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

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

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!

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.

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

You should be able to get a wonderful result, provided you have realistic expectations and it sounds as though you do. You are wise to be concerned about rippling as it a real problems in women with minimal breast tissue. A shaped form stable breast implant can give the patient the lowest risk of fold and ripples in the lower pole, the lowest risk of a visible transition between natural breast tissue and implant (sometime refereed to as a double bubble) and the lowest risk of breast implant malposition with the breasts bottoming out. I think there is a performance difference between form stable breast implants. Consult with plastic surgeon who have experience and expertise perfuming this particular procedure.

Thank you for your photos and thank you for your questions.  I agree totally with Dr Singer and would advise you to go on several consults with board certified plastic surgeons in your area to become fully informed of your options Dr Corbin

Probably the smooth round gel, under the muscle. The larger you go with the implant, however, the less natural it will look.