Natural D's how do they move with implants? (Photos)

Even if you have a significant amount of your own breast tissue, implants will tend to profile shape throughout a variety of different positions, including lying flat. Most silicone implants are made of a thick (form stable) gel. This cohesiveness is what provides stability throughout movements (whether lying flat or upright). If upper pole fullness is what you desire, a higher profile implant will help you achieve these goals.

There is an alternative technique called The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear corin123,
nontextured silicone implants will move like your breast tissue. Saline implants feel more natural but there is a higher risk of rippling. Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

If the implants are placed behind your breast tissue, they will move with your own breasts. If they are placed behind the muscle, there will be less movement with the implants.

Once fully healed your implants will move with your natural breast tissue. Many patients prefer having the implant placed beneath the muscle. This gives a more natural look and carries a lower risk of capsular contracture. Silicone implants feel more like and act more like natural breast tissue, whereas saline feels and acts more like a bag of water. I've included a video I hope you find helpful.

Hi and welcome to our forum!From your photos, I note that the distance from the top of the breast bone to the nipples is increased, the nipples reside above the fold at the bottom of the breasts. You have lost superior breast pole volume. The nipples are at slightly different "altitudes" on the chest wall, the breasts are relatively symmetric in size, and you appear to demonstrate minimal sag. With your present amount of sag, achieving increased upper pole fullness will require an implant on the higher end of the implant size spectrum. Otherwise you would benefit from a mastopexy to elevate the nipple areolar complexes into anatomic position, increase superior pole fullness, remove excess skin, and conify the shape of the breasts. Silicone gel breast implants are designed to be of the same viscosity as breast tissue. Therefore it will tend to flow with movement in a similar fashion, unless capsular contracture occurs (in which case the breast will feel unnaturally firm and flow will be decreased).Saline implant contents are not viscous in nature, and flow may be altered to a slight degree. Best wishes...