Natural looking Implants for thin and bony flat-chested women (Photo)

I think that a small to moderate sized silicone implant placed under the muscle is a reasonable idea.Kenneth Hughes, MDLos Angeles, CA

Thank you for the question and pictures. Base on your photographs, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. In regards to specific size/profile of breast implant, despite good intentions, online consultants will not be able to provide you with  meaningful specific advice.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work. Given your concerns, I would suggest that you spend additional time with your plastic surgeon;  ask the same question of him/her regarding the use of ultra-high-profile implants  and the greater projection that results from the use of these breast implants.
2.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
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 or D cup" etc 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.  The use of computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.
I hope this, and the attached link, helps.

You have clearly thought this through and have done your homework. The photos provided are also very helpful.You are right to ask about results when you are thin with a minimal amount of breast tissue. In this situation you are more dependent on the appearance of the implant and the surgical technique used compared with someone with significantly more tissue to camouflage the implant.The main issues are defining what natural and proportional mean to you. The meaning of these words have changed dramatically over the years and mean different things to different people.Today you have the choice not only between saline and silicone, moderate and high profile but also form stable or shaped implants.Understanding what your specific goals are, best demonstrated in pictures you bring to the office, in conjunction with an exam by a board certified plastic surgeon will help define the best choices for you.I hope this was helpful. Good luck