Natural Looking Breast Augmentation for Petite Women - View Dozens of Photos and Speak to Patients
I see many small breasted women looking for a natural looking result from breast augmentation. I have attached a link to my before and after breast augmentation gallery that includes many petite women with natural looking results from breast aigmentation.
Obviously, a given implant volume and diameter that works well for a small-framed patient that is 5'3" will be inadequate for a large-framed patient that is 5'10". Careful evaluation of all of these issues is necessary if the ultimate goal of the surgery is a natural-appearing breast augmentation.
Having practiced plastic surgery in the 'breast augmentation capital of the world' (Los Angeles), I have developed some fairly strong opinions about this operation. In thinking about breast augmentation surgery, I believe that the most important question for a prospective patient to ask themselves is this: Am I seeking a natural-appearing result? When the goal of this operation is a natural breast enhancement, the results can be absolutely beautiful.
However, if the goal is to create a breast profile which is out of proportion to a woman's body, the results (by definition) never appear natural, and these patients not infrequently end up having a series of operations to address problems with their abnormal appearance. For that reason, I encourage women who are investigating breast augmentation to consider a breast implant size that will help them 'fill out clothes better' and improve the overall proportions of their body, not one that makes them look like "the gal with the boob job".
Quite a number of my breast augmentation patients are moms. After one or more pregnancies, most women experience a loss of breast volume combined with some 'stretching out' of the breast skin. In many of these patients, a breast implant of moderate size will restore a very pleasing breast contour. These patients are NOT looking to raise eyebrows at work or around the neighborhood - they just want to throw their padded bras away, and to feel better about their appearance in private.
In profile, the natural-appearing breast is not convex in the upper pole, and an excessively convex and overly full upper pole is a dead giveaway that a breast implant sits below the skin. Likewise, if the inframammary fold is lowered too far, the augmented breast will appear 'bottomed out', with an excessively full lower pole, an empty upper pole, and a nipple/areola that appears to sit too high on the breast - another situation with a distinctly unnatural appearance.
The horizontal position of breast implants also requires a great deal of attention, both in pre-operative planning and in the operating room. Excessive lateral dissection of the implant pockets will result in augmented breasts with an excessively wide space between them in the cleavage area, and the appearance that the breasts are abnormally far apart. Inadequate lateral dissection, on the other hand, will result in an augmentation with an abnormal 'side by side' appearance. As it is lateral projection of the breasts beyond the lateral limit of the chest wall (in frontal view) that, along with the concavity of the waist profile and the convexity of the hip profile, produces the appearance of an 'hourglass figure', careful attention must be paid to ensure that lateral breast projection is not inadequate.
Another consideration is that the breast implant base diameter must match the existing anatomic limits of the breast preoperatively and the breadth of the anterior chest in general.
Michael Law, MD
Board Certified Plastic Surgeon
Raleigh ,North Carolina
On petite women small implants can look big
On a petite woman a small implant can create a large cup breast. That same implant on a larger woman can barely be noticeable. It is the implant size in relation to the body / chest size that matters.
When choosing the size of a breast implant, especially in petite women, it is important to consider the chest width as a limiting factor. Choosing an implant that is too big (ie it is too wide for your chest) will lead to two possible problems. Either the implants will touch in the middle or the will extend too far on the sides.
The benefit of going with higher projection implants is that for the same amount of volume you get a smaller diameter implant.... thus you can have a fuller implant on a smaller / narrower chest. The downside of higher projection implants is that they look more fake. So it's always a tradeoff. You have to decide what is more important to you:::: Size OR natural look.
I prefer to use moderate profile implants for small, narrow-chested women
It is not uncommon for small framed women to request breast augmentation surgery. The choice of implant, size and location of the implant is a decision that the patient can make with the surgeon. The choice between saline filled implants vs. silicone implants requires consideration of many issues. Some of these include amount of native breast tissue, patient's feelings about silicone and cost.
The shape and profile of the implant is determined by the breast diameter, which is measured by the surgeon pre-operatively.
