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.

Your concerns are valid.  I use a 3D imaging package to help visualize what you will look like to the best of our ability.  Please fee free to call us and come in for a consult.In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.



Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

form stable shaped breast implants could provide the best result for you. It is important that you find a plastic surgeon who uses biodimensional planning techniques  when selecting breast implant size, placement and position. Please view my videos on this topic. Please also look at my website for many examples of women with very little breast tissue to start with a natural looking breast profile after surgery

Without photos and breast measurements, it is hard to comment other than in generalities. The teardrop implant recommendation sounds sensible.  Although rotation is a possibility, it seems that using textured implants may have a lower rate of other complications that might require revision surgery. Rounds might be capable of a nice result, but without photos, I couldn't guess.All the best .

You are correct to be worried about the risk of rotation of a teardrop shaped implant. There is no reason to accept this risk as the teardrop shape does not offer any real benefits in cosmetic breast augmentation over properly sized and positioned round implants (below the pectoralis muscle for the upper part of the breast). Round implants only look "fake" or "stuck on" if they are sized improperly or positioned above the muscle. There are certainly situations in breast reconstruction where an implant that is not round is needed to shape a breast that is no longer there but not in cosmetic breast augmentation of a normal breast. With round implants you don't have to worry about the implant turning or even flipping over and they fill out the normal breast quite naturally if they are sized and positioned correctly. 

There are several important factors when considering breast augmentation for some patients with very little breast tissue:#1 Breast implants should be placed beneath the chest muscle#2 Smaller more conservative breast implant size#3 In my opinion smooth walled breast implants.You're correct to be concerned about positional problems with teardrop shaped implants.  In addition teardrop shaped implants are textured implants which have a thicker wall which can be more palpable and visible than are smooth-walled implant.  Most importantly don't attempt to go to be.  My fear is that attempting to achieve a D cup hole result in an extremely large implant that will look obvious when you're petite frame with little breast tissue.  Please consult a board certified plastic surgeon who is very experienced in breast augmentation.