Slim with very little breast tissue. Teardrop or round implants best? 5ft 10, 34A, 62kg, UK size 10.

As mentioned, photos and breast measurements are needed for an accurate determination of what will best fit. Generally speaking, when someone is thin and has a small or A cup breast, the decision becomes how big versus how natural. There is only so much space in which a particular implant will be able to fit and also look natural. And yes, a round implant in the subpectoral position in a thin person with an A cup breast can and will look completely natural if a conservative appropriate size implant is used. I do this all the time. At times, the size may be smaller than desired, but it's all about what fits if you want a natural and aesthetic looking breast. In thin patients with A cup breasts, depending on their measurements, I often place a range of implants from 225cc to 275cc, and they look natural and wonderful. At times a bit larger will work. We work with alot of models who come in with A cup breasts requesting a natural looking cup size larger. Their implant size ranges from 200cc to 250cc, rarely a 275cc.I am not a fan of tear drop or textured implants. In reality, a round silicone implant, becomes teardrop shape if you hold it upright, as the silicone or saline displaces more to the bottom...producing a tear drop shape. Also, if a round implant turns one way or another, it is still round. A tear drop shaped implant, if one rotates, it will create asymmetry. The teardrop shaped implant is made textured to attempt to keep it from rotating. The textured surface adheres to the overlying tissue, a velcro like effect, making it less natural and more palpable in my opinion, especially in thin patients.Bottom line, a conservative size, smooth round implant in a thin patient with an A cup breast will create a completely natural looking breast.

Hello! Thank you for your question and photos. It does appear from your photographs that you are very petite with very little breast tissue.  Breast implants should do a great job in terms of increasing your size as well as giving a more shapely, fuller, and perkier appearance of your breasts. Which type of implant will ultimately be your decision, taking into account the look and feel of each. The bigger question, if you have decided to have a breast augmentation, will be the placement of your implants. With as little tissue that you have, I would fear that the implant may be visible with increased chance of rippling if placed in the subglandular position. You may consider a subpectoral placement of the implant along with consideration for the highly-cohesive gel "gummy bear" implant, which I believe may be a great option for you. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, need for lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.

This is an excellent question. There has been some
evidence both in europe and in the us that even experts cannot tell the
difference between round gel and form stable breast implants. Many
disagree however, and there is growing evidence to show that round implants and
form stable implants give near equivalent results in patients with relatively symeteric,
well-shaped breasts. This topic is the source of much contravercy, and
the jury is still out.