I have small nipples and a small chest. What would be best approach?

Hello thank you for your question. Sometimes surgeons style and technique can vary. There are several types of approaches for where to make the incision. Given the size of the implant and that it is silicone will limit where you can place the incision. You can do peri areolar or IMF. Some surgeons can also do transaxillary approach (through the armpit) leaving no scars on the breasts. Everything else is a personal preference based on your anatomy and the look you are going for. Of course without a proper physical examination it is difficult to assess and give you accurate advice. You should seek in person consultation with your plastic surgeon.

You appear to be a great candidate for breast augmentation and should expect very nice results. You can elect to have the implants placed through a small inframammary incision. This approach is very common and the incisions tend to heal very well. I've included a video on breast augmentation I hope you find helpful.

Thanks for your question! I prefer the inframammary incision. Right now, you think you may be able to see it because you are relatively flat-chested but once the implant is in, that 3cm incision will hide under the breast nicely. Good luck!

Good afternoon!
I think you are an excellent candidate for breast augmentation, and 400cc HP through a nipple incision sounds awesome- that is the way I would place them for you! My second choice would be a crease scar, but it is a little more visible than the nipple incision. I believe your areolas are large enough for the placement of 400cc as long as your surgeon feels confident in their ability to do so!

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA