Most patients want to have the fullest breast profile that still looks natural on their body. The limiting factor for implant size is almost always the appearance of the upper pole. At some implant volume, the upper pole of the breast begins to look excessively rounded or convex, and that is a look that says "breast implants live here". There really is no way to determine preoperatively what the fullest implant volume is for each patient that does not produce that rounded upper pole look. Surgeons who are attentive to detail use an O.R. table which allows them to sit a patient upright several times over the course of the procedure, so that an implant size and profile can be selected that is ideal for each individual patient.The type of implant is also important, as the implant style that will work best to produce a natural feeling result depends on a patient's body style and preoperative breast size. Silicone gel implants, without question, have a much more natural feel than saline implants in slender patients, especially those with an A-cup or small B-cup preop breast profile. On the other hand, fuller-figured patients with a full B-cup breast size that are seeking a full C- or a D-cup breast enhancement will almost always get a breast augmentation result that feels completely natural if saline implants are used. The more natural tissue there is to conceal a pair of implants, the harder it is to detect saline implants by feel.Regardless of implant type, there is really only one ideal position for breast implants with respect to the pectoralis major muscle. Subpectoral placement provides additional coverage of the implants in the cleavage area, which results in both a more natural appearance and more natural feel. This is especially true for slender, small-breasted patients, as the pec major helps to flatten the upper pole of the implant and prevents the upper edge of the implant from being visually obvious. That excessively round appearance in the upper pole is to be avoided at all costs. The price of breast augmentation surgery will vary from surgeon to surgeon. The price of the implants is one factor. The training, experience and expertise of the doctor is a significant factor. The facility where surgery is performed and the OR staff is another factor. Also, a busy plastic surgeon with a full OR schedule will not be providing discounted rates, like a newer, inexperienced plastic surgeon, or a surgeon who cannot demonstrate through many many before and after photographs their ability to produce beautiful and natural looking results with breast augmentation surgery. I view breast augmentation as more than a breast enhancement surgery. It is a total body contouring surgery, and the breast profile that one creates with implants should match a patient's overall figure. It should appear completely plausible that the breasts have not been surgically enhanced. I want for my patient's appearance to make others think "Wow - what a great figure", not "I wonder who her plastic surgeon is".Over and over I hear patients remark, after reviewing some of our `before and after' photos, that they had no idea that a breast augmentation could look so natural. It can, and in my opinion it should. Having practiced plastic surgery in the 'breast augmentation capital of the world' (Los Angeles), and having performed hundreds of breast augmentations in North Carolina for patients who are seeking a breast enhancement that looks like it actually is a natural part of their bodyWhen researching the training of a plastic surgeon, check to see if they attended a top medical school and graduated among the top in tier class. Where did they receive their formal surgical training? A prestigious university medical center? How many years of training did your plastic surgeon receive. The minimum for board-certification, but some surgeons elect to undergo as many as ten years of formal surgical training. Of course select a plastic surgeon certified by the American Board of Plastic Surgery and perhaps a member of the American Society of Aesthetic Plastic Surgery.Viewing many photographs can also help you to determine whether or not a plastic surgeon shares your aesthetic sensibilityYou should be able to speak to previous patients and discus their experience with them.It is also critical to ask about the surgery center where your procedure will be performed. You need to know about accreditation, sterile processing procedures and who will be with you in the surgery. In my office I work with a board certified anesthesiologist, certified surgical technicians and nurses who are in the room during surgery. We also have preoperative nurses and a nurse for post anesthetisia care. Of course we also have a certified sterile processing technician. Remember the results from this procedure are permanent. Take your time researching your plastic surgeon and ask any questions you have on your mind.