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

Hi Julzy. Thanks for your question. It's one that many women probably have. If you look at the before-and-after galleries of reputable, board-certified plastic surgeons, you'll find that most of us have performed breast augmentations on women with builds very similar to yours. In fact, thin women with very little breast tissue frequently choose breast augmentation. There are so many remarkable breast implant options available today, you should be able to achieve exactly the look you want. If you opt for silicone implants, which are a great option, it would be considered "off label" use since you're not yet 22. This is commonly done, but it may limit or nullify the manufacturer's warranty on the implants. Be sure to discuss this with your surgeon. It does look like you have a slight concavity (pectus excavatum) and a little asymmetry, and these can be cosmetically improved with breast augmentation. The key is to find an experienced, board-certified surgeon who offers all of the latest implant options. He or she will take careful measurements, and will help you determine which implants will give you the best outcome. Computer imaging systems like VECTRA can also help with this. Good luck!

The best cosmetic result in any particular breast
augmentation patient depends on a variety of factors, including: your
individual anatomy, desired outcome, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit
at a preoperative visit will help you and your surgeon choose the optimal
implant.

Keep in mind that following the advice from a surgeon on
this or any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California