What size & type of implant would be the best option for a girl with very thin skin, wanting a natural look?

I'm 5'7, 116 lbs & considering 350 cc or 375 cc saline implants. I was told that taller frames can hold larger sizes & he measured my chest & recommended 400-450cc. I don't want to go that big. My arms & chest are pretty thin compared to the rest of my body & my chest bone shows slightly. I have VERY thin skin & worry that the implants will ripple or look unnatural on me. Would silicone be a better option for me? Should I consider going smaller? What can I do to get the most natural look?

Doctor Answers 13

Implant Selection

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements.

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.

The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process.

In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size.

I wish you a safe recovery and fantastic result.

Dr. Gill

Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

Sub-muscular breast implants 250 cc to 300 cc best for small thin-skinned girl

Thank you for your question.  A photograph would be helpful.  Generally speaking if you are petite with very thin skin and do not want to look unnaturally big, a breast implant in the 250 to at most 350 cc is the most common option in my practice.  From your description 400 cc seems to large.  Silicon gel breast implants placed beneath the muscle would be the most likely choice.  Because you have thin skin under the muscle is essential to help cover the implant.  Please find a board certified plastic surgeon who has an excellent excellent reputation in your community.

Avoid large implants and secondary revision

Unfortunately, you have not told us your bra size but if you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired size. I always recommend small round textured silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result. A frequent cause of dissatisfaction is over implantation. 400 cc to 450 cc implants are large, will extrude inferiorly and laterally requiring revision.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 222 reviews

Natural looking implants for a woman with thin skin

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.   
Look for many, many before and after photos on the website of the plastic surgeon you are considering to be sure there are lots of natural looking results including natural looking results in patients who are very thin with thin skin

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Thin and natural do not go together when it comes to implants

and you must realize that implants are only designed to make you bigger and fuller.  If you want the most natural look, find a local plastic surgeon who can do both the smooth round gel and textured anatomic gel to review the pros and cons of each and choose what is best for you. 

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Silicone advantageous in thin patients

Thank you for your question.  I almost always recommend silicone implants, especially in patients with thin tissues.  In patients with thin tissues, the characteristics of the implant are more likely to show.  Saline implants are less compressible and more prone to visible rippling.  Because they are less compressible, they are more likely to look very round with a possible stepoff in the upper pole where your tissue transitions onto the implant.  It is not a natural look.  In my practice I usually recommend a shaped implant, silicone, under the muscle in this scenario.  Do not agree to an implant that is too large for your taste or your tissues.  The idea is not to put in the very largest possible. I suggest you have more than one consult with Board Certified plastic surgeons before making a final decision. 
Tracy Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 27 reviews

Breast aug

Thank you for the question.

To best help you, a physical examination or picture evaluation would be necessary in order to determine which procedure and technique would be best for your case.

Dr. Campos

Jaime Campos Leon, MD
Mexico Plastic Surgeon
4.4 out of 5 stars 251 reviews

What size & type of implant would be the best option for a girl with very thin skin, wanting a natural look?

  Silicone implants placed under the muscle would be a better choice based upon your description.  The sizing can be determined by placing sizers in the office.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Implant selection

I think that if you want to get breast implants, you need to be seen in person to determine what is appropriate for you. Discussion of implants, shapes, sizes, incisions, and pocket location are all determined during this conversation.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Implant choice.

With thin tissues, silicone will be a better choice, and perhaps anatomic shaped implants. They will feel and look more natural, and have less chance of rippling. They should be placed under the muscle. 

Sizing is best done in person, based on trying on implant sizers, and breast measurements.  If your surgeon is suggesting something larger than you want, another opinion or two will be worth you while. 

All the best, 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

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.