Will implants help me achieve a fuller look with more under boob? Currently an A / B cup (photos)

Question

I measure at a 34a/34b. Most of my volume is on the top of breast with little to no underboob? Would breast implants be able to help me?

John Diaz, MD · Answer

Breast implants will create more fullness at the bottom of the breast, while adding overall volume to the breasts.  Specifically a teardrop shape implant, such as a moderate-plus silicone implant, achieves a more natural result by adding fullness to the lower aspect of the breast while standing.

Randal Haworth, MD, FACS · Answer

Breast implants can help to increase the volume of your breasts and improve their shape, but whether or not they are the right option for you depends on your individual goals and concerns.

If you have little to no underboob, a breast implant can help to create a more balanced and natural-looking breast shape. However, it's important to keep in mind that breast implants alone may not address all of your concerns. Depending on the specifics of your case, a breast lift or other procedures may also be necessary to achieve your desired result.

It's important to discuss your goals and concerns with a board-certified plastic surgeon who has experience with breast augmentation. They can evaluate your individual needs, discuss your options with you, and recommend a customized treatment plan that is tailored to your unique goals and anatomy.

I hope this helps,
best of luck !

Brian K. Reedy, MD · Answer

Thanks for your question! I do think you would be a great candidate for breast augmentation. Whomever completes your surgery may have to lower your fold a little, but that's fairly routine. Good luck!

Brian Bassiri-Tehrani, MD · Answer

Thank you for your question. The short answer to your question is, yes. Implants come in various sizes, shapes and volumes. The best implant is one that is based on each individual patient's anatomy, dimensions, desires and goals with surgery. For most people, breast implants add volume to increase projection, height and cleavage. Some people prefer a very subtle augmentation, whereas others prefer to have an "augmented" look that is obvious breast implants are in place. This largely depends on patient preference, but also depends on the tissue/skin quality and capacity. For example, some patients cannot fit implants that are bigger than their frame.
Breast implants will be able to help you achieve your goals. The specific size and shape of the implant that is best for you depends on how big or full you want to be after surgery.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, if interested. 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

Thomas Trevisani, MD · Answer

Based on limited photos it appears that you are a good candidate for Breast Augmentation - it will create a fuller look for sure. I suggest that you seek an experienced Board Certified PS and review the details of the procedure during your consultation

James Lee, MD · Answer

Thank you for submitting your questions and uploading your photos. Yes, absolutely breast implants can help get your desired look. In order to have a more natural look and have slightly less projection on upper pole it would be advantageous for you to place the implants under the muscle. In order to help expand and add fullness to the lower pole, a dual plane pocket can help you achieve. Hope this helps. Be sure to consult with a board-certified plastic surgeon.

Ryan Rebowe, MD · Answer

Your breasts have a slightly constricted lower pole indicative of what is known as tuberous breast deformity. Breast implants will help this, but you will likely need a specialized augmentation that scores the lower pole of the breast tissue for it to stretch out over time. Because of this, I would make sure that you are seeking a consultation from a board-certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear Humorous593465,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (250 cc versus 300 cc), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Will implants help me achieve a fuller look with more under boob? Currently an A / B cup (photos)

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