Whether someone gets round implants vs. high profile or moderate profile implants is determined by the patients’ preference for overall shape, as well as chest dimensions. I prefer the moderate profile to high profile implants for small, narrow chested women.
The exception to this is if the patient wants a lot of lateral roundness. Then a standard round implant may be a better choice.
Proportion and Fit Are Important for Natural Appearance
Of course, size matters!
But, most important is your own sense of balance and proportion.
Trying on the implants can be very helpful,
3-Dimensional Imaging (if available to you in your surgeon's office) can be another way to be sure you are choosing the best size and shape implant to give you the look you want.
Higher profile implants produce a rounder, fuller breast with more fullness in the upper chest. Higher profiles may fit a narrow ches better, preventing too much fullness to the side of the chest.
Low- and medium-profile implants tend to be more "natural" appearing.
Natural look for petite women
After finding a board certified plastic surgeon to perform your surgery, do your homework and find pictures of what you would like to achieve in size and shape for your body type.
Internally, your anatomy could differ, meaning your chest could be concaved or convexed and you may need a certain type of implant to achieve your desired look. In other words, the only way to determine what would be proportioned to you is when we are in the operating room.
For more information, check out before and after photos of happy patients. Good luck!
3D imaging can help you visualize yourself with implants
Often times it is very difficult for patients to imagine what they will look like with breast implants. You can look at photos of other patients, but this isn't a very accurate way of deciding on breast implant size. Especially if you are very petite, it can be difficult deciding on implant size. I use 3D computerized imaging which takes a photo of your torso, in 3D, then any implant size can be inserted to simulate your final outcome. This is extemely accurate and helpful for patients to visualize what they will look like with a 250cc implant vs. 300 cc for example.
Choosing the correct breast implant
Whether or not to go with high profile implants or round standard implants really depends upon your anatomy and your desires for improvement. This is what I take alot of time reviewing with my patients during their consultation.
Breast Augmentation for a Small Frame
a woman who is a small frame, a dimensional sizing system is now becoming much
more popular. Your size and volume
depend upon your biases, your frame and your surgeon’s experience. A woman who has a very small frame and a
narrow base width breast will have some restrictions on her as to what implants
can be used, particularly if she chooses anatomic implants. Using round smooth implants under the muscle
will give you larger volume opportunities than your actual measurements may
imply. These tradeoffs should be
discussed with you in your consultation.
If your main concern is to look natural and proportionate, then a more
modest enhancement will be something that will be discussed with you using both
measurement techniques as well as sizing techniques in consultation with you
and your surgeon. I do the sizing myself
in all of my consultations so that patients have a full opportunity to discuss
the tradeoffs that occur with each different implant style. Because I offer more than one style, I enable
my patients to become “an expert” in both their breast and their implant
Of course adding fat to your
implant breast augmentation is another option using a Brava technique to expand
your tissues. You and I may discuss serially adding fat to your breasts that
will be yours forever and will never need an implant replacement. These opportunities are now much more common
for a woman who wants to be “proportionate” and wishes to have the naturalness
of her own fat over the long term. For a
woman who has already had two children she may commonly find that her breasts
are very saggy from pregnancies and breastfeeding.
Having a breast augmentation may give you
some nipple repositioning but if the nipple position is below your fold you may
need a lift at the same time. Should you
get pregnant again with implants under your muscle, there is no interruption of
your breast from the nipple connection.
The milk ducts go right to the nipple and the implant is placed behind
the muscle so there is no negative consequence.
Having the implant in your breast under the muscle has no difficulty
with you breastfeeding if you didn’t have breastfeeding problems to begin
with. The discussion of these particular
elements are undertaken at the time of my consultation with my patients,
especially if they have not yet completed their fertility so none of their
options are foreclosed.
Implant size for petite women
I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique. That being said, given your height, weight, and your activity level, along with the fact you are considering a lift, I would say you are probably not that far off in choosing an implant in that range. Best thing to do is to see a qualified plastic surgeon that has good breast expertise.
Try on sizers!
High profile implants are more narrow and will probably fit you better. As for the size, try on sizers to pick the best size for your goals.