Augmented breasts can and should look natural. With the right implant in the correct position, they can also feel completely natural. Excessively large breast implants never look or feel natural, so the first important factor to consider is implant size.You are correct that silicone gel breast implants tend to look and feel more natural. Placement under the muscle will also make the implant less palpable. Choosing the size based on cup size can be tricky as bar manufacturers are so different. Instead, I would suggest looking at the before and after images on a plastic surgeon's website and looking for women with a starting pint point like your and a result that is what you'd hope to achieve. Some plastic surgeons, myself included perform only natural looking breast augmentation surgery and never use overly large implants. The size of the implant is only one factor that contributes to the appearance of a natural looking result. The pocket placement is critical. Even very small implants can look unnatural if placed too high on the chest wall, too far apart or too close together. In some cases, the inframammary fold should be lowered. if that is the case, your lactic surgeon needs to have a plan for preventing a double bubble or implants that shift.The implant size is not just about c's but also about base diameter and shape. Implant 'profile' refers to how wide an implant is (base diameter) compared to how much forward projection it has (height). The implant manufacturers use different terms to describe these profiles, but in essence there are three types: low profile (wide base diameter / modest projection), intermediate profile (less wide, more projecting) and high profile (even narrower diameter, very projecting). If the goal is a full but natural-appearing breast enhancement, almost all patients need a low- or intermediate-profile implant. A 'deflated' appearing breast with little forward projection usually looks best with a intermediate profile implant, while a more youthful-appearing breast with some natural, inherent projection often looks best with a low profile implant - especially in a slender patient with an athletic frame. There are very few patients that need a high profile implant, at least not if the goal of surgery is a natural-appearing breast enhancement. The combination of narrow base diameter and high projection is really an implant style that is more suited to breast reconstruction than breast augmentation. A common error that leads to an unnatural appearance after breast augmentation, even with implants of an ideal size, is inadequate lower pole dissection and/or inadequate release of the pectoralis major origin just above the inframammary fold. As a result the implants sit too high and appear excessively full in the upper poles (the area above the nipple-areola complex), while the lower poles - which should be the fullest area of the breast - are underfilled. Inadequate muscle release may also result in bizarre-appearing breast implant 'animation' when the pec major muscle contracts. In some cases this may result in one or both of their implants jumping up literally to the level of a patient's collarbones. An alarmingly unnatural look, and one that is totally avoidable.Most patients want to have the fullest breast profile that still looks natural on their body. The limiting factor for implant size is almost always the appearance of the upper pole. At some implant volume, the upper pole of the breast begins to look excessively rounded or convex, and that is a look that says "breast implants live here". By taking your time researching a plastic surgeon to perform your breast augmentation procedure, you should be able to find a plastic surgeon who understands your goals and can demonstrate his ability to to provide the results you are looking for.
