How to Obtain the Most Natural Look With Breast Augmentation For Small Breasts on a Thin Frame? (photo)

I am getting breast augmentation in two weeks, and my head is spinning! I am currently a small A. (droopy from nursing two children). I am 27, 5'9" and roughly 115lbs. I think my BWD is around 11. I want to get 275CCs with a moderate plus profile hoping I will get a small C. My PS said that he would not go higher than 275CCs in the mod+ profile. We are using Silicone Gel implants by Mentor. Should I maybe even consider moderate profile for a more natural look? He said it's rarely used anymore...

Doctor Answers 20

Natural- looking breast augmentation - View lots of photos from a PS who specializes in small breasts

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Very Small Breasts can get a very natural results.
What makes implants appear natural is more than just the size of the implant. The ideal shape and placement of the implant of the chest wall will influence the result. If you want a natural look, find a plastic surgeon with a lot of experience and a lot of photos of women with natural appearing results. 
A natural-appearing breast is noticeably fuller in the lower pole (below the nipple) than the upper pole. In profile (viewing from the side), the upper pole slopes gradually from where the breast begins in the upper chest down to the nipple, and the lower pole is full and rounded. For any patient considering breast augmentation, there is an implant size above which the upper pole begins to look rounded, convex, and unnaturally full. Mild to moderate upper pole fullness can look beautiful and youthful, but excessive upper pole fullness due to overly-large implants looks decidedly fake, and like what most people think of as a 'boob job'.

View many, many before and after photos and look for patients with a starting point similar to yours. Do those patients have a result similar to the type of result you'd like? 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Moderate profile silicone implants can cause rippling.

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Hi.  Do not use moderate profile implants.  They cause rippling.  275 cc's sounds good for you, but this article explains how we choose implant size.1)  This is the most common type of question on RealSelf.

2)  It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical.

3)  Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like.

4)  Then your surgeon has to tell you if your chosen look is realistic for your anatomy.  The most common mistake is to go too big.

5)  I recommend that  the surgeon NOT make a final implant choice in advance, because this is just an educated guess.

6)  The surgeon should have a large inventory of different size and shape implants available in the operating room.

7)  Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.

8)  Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating room inventory, and put in your breasts to complete the operation.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Natural look for small breasts

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You should get a great result. You have a nicely shaped breast which has simply lost volume from your pregnancies. I think a moderate plus implant sounds right though a lot of it depends on your chest and breast measurements, as well as goals. You might not get into a C but I wouldn't emphasize the bra size but rather the "look" you are going for. For that you need to have a good discussion with your surgeon and show photos of what you're looking for. Good luck.

You're on the Right Track

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Hi there-

In general I agree with your surgeon and think you're likely to get a great result with the plan you've outlined.

In the interest of playing "Devil's Advocate"and helping you be sure of your decisions and goals, bear in mind that the "natural" result you are asking for is synonymous with smaller breast implants, and that it is undoubtedly more common for patients who are not completely happy after breast augmentation to wish their breasts were a bit larger than it is for them to wish they were a bit smaller.

Congratulations- I think you are an excellent candidate.

Use the implant that fits your base width diameter

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Thank you for your question and the photos. I think that is a good choice if you want to have a full but still natural look.

Your surgeon is right. The moderate profile is rarely used because they are wide and offer little projection.  In fact, Mentor has replaced the Moderate with the Moderate Classic Implant which has different volume choices and dimensions than the Moderate Silicone Gel Implants.

The Moderate Plus and the High Profile Silicone Gel implants are still available in the same sizes and dimensions.

FYI:  The diameter of a 275cc Mentor Moderate Plus Silicone Gel Breast Implant is 11.7cm and the diameter of a 275cc Moderate Classic Silicone Gel Implant is 12.5cm which is probably too wide for you and has less projection.

If you are still unsure, go back to your plastic surgeon's office for sizing again. I hope this helps.


J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Natural results from breast augmentation can be difficult to achieve in thin patients

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I think the key to a good result for you is sub-muscular augmentation using an implant with diameter that fits well within your breast width. Yuo are quite thin and don't have a lot of soft tissue coverage, so using a big implant would be a mistake. 275 cc seems like a reasonable choice. The 'moderate' profile implant is going to be slightly wider in diamter with a little less projection - probably a neglibile difference.

Choosing implants

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Thank you for the question. As I stress with my patients, the choice of implant size and type would best be done through an in-person examination. There are a lot of factors that can affect your choice like the desired end result, breast tissue, body measurements, and the like. Bra sizes can be better determined once all of these information have been gathered. It would always be best to visit your board-certified plastic surgeon and get a full evaluation for your concerns. Best of luck, Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 120 reviews

How to obtain the most natural look with breast augmentation for small breasts on a thin frame?

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Judging by your description and your goals for the procedure I think you have a good operative plan. I agree that it would be best not to go to an implant with less projection. This procedure should result in a very nice outcome for you. Good luck

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 133 reviews

Natural looking results for thin frame

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Your surgeon's recommendation seems appropriate.

The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Natural C Cup Breast Augmentation

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Deciding on which implant to use is always a difficult decision for women. The benefit is that in this day and age is that there are so many choices of implants that the augmentation can be tailored to each patient.

Number one you have a good shape to your breast to begin with and the implant will just fill the fullness you have lost after having children giving you a phenomenal result.

Truly the best thing that you can do is be open with your surgeon about your desired results so they can help guide you in choosing the best implant for you.

I would spend time trying on various implants in your surgeons office and don’t be afraid to do this more than once. Also bring your surgeon pictures of what you want to look like after your procedure. This will make sure that you and your surgeon are on the same page about your implant desires.

Patients can confuse their decision by trying to be a specific cup size, which is good as a starting point, but really the best thing you can do in deciding on a size is trying implants in your plastic surgeon’s office.

275cc breast implant is on the smaller size and may not get you to a cup once the swelling subsides. The benefit of the silicone implants is that patients can place a slightly larger implant and still look natural. The silicone implants are much softer in feel and appearance than the saline implants. You would have to go with a very large implant to have a round fake look after your augmentation.

In terms of the profile of the implant, I typically decide on the volume of the augmentation first and then use the various profiles to match the breast width of the patient. This will keep the implant from being too wide, but still give patients the medial fullness that most patients desire.

It is important to see your board certified plastic surgeon to help guide you to an implant that will give you an aesthetically pleasing breast.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.