Can 245cc smooth round implants under the muscle look natural?

Hi Olivia,We love smooth round implants, and we always suggest a few options in terms of size for our patients, depending on what they are looking to achieve. I would recommend returning to your doctor, and sharing your concerns, letting them know that super natural is the outcome you are after. 

You need a formal evaluation by a licensed plastic surgeon and expert in breast augmentations to determine what is best for you and your goals.Proper breast enlargement is not a "cookie-cutter" procedure where the same technique is applied to every patient. Every woman who comes to my practice has unique needs and different goals for her breast augmentation. As a board-certified plastic surgeon, I always listen carefully to each woman's concerns and thoroughly discuss the key points of the procedure. I also take into account their overall height and weight, the size and shape of the underlying chest and ribcage, the tightness and elasticity of the skin, and the amount of natural breast tissue. Prior to the procedure, we discuss and make decisions regarding location of the incision, whether to place the implant under or over the chest muscle, and what type of implant to use (I offer multiple types of silicone gel breast implants, as well as saline implants).
My experience performing thousands of aesthetic breast surgeries in a wide anatomical range of patients enables me to achieve consistently beautiful and natural results that are customized to each patient’s body type and goals. These results are the product of extensive communication, meticulous planning, and skillfully executed surgery.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Augmentation surgeries. - Dr. Cohen

Thank you for your question.Absolutely, the the 245CC can look natural, dependent on your anatomy and physical appearance, under or over the muscle would be discussed upon consultation. Please ensure you have all this information before going ahead with surgery. Breast Augmentation surgery is very serious, so ensure you take the time to know you're comfortable with the technique your surgeon will use, ensuring the most natural look.Breast Augmentation surgery involves the placement of a breast implant either over or under the muscle in order to enhance the appearance or replace lost breast volume. This procedure is performed under a general anaesthetic. The type of augmentation and the implant placement will be discussed with you fully during your consultation as it depends on various actors including skin laxity, desired outcome and previous medical history. It sounds like it may be worth looking at before and after photos of your surgeons work with a frame similar to yours to give you an overall idea of the outcome, settling any nerves.Good luck in your search!

In almost all women, round implants will produce a better result as the mass of most breast tissue is located in the inferior aspect of the breast.   Thus, round implants give more upper pole fullness, which is usually lacking due to involution or lack of development.  Teardrop or anatomic implants were developed for women after mastectomy to reapproximate the shape of breast if starting with nothing.  Thus, if used in most women, the result is a more matronly look with less upper pole fullness.

Yes, your results should look natural. Placement behind the muscle is the key. That placement is what my 6700 breast augment patients requested, received, and were satisfied with their natural appearance. All 13,400 implants used were round and smooth.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and AuthorRealSelf Distinguished Hall of Fame Inductee

Studies have shown that when placed under the muscle, both patients and physicians cannot accurately discern the difference between a round and a shaped device. The pressure of the muscle overlying the upper pole of a round device will flatten it (somewhat) mimicking the tear drop of an anatomic device.As always discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic
Surgery, American Society of Plastic Surgeons
RealSelf Top 100
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Hall of Fame

Dear oliviamardon,
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

nano textured implants have very good stats for ALCL and they do come in anatomical and round as well. consider anatomix from motiva with hybrid nature and kinetics that resemble natural breast

Smooth round implants can look very natural and the 245 cc volume can be very nice for that natural look, but that depends on your anatomy.  It is more important to work with a Board Certified Plastic Surgeon and know how the different volumes and projections should work with your body.

First of all thank you for the question.  I usually will use the smooth round implants for most patients.  It should give you a very natural look if the size you decided to go with is what was recommended.  I would suggest having a follow up with your plastic surgeon to determine what results you are looking for and that you feel comfortable with the size you have picked going into surgery. Best of Luck.