What styles of 250cc sub-glandular implants would look more natural on a thin women?

Without photos it's impossible to give you an accurate assessment. I recommend a submuscular placement instead of sub glandular. To get a natural look with a full upper pole, I would recommend a smooth, round , cohesive silicone implant in a partial,pectoral position, meaning the implant is covered 85% by the muscle and 15% by the gland.Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in cosmetic breast surgery. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. Good luck, Dr PG

For very thin patients I recommend placing implants beneath your muscle so that there is more soft tissue coverage with a more natural appearance. Discuss the pros and cons of a subglandular implant - an exam is needed obviously for the most accurate answer. It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in a bit.Additional critical decisions will also be made by your plastic surgeon such as: whether your implants will be above or below your pectoralis muscle. These choices are recommended to you based on the look you desire, the amount of sagging you may have, and other deciding factors. For more than 25 years, I have tried just about every method to best understand and achieve the patient’s optimal goal. The following is what I have found to be most accurate: To start with, I have found it most helpful for patients to bring in photos from my or other plastic surgeons’ websites to illustrate what they would like to look like. This gives me detailed standardized views and information both qualitative (shape, perkiness) and qualitative (size) and allows me to discuss with my patients how I can best achieve their objectives as well as realistic expectations. For example, though I always tell my patients that I cannot make them exactly the same as a photo because everyone has different anatomical constraints. However, these ”ideal” breast photos are brought to the operating room for reference during surgery so that I have the advantage of “seeing through my patient’s eyes” to best achieve their wishes. Even if the photo does not match their height or weight, I and most plastic surgeons are very good at translating the proportionality of the photo to your features.I personally order more than one set of implant sizes and use sterile implant “sizers” (temporary implants) placed in the created implant pocket during surgery to know in advance exactly which implant would work best for you in both a sitting and lying down position. This also allows me the opportunity to modify the pocket to meet some of the more subtle shape features desired. This enables me to use my full artistic potential to achieve your desired goals.

But it is impossible to suggest the most natural implant profile for you without having detailed breast measurements.  Make sure you see a board certified plastic surgeon.  

If you are candidate for 250cc, placed over the muscle, you basically need to consider a round or anatomic implant.  Although there may seem to be many types of implants, they generally fall into these two broad categories.  If you are thin and the implant is placed over the muscle, a silicone implant is in my view, necessary.  If you want more upper pole fullness,  I believe that the anatomical, or tear drop shape implants are designed to provide less upper pole fullness than a round implant.  A very natural look can be achieved with a round implant over the muscle.  The final decision of which implant to use should really be made after a careful examination and discussion with an experienced, board certified plastic surgeon.

Thank you very much for your
enquiry.Generally for very slim women
we do recommend that the implant is placed half under the muscle.This is because you will get a better
appearance with the upper pole of the bust.



There are a number of different types
of implants but essentially implants can either be teardrop shaped or
round.To find out more about the pros
and cons of each of these I think it would be worthwhile having a look at our
website:aurora-clinics.co.uk which has
lots of information and videos discussing the pros and cons of each technique
and implant.



I hope this helps and wish you the
best of luck if you decide to go ahead with surgery.



Best wishes

Without an exam in person, i have no idea what would be the right implant for you. In general, I place most implants under the muscle.

With no posted photos there is no way to recommend anything for you. Best to seen a few boarded PSS in person! 

The best cosmetic result in any particular breast
augmentation patient depends on a variety of factors, including: Your
individual anatomy, realistic expectations, a thorough discussion with the
plastic surgeon about the options, and an understanding of the pros and cons of
any particular implant choice. Proper sizing is not just about the number of
cc’s. The thickness of your tissue, breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Thank you for the question.  
Unfortunately, online consultants will not be able to provide you with specific enough advice (in regards to the best breast implant size/profile/style) to be truly helpful.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as  “natural” or "C cup" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate. The use of computer imaging may be helpful during the communication process.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery ( after the use of temporary intraoperative sizers).
I hope this, and the attached link (dedicated to breast augmentation surgery for petite patients), helps.

My first thought when I see someone come on here and start a question already knowing what size implant they want and how it should be positioned is:  How do you know that?  The operation of breast augmentation has truly become quite a complex thing, and although the technical exercise of merely putting in breast implants is pretty basic and something most plastic surgeons could probably pull off, in order to obtain reliable, reproducible, and lasting results time after time, that are truly beautiful and aesthetically correct, a surgeon must really understand the nuances and fine points of this operation.  And this is never more true than in the case in which a lady specifically requests a "natural looking" breast and she is thin.  It is very easy to make a thin woman's breasts appear "fake," too round, disproportionately large, improperly positioned, and on and on.  I like to tell people that of the money that they pay me for breast augmentation, 10% of it is for what I actually do, and 90% of it is for knowing how to do it well.  You are correct that there are many different "styles" of breast implants available to us now, and there are many different sizes within each style, and there are also 3 different manufacturers approved in the US to sell breast implants, each with it's own subtle differences in gel types, outer shell technology, texturing, size ranges, and dimensions.  In order to get the optimal result for each individual person, a surgeon must not only understand the differences between these choices and how to exploit those differences to select the best one for each patient, but he or she must also understand the technical nuances of planning and executing the operation.  Many surgeons don't even understand these things, thus, I don't expect many patients to either.  This is why I ask how you actually know for sure what it is that you want as far as implant size and location of placement.  If you do, then you should at least discuss it with a surgeon who can validate your goals.  The best advice that you can receive here is to keep an open mind about the actual plan for HOW to best reach your goals and focus on the specific things about your breasts that you would like to change.  Focus on sizing for appearance from your perspective and let the surgeon work out the actual volume, style, and dimensions of the implants to best meet those goals.  Schedule one or two consultations with board certified plastic surgeons who have experience with many different types of breast implants and techniques and who can properly evaluate you and guide you to the best option to reach your goals.  This is the way to maximize your chances of getting the results that you want and eliminating as much of the "guesswork" as possible.  Good luck.