How to keep the shape of my breasts the same but larger?

Hi, thank you for sharing your question. If you want to maintain the major characteristics of your breasts, a low profile implant may be ideal for you. Based on your body type, breast anatomy and personal preferences, your surgeon will be able to help you choose the right type of implant. I hope this helps.

If your goal is only 1/2 to 1 cup size increase then it may be possible to undergo fat transfers for something that small. It will be all natural and keep the shape. Implants are usually only good for 2 cup size increase or larger.

Best Wishes,

Gary Horndeski, M.D.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

You are correct in my opinion to avoid textured implants to prevent spin and for several other reasons. A submuscular implant covers the upper two thirds of the implant with muscle which helps maintain the natural slope and avoid the fake look. Also choosing moderate size implants will help to not look fake. That should be easy since you only want to go up 1/2 to 1 cup size. If your breasts are uneven size wise you can even try on different size sizers to see if it would help even you out by having a slightly larger implant in the small size. Discuss all this with your surgeon. Good luck.

Dear jellyjewel,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You can use moderate height smooth round implant placed behind the breasts just to add fullness and not change your shape too much. I do not use low profile implants since then are too flat and not good projection. I prefer the smooth implants to textured for better results and fewer long term risks.

It is my opinion that you correctly chose a less projected implant as a way to keep the upper pole more natural in appearance. Also, if the implant is place partially below the pectoralis major muscle, this can assist in shape as well. I recommend you work with a Board Certified Plastic Surgeon.

Your board certified plastic surgeon is your personal expert in helping you select the right implant to help you achieve your surgical goals. Based on the information provided you will want to consider a conservatively sized implant with a more moderate profile and place the implant beneath the muscle. I've included a video that I hope you find helpful.