Are there specific techniques for augmentation on flat chests? (photo)

There are several things you and your plastic surgeon need to consider in order to get a good result:The implant diameter and profile need to be matched to the base diameter of your breasts and the desired size. Do not go with a higher profile implant.Muscle coverage is usually desirable but problematic in athletic, muscular women because of issues such as animation deformity with the common dual plane technique. The split muscle plane is often a good compromise, because it does not detach the pectoral muscle but preserves coverage. Also, it does not weaken the muscle as dual plane does.The gel firmness of the implant is also important, Softer gels may ripple too much. Gummy implants may look too firm and fake. Inspira Soft Touch or Sientra 107 Are good options.

Excellent questions. It is very important that you find a surgeon who is experienced, can show you examples of their work and overall gets great results. In addition its very important that you feel comfortable with the surgeon and their approach. 
You're a great candidate for a breast augmentation and your goals are very achievable as well. Typically in patients such as yourself I recommend placing the implant underneath the muscle because in patients with smaller amounts of breast tissue, it looks more natural. Ultimately there are many different style of breast augmentation but a subpectoral approach would be best for you.
Best wishes,
Dr. Jan

In patients who have very little breast tissue or sub cutaneous fat, hiding implants can be a particular issue and the shape of the breast is essentially dictated by the shape of the implant. It is therefore advisable to have an anatomical shaped or tear drop implant. As there is very little breast tissue to cover the implant, one should consider placing the implant under the muscle (dual plane technique) to cover at least the upper part of the implant as much as possible. There can however be issues with animation of the implant, but the incidence of this can be reduced by surgical technique. Lastly, aim for a modest volume implant as larger the implant, the more unnatural it might look. 
For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Based on your photos- I would place implants sub-muscular- you can see some examples in our gallery. Best to seek a Board Certified PS for in person exam to go over all details

Thanks for your question. I would tend to put implants under the muscles in flat chested individuals to disguise the upper pole of the implant. For absolutely the most natural look you may also consider teardrop shaped implants, although there is little extra beneift compared to round implants under the muscles which actually take on a teardrop shape with the upper half is pushed flatter by being covered by muscle.

Excellent question.  The short answer is yes, there are different techniques used.  Bottom line is that we want to minimize the risk of an implant becoming visible.  For women with very minimal breast tissue we typically will place the implant partially under the pectoralis major muscle.  Not everyone is a good candidate for this treatment so please see a Board Certified Plastic Surgeon to evaluate if you may benefit. Good luck!

This content is for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare professional.  You should always seek the advice of your physician or healthcare professional for any questions you have about your own medical condition. 

Women with very little breast tissue do require special considerations during breast augmentation. There is less tissue to hide any pocket imperfections, there is less tissue to hide the contour of the implant, etc. The special techniques required go beyond simply choosing "above or below the muscle" or the type of implant.  Careful pocket dissection and possibly doing concurrent judicious fat grafting  are just some of the considerations. This discussion is too complex to describe in a few paragraphs.  Seek out an experienced and talented breast augmentation surgeon for an in person evaluation. 

A breast lift can be done with breast augmentation so that the breasts can be more youthful looking. The breast lift/mastopexy addresses the sagginess of the breast by removing excess skin and the breast augmentation will had volume to the breast.  There are several different types of lifting including many lifts that do not have many scars. This does not necessarily mean that you need lifting though as it depends what size breast implant you want and your examination so it is not always needed.I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in breast augmentation & lifting surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Hello and thank you for your question and sharing your photos. Surgical technique and implant selection are key elements in breast augmentation, which become more important in skinny individuals with lack of adequate soft tissue coverage. A meticulously dissected pocket under the muscle ensures adequate soft tissue coverage superiorly, would give a more natural look and upper pole slope. Likewise, selection of gel implants over saline implants would result in less rippling in the lower lateral part of the breast.  I would see a board-certified plastic surgeon for a complete evaluation and advice. Best,

Dear HP1984,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