Breast Augmentation: 44/55 natural looking results - Is this achievable?

choosing the right implant and designing the pocket in the perfect way are the two keys to natural breast augmentation. Fat transfer will give a smaller increase in size.

Hello, thank you for your question. Its possible to have a breast augmentation and have additional fat transfer for patients who have a thin frame and rippling from implants. Speak to you plastic surgeon about your goals and this way you can both come with safe plan. Feel free to check our website for some before and afters.

Your result may be possible from the photo links sent. But measurements and trying implants would be necessary to make sure the expectations may be met. The photo of the afters has much more of a natural droop because she has more skin available. Without checking the tissue quality and taking measurements, there is no way to answer what type implants and specs. Would not advise a high profile implant and the implant should be narrow. You ideal result might require two stages if the measurements show there is not enough tissue. This would mean have tissue expansion first and then placement of an implant. Fat Grafting can help with the upper part of the breast to blend the transition from the skin to the implant. But an in person consult with a Board Certified Plastic Surgeon would help give you specifics!

Dear Graceful12055,
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

You would be a good candidate for a dual plane silicone breast augmentation from an inframammary fold approach (in the breast fold), with a 350-400cc high/full profile implant. You do not need fat transfer. Please meet with a board-certified plastic surgeon and review before and after photos. Good luck!

Implant selection is an important part of your consultation with a board certified plastic surgeon. Measurements will be taken of your breasts as well as a discussion of your surgery goals. In addition to volume you will also decide type, shape, and style of implant. Your surgeon is your personal expert in helping you select the implant that will help you get your desired look. I've included a video on the process that I hope you find helpful.

I would suggest meeting with a board certified plastic surgeon, being measured and examined, and trying on the range of implants that best fits your frame and tissue. Please do not choose implants that are too large and heavy for your frame and tissue. Your photos did not post.

Hi Graceful12055, thank you for the great question. You can absolutely get natural results with a BA. It's not possible to give specific guidance without an exam and measurements. But you can consider a low or moderate profile implant for a more natural look. You typically can't achieve that size increase with fat transfer alone, but fat transfer with an implant is an excellent choice to give more medial cleavage and a smooth transition between your natural tissue and the implant. Hope that helps!

Hi and welcome to our forum!
From your photos, I note that your breasts are petite, you demonstrate good symmetry, and there is no sag.
In order to determine the correct range of implant sizes, you must first measure the diameter of your breasts and choose an implant of approximately the same diameter...too narrow, no cleavage...too wide, exaggerated cleavage and "lateral boob". Using the website of an implant manufacturer (e.g. Mentor), look in their catalog and find implants with the same base width diameter (BWD) as your breast. It is the "footprint" of the implant on your chest. Then you must determine size and profile, based upon your desired result.
Bra size is an extremely inaccurate measurement of breast size as there is no standardization in the industry. One brand's "C" is another's "D". In addition, many individuals wear ill-fitted bras.
However, one can get a rough idea using the results of a large study...
A cup…235 g
B cup…450 g
C cup…530 g
D cup…760 g
760 (D cup) - 450 (present volume?) 310 cc implant
However, from your photos, your breasts appear smaller than a "B" cup...
If an "A" cup, you would require a 525 cc implant...Don't go for a specific cup size...go for what looks appropriate. There are multiple methods to determine your size goal. You can "try on" implant sizers in the surgeon's office, some plastic surgeons utilize computer imaging, or you can fill a plastic baggie with rice from a measuring cup and place it in your bra.
Visit a board certified plastic surgeon for evaluation and discussion. Your questions will be answered after an in-person examination.
Best wishes...

Hello and thanks for your question. The result and the details of the procedure may vary depends on the patient's situation and the case. To give you the best information, assessment has to be completed. I strongly suggest you have virtual or in-person consultation with board certified plastic surgeon.