looking breast when the patient has significant breast tissue. A larger implant will look like a mound on the chest, however, with minimal tissue. 2 - Use a silicone implant, which is less likely... more

Ronald Finger, MD

Savannah Plastic Surgeon

ASAPS ASPS

Natural Breast Augmentation

In patients that desire natural breast tissue appearance for breast augmentation one can consider fat augmentation which can certainly be done safely if fat injections are done correctly above and around the breast tissue. One must know that this will give you one breast size augmentation only. For patients with little or no breast tissue, a breast implant is still a better option and one can consider doing fat augmentation around the breast implant as well for improved shaping and... more

Rod J. Rohrich, MD

Dallas Plastic Surgeon

ASAPS ASPS

Natural breast looking augmentation for A-cup patients

Hello, When there is essentially no breast tissue to begin with and the chest/breast skin and soft-tissue is very tight the size/volume of the implant that will be needed to create a natural looking breast is smaller than usual. I would recommend choosing silicone implants--either gummy bear type implants or form stable implants. These should be placed under the muscle and should be moderate in size if a natural result is desired, knowing that if additional volume is desired... more

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Remus Repta, MD

Phoenix Plastic Surgeon

ASPS

Small breasts with little soft tissue a challenge

Although a small lady with little natural breast tissue and tight skin and muscles over the chest area are a challenge to the plastic surgeon performing breast augmentation, it can be done safely and with good results. I would recommend that the implants, either saline or silicone be placed in submuscular pockets to give more padding between the implant and the skin. Also, I would recommend that you do not try to go too large. It sounds like small implants in the 210-240 cc... more

James Tang, MD

Houston Plastic Surgeon

ASPS

Breast implant visibiltiy in individual with minimal (small) breast tissue

I know this is a crude example but it helps to make the point. If you hide a golf ball (implant) under a silk sheet (tissue), the appearance will be very ball-like. However, if you hide the baseball under a thick comforter, the thickness of the comforter will greatly influence the result. A very thick comforter may make the ball barely visible. The comforter will determine the overall appearance of the result. If you change the golf ball to a volley ball, it may appear more round. In... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Breast augmentation in thin patients

Breast augmentation in very thin patients with small breasts can give excellent results. These patients often have the most dramatic improvement in self-esteem because they have always been very self-conscious about their breast size. As long as an appropriate sized implant is chosen, the breast should look "normal". Also, placement of the implant below the muscle will help mask the implant in someone with thin skin. Having a detailed discussion with a... more

Naveen Setty, MD

Plano Plastic Surgeon

ASPS

A natural breast augmentation result is very possible in a thin woman

To achieve a very natural result in your fiance, it is important for the surgeon to pick a range of implants that will fit well for her specific her body type. I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of her chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis... more

C. Bob Basu, MD

Houston Plastic Surgeon

ASPS

Best Implant for a flat, tight skinned Asian Young Woman

Regarding: "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... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Breast augmentation in thin women with thin tissue can look natural

Thin women with minimal breast tissue and tight skin can achieve a natural, pleasing breast augmentation by following a few simple guidelines. After careful measurements, choose an implant whose width closely matches the patients breast width. This will look the most proportional and likely will not be oversized for the patient either. Choosing a smaller implant won't put too much tension on the tight skin. The skin will accomadate to the new volume and relax... more

Jeffrey M. Darrow, MD

Boston Plastic Surgeon

ASAPS ASPS

Breast Implants for Small Breasted Slight Women Works Well

For small breasted women with minimal body fat and small frames, such as in many Asian females, a high profile silicone gel implant provides excellent results. Measurements of the chest wall with consideration of the patient's height and weight are key, and in those patients that have small chest walls, a high profile breast implant combines a narrow base (diameter of the implant) with the ability to provide cleavage without looking too "busty".The silicone gel... more

Daniel Shapiro, MD

Scottsdale Plastic Surgeon

ASAPS ASPS

Breast augmentation helps women with self esteem.

Breast augmentation helps women with self esteem. This has been shown in many different studies. I think that breast augmentation has very little to do with HOW the patient looks and everything to do with how the patient FEELS about how they look. She has already developed an image in her mind about how she would like to look. The hard part is matching her expectation to what she actually gets. I have found a very successful way to allow patients to choose their own... more

Richard H. Fryer, MD

Salt Lake City Plastic Surgeon

ASPS

Natural breast augmentation results in very thin women is possible

Absolutely your girlfiend would be a great candidate for breast augmentation, given the information we have. Small, thin women with tight skin can do very well with breast implants. The key is to do careful measurements, choose a silicone gel implant, go under the muscle, and choose a small implant that "fits" her.

Carmen Kavali, MD

Atlanta Plastic Surgeon

ASPS

Breast Implants for very small breasts

For woman with very little breast tissue, breast augmentation can have a dramatic impact. However, each woman's breasts size, skin availability, skin tone, and overall body frame impact the choice of implant and the placement of the implant. For women with very small breasts, the implant will be supplying the majority of the breast volume. As you can imagine, this means that the implant needs to be concealed as much as possible. I recommend placement underneath the pectoralis muscle... more

David Bogue, MD

Boca Raton Plastic Surgeon

Breast Augmentation for Thin Patients with Little Breast Tissue

Many thin patients with little breast tissue successfully undergo breast augmentation everyday; however, when there is little breast tissue there are several things you need to consider. When it comes to the size of the implant, it is best to select a size that is suitable for her frame. A large implant can cause stretch marks and have a "fake" appearance. Another thing to consider is rippling. When saline breast augmentation patients have very little breast tissue, they may... more

Tarick K. Smaili, MD

Beverly Hills Plastic Surgeon

ASPS

No patient is too small to gain a benefit from breast augmentation

No patient is too small to gain a benefit from breast augmentation. To achieve a natural result when one has very little of her own tissue may require a submuscular gel implant of a modest size. I would expect her final cup size to be at most between a B and C. Generally, women fitting the description of your fiance can expect excellent results if they do not attempt to push the enveloped so to speak.

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David A. Ross, MD

Chicago Plastic Surgeon

ASPS

Very thin patients get good results with implants but gel is preferred over saline.

Patients with little breast tissue and subcutaneous fat will get nice results from breast implants but I feel that silicone gel is vastly superior to saline in this situation. With silicone gel, I'm not convinced that going under the muscle is necessarily aesthetically better although I will get some argument from other plastic surgeons on that opinion. As long as capsular contracture doesn't occur, you girl friend will be delighted with her results.