I'm skinny and I want my breasts to be just a little bigger, but I don't like silicone?

Question

I think silicone implants look beautiful, but feel very fake to touch. I'm skinny and I don't have much fat. What is the best breast procedure for me?

Alejandro Nogueira, MD · Answer

The modern cohesive or ultraocohesive gel filled implants give a natural touch impossible to differentiate from a naturally developed breast; however saline-filled implants are the most unnatural touch, may this be the bias producing your opinion.I honestly disagree, though respect, your idea about breast implants, based on the opinion of thousands of patients personally operated by me.

Howard Webster, MBBS (Hons), FRACS · Answer

Hi there,If you're seeking a small breast size increase you may be a candidate for the Brava device.This was invented by Dr Roger Khouri who practices in Florida, and it has been shown to result in small breast size increases using a non surgical technique, by expanding your own tissues.It really does work - as long as you are realistic.Have a look for it online, and please feel free to contact the excellent Dr Khouri, whom I know personally, direct through his practice to find all the information you need.Let us know how you go!All the very best for this new year,Howard WebsterPlastic Surgeon.

Angela Champion, MD · Answer

Typically silicone gel implants are recommended for very thin patients as they do look and feel more natural.  Perhaps go see a few board certified plastic surgeons so you can touch and feel the implants and learn about them and go from there.  I would definitely recommend going under the muscle because you are thin and it would help camouflage the either implant better. ac

Josef Hadeed, MD, FACS · Answer

It is difficult to answer without the benefit of assessing you in person.  A consultation with a board certified plastic surgeon can help you understand what your options are.  Best wishes.

David A. Hidalgo, MD · Answer

Conservative size round silicone implants are probably the best solution.   Anatomic or 'tear drop" are stiffer and more likely to feel "fake" in a thin person.  Any access incision on the breast is also problematic if the concern about no telltale signs is paramount.  An axillary incision could be used to avoid this.  Finally, new methods of fat graft augmentation without implants might be worth considering.  This method, while still under development, appears applicable even to thin patients requesting a conservative augmentation.

I'm skinny and I want my breasts to be just a little bigger, but I don't like silicone?

Answers (5)

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