Breast Augmentation with Minimal Natural Breast Tissue?

Most women having breast augmentation fit the description of your fiance. There are some considerations:
1. Silicone implants in this situation will not only feel more natural they will look more natural because they have a softer consistency. The edges are less obvious than saline. Wrinkling occurs less often but it does still occur.
2. Submuscular place will increase soft tissue coverage and will give a more natural appearance as well.
3. Choose a conservative size implant. This is the most important point. This will give the most natural result. The most common mistake women make is choosing an implant that is too large. This will overstretch the skin and breast tissue. They will take longer to settle.

A lower profile and lower volume implant will look more natural if placed under the chest muscle. Silicone would also be the better choice to reduce rippling.

Thank you for your question. If I were the surgeon, I would recommend that your fiancee select a conservative-sized implant. In addition, she may be a good candidate for an anatomical, or shaped, implant, which is less full near the top of the implant than at the bottom. This implant produces a more natural looking contour than the more commonly used round implant. The strongest indication for these shaped implants is for a patient who doesn't want too large of an augmented breast and has little of their own natural breast tissue pre-operatively. Note however that anatomically shaped implants come with a risk of implant position changes, which can cause asymmetries.Good luck, and for more information about other choices to be made before undergoing breast augmentation, take a look at the Guide to Breast Augmentation on my website from the web reference below. I discuss common patient questions I receive, silicone versus saline implants, round versus anatomically shaped implants, smooth versus texturized implants, implant manufacturer, implant insertion incision location, implant location inside the breast, and more.