Which Breast Implants Result in Natural Slope and Cleavage?

My wife is going to get Breast Augmentation in 3 months. She's 130 lbs, 5'4", 34A (breast fed 2 children), breast width was narrow, long torso and curvy hips, measured 1" on the upper pec/armpit area. We have decided on Silicone Breast Implants and under the muscle. She wants to be a small/medium C. One doctor said 350cc smooth high profile round implants. Our fear is we don't like the grapefruit look under the skin. We want a natural slope and decent cleavage. What are your thoughts? Which implant (high profile, mod+, mod) and what size would you recommend? Attached picture with measurements.

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A to C cup 5 ft 4 in to 5 ft 7 in natural profile

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11 Doctor Answers | Asked by pc1978 in us

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Natural looking breast augmentation

A natural-appearing breast is noticeably fuller in the lower pole (below the nipple) than the upper pole. In profile (viewing from the side), the upper pole slopes gradually from where the breast begins in the upper chest down to the nipple, and the lower pole is full and rounded. For any patient considering breast augmentation, there is an implant size above which the upper pole begins to look rounded, convex, and unnaturally full. Mild to moderate upper pole fullness can look beautiful and... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Implant choices

Thanks for all the info. I prefer High profile implants for most patients that want to be a little bigger but are fairly narrow. Moderate plus are all right as well, they can give a bit more cleavage with less projection at the same volume of the HP's.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Natural look in breast augmentation.

Hi! 1) Take a look at the breast augmentation page on my web site. It deals with all of your concerns. 2) 350 cc's is probably too big to avoid the grapefruit look on your wife's body. 3) A natural look is not achieved by the shape of the implant. It is achieved by using the right size (determined with disposable implant SIZERS during surgery) and by good surgical technique.

Best breast implants for natural shape

There are several factors to consider. In general, silicone will feel and behave more like a natural breast. Then next step is to select the size, and the most common way to do this is trying on samples in a bra with the desired cup. Once the implant size is decided, then the implant with the best match of diameter to the base diameter of the breast is determined. That is how the cleavage will be optimized. In general, a high profile implant is to maximize volume on a narrow base, low... more

Breast implants for natural results

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 or breast "look". 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... more

The natural looking breast implant.

I offer patient's a simple analogy to illustrate what we mean: Q: If you take a baseball and you cover it with a silksheet, what will it look like? A: Like a baseball, you will even see the stitching. Q: Now if you take that same baseball and cover it with a comforter what will you see? A: It depends on how thick the comforter is but generally you will see a softly shaped lump. So now the question is what do you have on your chest, silk sheets or comforters? The... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Moderate or low profile breast implants give a more natural breast look than high profile

Your concerns are valid. High profile breast implants can look unnatural and do not move and adjust to the natural breast profile as readily as lower profile breast implants. The most common implant I use is the moderate profile plus silicone gel implant, which gives a more natural yet full shape to the breast after breast augmentation.

Natural Results With Breast Implants

Without question silicone implants will provide more natural results when compared to saline implants. A high profile implant can be very helpful in achieving more natural results in a woman with narrow breasts who desire a notable enhancement. The high profile implant is narrower than the other style of implants and this may certainly be appropriate for your wife's anatomy. Most important to a nice, natural result is taking into consideration your wife's breast and chest anatomy... more

Natural results with high profile implants

The style, size and type of implant selected will vary from patient to patient. Depending on how much natural breast tissue you have a natural looking result can be obtained with a high profile implant. It depends on the volume of enhancement you want as well. In looking at the same base width of an implant, the high profile implant will have more volume and therefore more projection. I'd recommend a sizing appointment with your wife's plastic surgeon to actually try on the implants to... more

Natural breast implants

In my experience, under the muscle silicone breast implants give the most natural result. The extra tissue coverage from the muscle helps camouflage the implant look. Additionally, there is no question that the silicone implants feel much more natural than saline implants. Good luck with your surgery.

Natural results folowing breast augmenatation

I have this conversation with all my patients. Naturalness is in the eye of the beholder. Generally speaking, the smaller the implant the more natural it looks, but because the breasts aren't' much larger than what you started with. I always ask the pant size my patient wears as I try to establish harmony between the breasts and the hips. Your surgeons plan appears typical. My preference would be to use the moderate (allergan) or moderate plus implants (mentor) but that is a surgeon... more