Breast Implants for Petite, Very Thin and No Fat Tissue: 180 Round Moderate or 160 Tear Drop? (photo)

I recommend round silicone gel implants placed retro-pectoral since they look and feel more natural and less likely to ripple.  At size 32 each 100 cc's of implant corresponds to 1 cup size change.  160 or 180 cc implants would take you about 2 cup sizes higher.  The profile of the implants is irrelevant in the retro-pectoral position since the muscle compresses it.  Round implants are softer since rotation can distort the appearance of tear drop implants.

Best Wishes,

Gary Horndeski, M.D.

I would measure your breast width and select a moderate plus profile smooth round silicone implant based on the desired final breast width. Sub muscular placement. I do not think anatomic implants have much benefit and are firm. If they rotate then you will need revision surgery which costs you more money. My instinct tells me 200cc about right. Good Luck!

Thank you for the question and pictures. It is important for patients to understand that there is no “right answer” to these types of questions. Every plastic surgeon may have a different recommendation based on their past experience etc.

 In my practice, based on the information you have provided, I would suggest the use of round silicone gel breast implants. I think that it is possible to achieve a “natural” look and   I feel comfortable with the round implants being relatively problem free compared to the shaped breast implants.

 I hope this, and the attached link, helps.