How to improve the shape of hypoplastic breasts? (photos)

Since you have very little actual breast tissue, implants behind the muscle would be best. The muscle can help hide the implants and avoid the ball look. Fat is placed in actual breast tissue and you have very limited tissue to hold fat.

Anatomical implants have a textured surface to keep them in the correct position, and we now are seeing occurrences of a rare cancer due to the chronic interaction/in-growth of the breast tissue with the implant so this is not the best option unless you are willing to accept the risk. However, fat transfer is a very good option with minimal long term concern since there is no foreign objects. The challenge with you may be finding enough donor fat, but I bet we could get enough to meet your expectation. Thank you.

This is a good question. The answer depends largely what your goals are. For example, if you didn't mind having implants, but just didn't like the size and projection of your previous implants, you can consider having a smaller sized implant with less projection placed to help with a rounder shape and modest improvement in size. This can be anatomic or round. If you want a very subtle increase in size, fat grafting can be an option for you, however, depending on your desired size, you may need to have multiple surgeries to achieve the volume and look you want. There are pros and cons to each option, that is why it is important to talk through all the benefits and drawbacks of each with your plastic surgeon. Hope this helps!