Do Small Implants Look More Natural? I am an A Cup Now.

With your body frame, small implants definitely will achieve the "natural look" you are looking for.  Since you do not have much breast tissue to cover the implants, I would suggest for you to go with silicone gel implants, which feels more realistic(breast-like) than saline implants and minimize the ripple look.  As a possible alternative to using anatomical implants, consider using either low profile or moderate profile implants.  As for your question about if you breasts will look too separated after the augmentation, it will really depend on your nipple position and how your rib cage is shaped. Without seeing you in person, it is difficult for any doctor to definitively answer your questions. My best advice is to sit down with your plastic surgeon before your surgery, and let him or her know your questions and concerns. Try on some implants, then make your decision.  

While it's true that really big implants can look really fake, I think at times, too small of an implant looks even more tennis ball...We saw that a lot in the 80's when very small implants were used....and 140cc or even 175cc are really small....I think too small in most women who are an A cup....So for my patients I suggest they go a little bigger and a little wider....

Hi there-

Assuming all other things are equal and that you are a good candidate for augmentation, a smaller implant is less likely to look like an implant than a larger one.

If the most natural slope is important, I would also say that most women (especially thin women with very little of their own breast tissue) are best served by a gel implant.

I, personally, do not agree with the use of anatomic implants.