Breast Augmentation: Q&A
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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.
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34 Doctor Answers |
Asked by
Jon P
in Michigan
+6
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...
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+4
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...
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+3
Under Muscle Breast Augmentation Best for Little Natural Breast Tissue
Thank you for your question.
In patients with little natural breast tissue, usually thin patients, a big concern is that the Breast Implant can be visible since there is little tissue covering the Breast Implants.
Breast Augmentation in people with little natural breast tissue is best performed by placing the Breast Implant Under the Muscle. This is called a Submuscular or Subpectoral Breast Augmentation.
This adds muscle tissue covering the implant and will make the Breast...
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+2
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...
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+2
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...
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+2
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...
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+2
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...
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+2
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.
+2
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,...
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+2
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...
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+1
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...
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+1
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...
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+1
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...
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+1
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...
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+1
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...
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+1
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...
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+1
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...
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+1
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
+1
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...
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+1
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...
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+1
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...
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+1
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.
+1
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...
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+1
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...
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+1
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.
+1
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.
+1
Breast augmentation with tight skin
A lot of women with a small frame and tight skin choose to have breast augmentation. If done conservatively one can expect a nice and natural looking result. I would recommend silicone implants for natural appearance and feel and caution you(her) against a large implant. There is a lot to consider. I recommend that she seek consultations with a few surgeons certified by the American Board of Plastic Surgery. She can find someone that she feels comfortable and confident with and make a plan...
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+1
Breast implants that look natural
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 undesirable over-stretching of tissues or an overly "fake" look with too large an implant. Conversely, too small an implant may fail to achieve a satisfactory change and can be disappointing to the...
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+1
The key is not to go too big.
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 small incision. Silicone implants are also fine, but with a slightly longer scar. I would aim for a large A cup.
We use temporary implant sizers DURING SURGERY to determine the best...
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+1
Respect some limits to look as natural as possible
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 consider relatively small volume implants, placed subpectoral. The implants should be as wide as her natural breast area, which usually equates to a low or moderate profile style. I would...
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+1
Depends on what you mean by natural
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 unnaturalness) is to try and hide the implant as much as possible behind the nautral breast tissue, and to keep the proportion of implant to natural breast tissue as low as possible.The key, of...
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+1
Can definitely appear natural
The most natural results are when moderate size implants are placed. In very thin patients, it is probably best to place them in a submuscular pocket to give more soft tissue coverage, but you can obtain very natural results. The larger the implant, the more likely to see less than natural results.
+1
Breast augmentation in very thin patients
Breast augmentation is the most common cosmetic surgery in the United States because it provides a consistent way for a woman to change the shape, position and size of her breasts.
In our practice, we often performed breast augmentation in petite or very thin patients. For these patients, it is essential to work closely with them to help pick an appropriate size breast implants that will not look fake and will not put too much tension on their overlying skin envelope. It is also important...
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+1
Breast Augmentation in Asian females with a tight skin envelope and minimal breast tissue
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 placement of implants
Silicone vs. Saline implants
Volume to match body proportions
Conservative volume enhancement to minimize skin stretch and striae.
Asian patients typically request a natural...
more
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