Breast Augmentation: Q&A

Ask a Question

How to Obtain the Most Natural Look With Breast Augmentation For Small Breasts on a Thin Frame? (photo)

I am getting breast augmentation in two weeks, and my head is spinning! I am currently a small A. (droopy from nursing two children). I am 27, 5'9" and roughly 115lbs. I think my BWD is around 11. I want to get 275CCs with a moderate plus profile hoping I will get a small C. My PS said that he would not go higher than 275CCs in the mod+ profile. We are using Silicone Gel implants by Mentor. Should I maybe even consider moderate profile for a more natural look? He said it's rarely used anymore...

Tags:

Comment on this

14 Doctor Answers | Asked by AnnaMart in Philadelphia, PA

Doctor Answers (14)
Community Comments (0)

You're on the Right Track

Hi there- In general I agree with your surgeon and think you're likely to get a great result with the plan you've outlined. In the interest of playing "Devil's Advocate"and helping you be sure of your decisions and goals, bear in mind that the "natural" result you are asking for is synonymous with smaller breast implants, and that it is undoubtedly more common for patients who are not completely happy after breast augmentation to wish their breasts... more

Use the implant that fits your base width diameter

Thank you for your question and the photos. I think that is a good choice if you want to have a full but still natural look. Your surgeon is right. The moderate profile is rarely used because they are wide and offer little projection. In fact, Mentor has replaced the Moderate with the Moderate Classic Implant which has different volume choices and dimensions than the Moderate Silicone Gel Implants. The Moderate Plus and the High Profile Silicone Gel... more

Moderate profile silicone implants can cause rippling.

Hi. Do not use moderate profile implants. They cause rippling. 275 cc's sounds good for you, but this article explains how we choose implant size.1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough.... more

Natural results from breast augmentation can be difficult to achieve in thin patients

I think the key to a good result for you is sub-muscular augmentation using an implant with diameter that fits well within your breast width. Yuo are quite thin and don't have a lot of soft tissue coverage, so using a big implant would be a mistake. 275 cc seems like a reasonable choice. The 'moderate' profile implant is going to be slightly wider in diamter with a little less projection - probably a neglibile difference.

Breast Implants for “Natural” Look?

Thank you for the question and pictures. I think you and your plastic surgeon are thinking along the right lines. I would suggest and careful communication of your goals. in my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C cup” etc. means different things to different people and therefore prove unhelpful.  I am sure you have chosen your flat plastic surgeon for good reasons;... more

Natural look for small breasts

You should get a great result. You have a nicely shaped breast which has simply lost volume from your pregnancies. I think a moderate plus implant sounds right though a lot of it depends on your chest and breast measurements, as well as goals. You might not get into a C but I wouldn't emphasize the bra size but rather the "look" you are going for. For that you need to have a good discussion with your surgeon and show photos of what you're looking for. Good luck. more

Implant choice

A decison for the appropriate implant for you really requires an exam in person. Your anatomy and your surgical desires are important factors in the selection process. In narrow framed patients I often go with hp's or mod + profile.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Trust your surgeon re breast aug choices

It sounds like you and your surgeon have collaborated and come up with a good plan. from your pictures alone, not having the advantage of examining you in person, the 275 mod. plus silicone implant seems like it would likely be a good choice. over vs under muscle varies by surgeon, and different surgeons get good results either way.....but my recommendation would be to go under the muscle because you are so thin.

Bruce K. Barach, MD

6 reviews

Schenectady Plastic Surgeon

drbarach.com

Breast augmentation sizing

Thanks for your question. i think you are making a good choice at 275 cc moderate plus silicone gel implant. In my practice I would definitely place the implant under the muscle.

That size seems fine

For your body a 275moderate or moderate plus should look natural. But I disagree with some of my colleagues and like to put them over the muscle especially when you have lost volume. Natural breast tissue is over the muscle and that is where I put silicone implants.

Natural Look after Breast Augmentation

Thank you for sharing your pictures. You have a very adequate skin envelope to allow for a natural shape using a 275 cc implant. The "natural" look is achieved by matching an implant size to a patients chest wall and skin anatomy. I think you and your surgeon have made an excellent choice in implant size to achieve this result. I would recommend the high profile implants if you choose a gel augmentation. The moderate plus will distribute the... more

Natural Looking Breast Augmentation

I think your plastic surgeon is advising you properly to increase the liklihood of obtaining a natural look following augmentation. I certainly agree with using a relatively small silicone implant in your case. I would also place the implants under your muscle which will also increase the odds of obtaining the natural look that you desire.

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

Look not predictable

Your desire for a "natural" look is understandable. However, the look is not predictable. Some women end up looking like they have half grapefruits on their chest, and others look more tear-drop shaped. The look is dependent on a number of factors, such as native breast tissue, droopiness, breast shape and how you heal or form the scar pocket around the implants.