Breast Implant Type to Achieve Artificial Look?

Question

I will be meeting with a plastic surgeon to discuss having a Breast Augmentation. I want to achieve a very artificial look so that people can tell right away that they are fake. I know this sounds unusual but if I wanted a natural look I would keep what God gave me. I don't mean that I want them to look asymmetrical, just extremely modified.So right now I am a 36B with a medium build. What tends to look more artificial: sub-glandular or sub-muscular? High or Moderate profile?

Jerome Edelstein, MD · Answer

This really depends on your pre-surgery measurements and natural breast tissue. In general, if you want an obviously enhanced look, go for something that's larger, saline filled and with more projection. Please think about the long term implications of your surgery,  before you proceed however.Be honest with your surgeon and open about your expectations.

Sam Speron, MD, FACS · Answer

Hi,
Thank you for your question.
If you want the fake look, go with high profile implants over the muscle. These will go beyond what is appropriate for your own dimensions giving you that fake look. Increasing the volume will also achieve this look. I think this is something that you should seriously consider before actually doing. There are several complications and issues such as rippling, thinning skin, and increased sagging that can arise when doing all of these things which is why most doctors would advise against doing this. It is your body to do with what you want, but what seems like a good idea now may not be in the future.
Best regards,
Dr. Speron

Otto Joseph Placik, MD · Answer

IF you are seeking to achieve a look which we generally try to avoid, you would want to place a large high profile breast implant in a subglandular position. However, I am not advising this. of course, exceptions to this exist and I have placed such an implant under the appropriate conditions to achieve a natural look but this generally requires adequate mammary parenchyma in an individual with involutional atrophy and pseudoptosis.

Tom J. Pousti, MD · Answer

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" means different things to different people and therefore prove unhelpful.
	Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
	I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.
	I hope this helps.

Sutton Graham II, MD · Answer

RealSelfgirl04
You will find several other posts that suggest how to achieve the look you request, but my advice is to please re-consider having that done. 
As physicians and surgeons we may be able to provide the overly "fake" result you request, but it would likely be a disservice to you as a patient and as a person. Our goals are to enhance you natural appearance.
The look you request entails increased risks of surgical breast problems. We wouldn't want to cause you problems. It probably also entails an increased association with emotional problems, which we wouldn't want for you either. Please re-consider.

Peter E. Johnson, MD · Answer

It is unusual that we hear of patients requesting an obvious augmentation result, something we wish to avoid for most. Some may wish to have a very round and projecting 'showy' breast augmentation. Certainly, a subglandular augmentation with a high profile implant, particularly an implant larger than 500cc,  will get you to this goal. You may have later regrets, though the implants are more easily revised than a tattoo. Be sure to think things through.
Best of luck.

Nina S. Naidu, MD, FACS · Answer

No can fault you for not being honest about your desires from the start! If you really want an obvious look, then go for high-profile saline implants placed above the muscle. There are many reasons why I would not recommend this for my patients, specifically, that this will stretch out your tissues over time, and may set you up for the need for future surgeries to address this. Additional surgery may require additional scars on the breast as well. So, it is truly your choice, but just make sure that when you see your surgeon that he or she informs you of all the consequences of your decision. Best wishes.

Steven Wallach, MD · Answer

The goal of a plastic surgeon is to create a natural look for surgeries that we perform. Fake looking breasts are usually very large implants that do not have a lot of soft tissue coverage such as those placed in a subglandular pocket in a very thin person.

William B. Rosenblatt, MD · Answer

People are always looking for natural surgical results -- if you want to look un-natual , just hang a sign around your neck stating that you have fake boobs. Get huge, high profile saline implants over the muscle, inserted through your arm pit. Those are sure to look fake.

Marcus L. Peterson, MD · Answer

What you are asking for is not a good long term situation. The techniques that will give you the fake look will also require correction or revision sooner. It also may lead to changes that are uncorrectable and permanent.
Here it is. A large saline implant that is overfilled in the subglandular space will give you the most obvious and fake implant look there is. The larger the implant, the more fake it will look.
Good luck,
Dr. Peterson

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