What's the most natural augmentation method and what's the cost? And what's the maintenance requirement/commitment? (photos)

I am currently a 34B and would like to go up a full cup size, to a full 34C. I've felt silicone breasts and they feel hard and very unnatural. I like the feel of my breasts just want them fuller and more perky.

Doctor Answers 9

Start with a consult

A plastic surgeon who has examined your natural breasts and listened to your concerns can best answer these questions and recommend the most effective technique for you to achieve results that look and feel natural. You may want to consider booking a consultation with a board-certified plastic surgeon who specializes in breast augmentation.Generally, silicone breast implants more closely mimic the look and feel of natural breast tissue and tend to be slightly more expensive than saline breast implants. You shouldn’t make a choice based on price though. Both saline and silicone breast implants can yield beautiful results.

Dallas Plastic Surgeon
4.9 out of 5 stars 121 reviews

Natural breast appearance

Thank you for your inquiry.
Micro fat transfers to the breasts, often called natural breast enhancement, is a surgical procedure that involves liposuction and removal of deposits of excess fat from specific areas of the body, and transferring that fat to the breasts. The procedure is used to enhance the breasts giving them a fuller. Each time the procedure is performed, the breasts will permanently enlarge up to one cup size. The fat transfer to the breasts is usually an outpatient procedure with a 4-7 day recovery off of work and 2-3 weeks away from strenuous exercise.
Fat transfers are charged by the number of body areas that are liposuctioned and treated. The estimated cost for one area of liposuction (e.g. abdominal area) is $1500, and the estimated cost for the fat transfer is $2600.00. That does not include facility or anesthesia fees which are based on the length of the surgery. That can be determined once I see the amount of fat necessary to be transferred to your breasts.
The only limit to breast enlargement by fat transfer is the amount of fat that you have elsewhere on your body to move to the breasts and the number of procedures that you can undergo. The secret to successful fat transfer is to have spaces in the recipient areas (your breasts) to put the fat. Think of fat cells as very small machines that need fuel to survive. Each fat cell transferred has to be placed next to a living cell so that it can draw oxygen and nutrients from it. If the transferred cell is surrounded by only other transferred fat cells, it will die and disappear. So it is important to transfer only enough fat cells that can be spread around in the native breast tissue. A glob of transferred fat cells will all die except for the few cells on the outer edges of the glob.
For example, starting with A-cup breasts, the transfer procedure may increase breast size by one cup size. Now you have B-cup breasts and with a second surgery more new fat can be accepted into the breast tissue, leading to a C-cup breast size. And so on and so forth.
Many women choose to have two or three surgeries to get to the size they want. After each surgery, they can decide if the breasts are large enough. The results are permanent and there are no implants to worry about or to ever replace.

Let us know if this is helpful

Sheldon Lincenberg, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 26 reviews

What's the most natural augmentation method?

Thank you for your question.  A small silicone gel implant should put you nicely from a B to a C.  Because the implants would be small and behind your breast tissue, I think you would find that they would not feel hard.  The gel implants are very soft, and providing you have the correctly sized pocket created by your surgeon, they should stay that way for many many years to come.

Fara Movagharnia, DO, FACOS
Atlanta Plastic Surgeon
4.5 out of 5 stars 50 reviews

Natural breast augmentation

Natural is what you have. That is not what you want. Whatever you do, stay away from the creams. At best they don't work and cost you money.

Perhaps you mean most natural looking augmentation? There are any number of techniques that can give a very natural appearing result. The silicone implants are softer until you get a capsular contracture. Capsular contracture happens with all types of implants and makes them feel hard. You are looking for a small augmentation. That might be why you state silicone implants feel hard. Large implants of any type are going to feel hard. Your area does tend toward larger implants. Go talk with a board certified plastic surgeon to work out a plan personalized for you. 

Tracy E. McCall, MD
Milwaukee Plastic Surgeon
5.0 out of 5 stars 1 review

Silicone implants

Costs of any procedures are going to vary by your location and the skill and expertise of the surgeon you choose. Silicone under the muscle, in a patient who already has as much breast tissue as you do, should feel very natural and should not feel "hard". Of course, the most natural solution would be to undergo fat grafting to your breasts. Not all surgeons will perform this procedure as it is still somewhat under investigation.
The important thing is to choose your surgeon very carefully and visit with a surgeon certified by the American Board of plastic surgery only.
Best of luck!
Dr. Subbio
Board-Certified Plastic Surgeon
Newtown Square/Philadelphia, PA

Christian Subbio, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 65 reviews

What's the most natural #breastaugmentation method and maintenance requirement/commitment?

Great question, not a simple answer.  A small, silicone implant under the muscle (+/- fat grafting) will most likely not be felt/palpable and will still feel natural; saline implants need to be overfilled so tend to fell a little harder and less natural than silicone gel implants.  One option to consider would be doing a breast lift and fat grafting to the breast where fat is removed from an area where we don't want it and re-injected into the breast during surgery.  You may not be able to achieve a full cup size increase depending on how much fat survives but you could consider more than 1 fat grafting session for additional augmentation.  The lift will reposition your breast gland higher on the chest, tighten the skin, and make them less perky while the fat grafting will increase the volume.  We know that about half of the fat transferred will survive.  This would also be a reasonable choice for you depending on your goals, examination, and fat availability.  The cost is highly variable so not really an answerable question here as it depends on what surgery you choose, where you choose to have it (region of the US, city, hospital vs. office-based surgery, etc), who your surgeon is, and whether or not you opt for an implant. For true, accurate cost you need to schedule consultations with board-certified plastic surgeons.  Good luck! 

Megan Jack, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 reviews

Most natural

You could write a book to answer this question.  If you ask ten different doctors this question, you will get ten different answers based on their training and experience.  That doesn't mean that one is right and the rest are wrong.  It just means that everyone has their preference.  In general, if the procedure is done well, any type of implant, incision site, or implant placement should look natural.   There are perhaps 200 types, styles, and shapes of implants on the market, four primary incision sites (crease, areola, belly button, and armpit) used, and two primary positions (under or over the chest muscle).    Discussing the pros, cons, risks, benefits, and costs of each would require a lot of time and space here.  I would suggest that you schedule one or more consultations with board certified plastic surgeons in order to get differing perspectives on what would work best for you.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 25 reviews

Natural feel

Breast augmentation is all about a healthy conversation between patients and their surgeons. I would recommend finding a plastic surgeon that really listens and tries to understand what your goals are for a natural feel especially if you have already felt silicone and don't like them. Remember there are different companies that make different silicone implants and saline ones too. A board certified plastic surgeon's office can have sample implants to help you visualize what the implants feel like Best of luck! MMT

Marissa Tenenbaum, MD
Saint Louis Plastic Surgeon
4.6 out of 5 stars 10 reviews

Breast Augmentation with Fat Grafting

While the silicone breast implants available today feel incredibly similar to real breast tissue, we still have patients who prefer an even more natural feel. From what you have described, I would probably recommend breast augmentation using fat grafting. We are able to harvest fat from the abdomen, flanks, thighs, etc. and graft it to the breasts to restore fullness and volume. This is a great option for patients looking to increase their breasts by a half a cup size to one cup size but we don't usually recommend this for patients looking to increase 2+ cup sizes. As with any surgical procedure, there are risks associated with fat grafting and we recommend discussing these with your Board Certified Plastic Surgeon. Our professional fees for fat grafting to the breasts usually starts around $10,000+

Edward P. Miranda, MD, FACS
San Francisco Plastic Surgeon
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.