I'm petite, flat chested, want natural soft breasts. What kind of implant would go with me?

m 34years old .have 4 kids . I'm also flat chested :(.... I'm petite and considering getting implants . I want a natural look and soft breast.what kind of implant would go with me ?

Doctor Answers 17

Choose the right plastic surgeon, and he or she will help you choose the implant to meet your goals.

The most important choice you will make before breast augmentation is when you select your plastic surgeon. Do your homework and make sure he or she is board-certified and has vast experience performing breast augmentations. When you go to your consultation, bring photos to help your plastic surgeon clearly understand your goals and expectations so you can both be on the same page. After examining you and understanding the look you’d like to achieve, your plastic surgeon will be able to recommend the right type of implant that will deliver the results you want.


Eugene Plastic Surgeon
4.7 out of 5 stars 16 reviews

Implant Choices

In reality, there is no exact right implant for any given patient. There will be many different options with pros and cons, and ultimately how I choose an implant for a patient is dependent on a number of variables including the patient’s overall size, base width diameter, tissue elasticity and other anatomical considerations. The patient’s lifestyle and aesthetic goals are also very important. In a general sense, if I see a patient who is fairly petite who wants natural breasts without excessive upper pole fullness I would normally either use a textured anatomical implant (the classic anatomical implant from Sientra is my favorite overall) or I would potentially use a smooth round moderate / moderate plus profile implant in some cases. Both these implants will provide a fairly similar aesthetic look. However, the textured anatomical will have the additional advantages of a more form stable gel, lower risk of capsular contracture and decreased risk of implant migration or malposition.

Robert Cohen, MD
Santa Monica Plastic Surgeon
5.0 out of 5 stars 40 reviews

Implant type

Breast augmentation is all about a healthy conversation between patients and their surgeons. I would recommend finding a plastic surgeon that really listens and tries to understand what your goals are for a natural feel especially if you have already felt silicone and don't like them. Remember there are different companies that make different silicone implants and saline ones too. A board certified plastic surgeon's office can have sample implants to help you visualize what the implants feel like Best of luck! MMT

I'm petite............

breast augmentation is about beautiful breasts not big breasts. Most surgeons would now agree that the most natural feel and look is with silicone breast implants and I would concur with this view.

Patrick Briggs, FRCSI(Plast Surg)
Perth Plastic Surgeon
3.9 out of 5 stars 22 reviews

I'm petite, flat chested, want natural soft breasts. What kind of implant would go with me?

  • Good questions. Much of the final look and feel achieved after breast augmentation surgery depends on several factors:
  • 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
  • 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. Careful measurements (dimensional planning) and careful selection of breast implant size/profile are part of the surgeon's responsibilities.
  • I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
  • 3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
  • 4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc.
  • Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
  • I hope this, and the attached link (dedicated to breast augmentation concerns), helps. Best wishes.

Transaxillary endoscopic sub muscular breast augmentation is the best choice

The most sophisticated approach to breast augmentation is through the armpit with a surgical camera (transaxillary endoscopic). Using this modern approach the space can be crafted under direct vision, with virtually no bleeding and no postoperative bruising. Most importantly, the shape of the breast is meticulously created. The other, older methods of insertion are technologically less advanced. Both silicone and saline implants can be placed through the armpit by a surgeon with skill and experience using this approach. The incision in the crease is the oldest method of placing the implants and puts a scar directly on the breast.

A round implant would be a better choice because they move more like breasts. The anatomic implants have a textured surface which makes them feel very unnatural. In addition, there is no benefit to anatomical. There is an X-Ray study that shows the implants from the side at 6 months. Standing, the round and the antomical implants have the same profile. When you lie down however, the anatomical implants do not change, which is unnatural. A round implant will change when you lie down, like a natural breast would.

HP implants, which are a more modern shape than moderate profile implants, fit most women better. They have a more appropriate base diameter and can be made to look very natural or very augmented, depending on where in the range the implants are filled to achieve a particular volume. High profile implants are the first choice in my opinion. I rarely find an indication to use moderate or moderate plus implants. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of volume, and where in the range the implant is filled.

There are many advantages to sub muscular dual plane placement and very many disadvantages to sub glandular placement. I would see no indication to do anything but sub muscular dual plane. Subglandular silicone implant placement is the historical approach to this surgery, and was widely used in the 1960's. The implant edges are more visible, the risk of rippling is higher, the implant is in contact with the non-sterile breast tissue so the risk of infection and capsular contracture is higher. The interface between the breast tissue and the muscle is blurred so the implant interferes with mammography more than sub muscular placement. The blood supply surrounding the implant is worse so the risk of capsular contracture is higher. The support for the implant is less so there is more long term shape abnormalities and sagging. The look of a sub glandular implant is much less appealing than a sub muscular implant. The placement of sub glandular implants makes any subsequent revision surgeries more complicated and less successful. There are no advantages to sub glandular implant placement.

The choice between saline and silicone is one that requires a complex discussion of all of the advantages and disadvantages of both implants. The issues to be considered are safety, density, mobility, rippling, rupture rate, consequences of rupture, detection of rupture, need for follow-up care, cost of follow-up, appearance, feel, sensation of heaviness, radio-density, mammograms, and costs, among other things. There are advantages and disadvantages of both products. The decision will ultimately be up to you based on what is appropriate for your particular situation. Beautiful results can be obtained with either implant.

The best way to determine the size that fits your personal perception of the perfect breast is to try on sizers. This way you can see how they fit on you, how they add to your current volume, and whether they fit your frame. Although the surgeon can guide you, only you will be able to tell what is the right size. Try on sizers. Measuring a diameter and then telling the patient what volume they can have (in high, moderate or moderate plus implants) in my mind is backwards. The patients should be allowed to choose the volume. Then the surgeon carefully considers the base diameter, projection, profile, manufacturer, and fill material that will achieve the patients goals of size as well as qualitative look (natural, intermediate, or bold upper pole fullness or projection), all the while taking into consideration the patient's anatomic features that will affect the outcome. The experience of the surgeon and the degree to which they explain the options to you is of utmost importance. The subtlety in the final outcome is not achieved by which profile implant is used, it is determined by the skill in the creation of the pocket, the choice of implant. Don't let the doctor tell you what would look good on you. They cannot tell what you perceive to be the best size. There is no maximum. That is up to you.

Petite, flat chested, want natural soft breasts. What kind of implant would go with me?

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

I'm petite, flat chested, want natural soft breasts. What kind of implant would go with me?

Thank you for your question.  Based on wanting natural soft breasts, I would recommend a round silicone gel implants.  The shaped "gummy bear" or cohesive gel implants tend to be firmer feeling.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

I'm petite, flat chested, want natural soft breasts. What kind of implant would go with me?

Focus on the look not the cc or cup size. Patient's often regret decisions based on extraneous factors as you may end up with suboptimal result. Bra's vary from store to store, and cc's mean nothing in isolation. You should be measured during your consult and offered implants within a 5mm window of those measurements in multiple styles. For what's its worth, in my experience a dimensionally sound mod+ profile tends to go from an A+/B- to the magical full C or small D. A high profile (or SRF) would be about 100ccs larger to maintain the same base width and more like a Full D but VS will call it a DD or DDD, particularly in a 32-34. Ultimately, try on the different styles and look in the mirror. When you see the look you like, pick that style! This requires a consult, exam, measurements and sizing with a board certified plastic surgeon. My patients select the implant style and their chest dimensions dictate the number of cc's. I make specific recommendations to each and every of the augmentation patients I see annually based on: 1) dimensional planning 2) expressed goals 3) amount and quality of tissue to hide the implant. I have included a link with my explanation of the different implants and what to expect from your consult as well as hundreds of before and after photos to see what change implants of a particular size deliver. Best of luck. #drfeldman #BancroftFeldman #breastaugmentation #sugarland #HoustonTX

Breast implant choices

When you meet with your PS, he/she will recommend a #breastimplant that will meet your needs after you describe what you want. Taking in a photo is always very helpful

Typically a petite patient with little breast tissue wanting a natural look will want a low to mid profile implant or a shaped implant (these will not be as soft)  . That choice will most likely depend on how much soft tissue thickness you have and potentially your budget as shaped implants are more expensive.

Jack Peterson, MD
Topeka Plastic Surgeon
4.5 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.