I Want Breasts Like Tila Tequila's and Mine Are Similar in Shape?

The photograph shows an ideal breast located high on the chest wall, round, areola centered, good skin tone and adequate volume.  If you are a small B then you will need an implant to increase the size.  However, the other properties of your breast may need to be changed.  It is possible to do this with a circumareola incision leaving only a scar around the areola.  There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift, which may be ideal for you.  This will allow placement of the implant, reshaping the breast, reposition the breast higher, increase the upper pole fullness and increase cleavage.

Best Wishes,

Gary Horndeski, M.D.

Eery single patient is a bit different. I suggest you go for a proper evaluation and then an implant can be appropriately selected for you.

Without seeing your photos, it is difficult to comment.  As for Tila's augmentation, similar results can certainly be obtained with silicone implants placed under or over the muscle via an IMF incision.  

Whether your breasts will look like hers, however, depends on how your breasts look naturally.

I suggest finding an experienced plastic surgeon in your area and discuss your options.  In terms of sizing, I have my patients place different sized implants in their bra under a t-shirt to choose the ideal implant size.

Warmest Regards,

Asif Pirani, MD, FRCS(C)

It is useful to see a target photo. Without seeing your photo it is hard to realisitically state that that can be achieved, but if indeed your breast shape is like the model's was before surgery, then it is all the more likely. 

Silicone, under the muscle, fold incision are the norm for many plastic surgeons, with the incision choice being more of a variable. As to the size and contour of the implant, that is a decision that would be arrived at with your participation at a consultation. I prefer having my patients try on implants, and the combination of that with goal photos has worked well in choosing the best implant size and shape.

This is a fairly routine procedure, but routine to surgeons who do these with frequency. I would not think that once you know your chosen  implant size that you could go to an inexperienced surgeon, or to a surgeon who is not board certified in plastic surgery and expect as good an outcome as you would get with the right surgeon.

Thanks, and best wishes.

Thank you for the question and goal picture. As you can imagine, it is not possible to give you precise advice without direct examination and a full communication of your goals.

The best online advice I can give to ladies who are considering breast augmentation surgery is:


1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.



2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
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 “perky size D” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.



3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.




I hope this helps.