Silicone gel implants often perform better than saline implants when placed subglandular
If you are convinced that you would want to have implants placed above the muscle then silicone gel implants will give a superior esthetic result. It appears that you are thin and there is not a lot of native breast tissue. You would therefore not have substantial coverage for implants placed above the muscle. Implants would probably be easy to feel and visualize if placed above your muscle and silicone gel implants generally seem more natural under these conditions.
There are many issues to be considered when choosing between placing implants under the muscle versus above the muscle as well as choosing between silicone and saline filled prostheses. This information can be obtained best through a formal consultation with an experienced board certified plastic surgeon.
I hope this limited amount of information is helpful. Good luck in achieving the enhancement you desire.
It is very important to communicate your size goals with your surgeon. 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 “C cup” or "fake looking" 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.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
What about breast asymmetry?
Subglandular implants may correct some of your problems but lead to others. You asymmetry needs to be addressed and you may require a breast lift. Subglandular placement of gel implants your risk of capsular contracture is higher and with your thin skin would be noticeable. You need to discuss all of these things with you plastic surgeon as I feel than augmentation alone is not the best choice.
First, you have asymmery and will need a lift. Second you are very thin and more than likely will have rippling especially if you place them in a subglandular pocket.
Will 280-300cc implants look natural on me?
I think that subglandular placement is ideal for your situation. However, your right breast is a lot lower and bigger than the left. A simple augmentation alone would NOT give you an aesthetic result. You most likely need a lift on the right side along with an augmentation. Make sure that your surgeon discusses this with you as you decide on a plan. Good luck.
Natural Breast Augmentation for athletic person.
For all the reasons you mentioned, a pre-pectoral implant is what you should do. The ideal implant is a textured anatomic silicone implant. However, they only make a textured anatomic saline or a textured round silicone. Because of this you need to be careful with the size you mentioned with a breast that is only 11 cm wide. To look as normal as possible, I would not normally recommend a high profile implant. The only way to get the size you mentioned in a moderate implant is with a wider implant. This may be possible. What you need is a careful examination and discussion of your desires to really find out what will work. Since there are multiple options, yes, you should be able to have a “natural look” within your constraints. I would never put an implant under the muscle in someone like you, and almost always get a very natural look.
Natural look with implants in athletic women
There are several things to consider: first, the size of the implant needs to be large enough to fill up the loose skin envelope that is stretched, but as you know if you go too large then it won't look good. Under 300 cc is probably a good choice. You appear to have very little breast tissue and body fat to help conceal the outlines of the implants. This is a classic problem and there are two options you should look into: first is subfascial, which will help add a little support as compared to subglandular, though it won't add any extra "padding"; the second is a split muscle option, which gives coverage to the upper pole but with very little propensity to distortion with activity. More info here: http://www.drbaxter.com/breast_implants_athletic_woman.html.
Silicone Breast Implants, Breast lift, Breast Ptosis
Thank you for the question. It seems you're quite educated both in the breast augmentation procedure as well as your expectations given your body habitus. Although it is difficult to determine what size implant would fit you without having the luxury of performing an examination, a sub-glandular placement of an implant is indeed an option.
Clearly, in a thin individual as yourself, silicone would be a good consideration as rippling will definitely be a concern post-operatively. Regarding the ptosis, I would keep in mind that the discrepancy in the position of your nipple-areola complex between right and left breasts will become significantly more evident with the augmentation procedure. I think consideration for a breast lift, perhaps a Benelli, is warranted in this situation, and that indeed is my first impression having only your picture to go by.
I would recommend you follow up with a board certified plastic surgeon to review your options, risks and benefits, and likely outcomes given your situation. Best of luck!
Maybe you should discuss this with your surgeon
Your breasts are a bit different from one another. Without some kind of lift surgery, a sub glandular placement is going to make two pretty "different looking" breasts. Maybe make this part of the discussion as you choose a surgeon. There is also the issue of contracture with sub glandular silicone gel implants, but you can cross that one too when the time is right.
Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.