Breast Augmentation: Cost, Reviews, Photos

Breast augmentation is the most common cosmetic surgery in the United States because it provides a consistent way for a woman to change the shape, position and size of her breasts.

In our practice, we often performed breast augmentation in petite or very thin patients. For these patients, it is essential to work closely with them to help pick an appropriate size breast implants that will not look fake and will not put too much tension on their overlying skin envelope.

It is also important to carefully pick the profile of the breast implant so that the breast is positioned only on the chest and not to the sides. To learn more about breast augmentation, see natural looking breast augmentation photos, and help you decide which one is best for you, please visit us at the link below. (Pat Pazmino, MD, Miami Plastic Surgeon)

When a patient comes in saying they want breast augmentation but want to look matural, I often tell them they look natural already, but they just don’t like it. What they usually mean is that they don’t want to look obviously unnatural.

The general philosophy and approach to naturalness (or minimal unnaturalness) is to try and hide the implant as much as possible behind the nautral breast tissue, and to keep the proportion of implant to natural breast tissue as low as possible.

The key, of course, is to do all this and still produce the enlargement that makes the operation worth it to the patient. If you think about putting in a golfball size implant in the breast, the breast will look and feel pretty much like a natural breast, but it would produce much enlargement.

If you put a softball size implant in the breast, the breast will be noticeably enlarged but will act and feel more like the implant. Most patients with even the smallest amount of breast tissue can accept some implant that will satisfy the above approach.

However, it might mean choosing a very small implant that gives only a modest amount of augmentation. For example, if your fiance has only abouot 100-150cc of breast tissue with a diameter of 10 cm., she might only be able to be matched with a 150cc. implant.

If she wants something larger, she will have to accept becoming more and more unnatural with more and more of the characteristics of the implant chosen. Since there are more complications and side effects with relatively larger implants, silicone implants under the muscle becomes more and more reasonable. Carefully discuss all factors with her surgeon. (Robin T.W. Yuan, MD, Beverly Hills Plastic Surgeon)

The most natural results are when moderate size implants are placed. In very thin patients, it is probably best to place them in a submuscular pocket to give more soft tissue coverage, but you can obtain very natural results.

The larger the implant, the more likely to see less than natural results. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Breast Augmentation in Asian females with a tight skin envelope and minimal breast tissue Many patients requesting breast augmentation have minimal breast tissue and tight skin overlying their breasts. There are several things to consider prior to scheduling surgery:

• Submuscular vs. subglandular placement of implants
• Silicone vs. Saline implants
• Volume to match body proportions
• Conservative volume enhancement to minimize skin stretch and striae.

 

Asian patients typically request a natural enlargement of the breast. Although body types differ, a patient with minimal breast tissue and a resilient and tight skin envelope can certainly obtain natural breast enhancements with a submuscular and silicone implant. (Raffy Karamanoukian, MD, FACS, Los Angeles Plastic Surgeon)

Most natural breast augmentation with tight skin

A lot of women with a small frame and tight skin choose to have breast augmentation. If done conservatively one can expect a nice and natural looking result.

I would recommend silicone implants for natural appearance and feel and caution you(her) against a large implant. There is a lot to consider. I recommend that she seek consultations with a few surgeons certified by the American Board of Plastic Surgery.

She can find someone that she feels comfortable and confident with and make a plan together to achieve her goals. (Adam Rubinstein, MD, Miami Plastic Surgeon)

Breast implants that look natural

There is an important component of planning a most natural breast augmentation that involves matching the patient’s proportions and chest wall measurements/soft tissue characteristics with the appropriate sized implant.

This process is key to assuring a natural ”fit” for the implant to minimize undesirable over-stretching of tissues or an overly “fake” look with too large an implant. Conversely, too small an implant may fail to achieve a satisfactory change and can be disappointing to the patient.

It is critical for the patient to spend a good deal of time with the surgeon on more than one occasion reviewing all of the considerations and agreeing on the best implant volume range to choose. (David J. Levens, MD, Coral Springs Plastic Surgeon)

It is possible , with the anatomy that you describe, to get a nice result and have your fiancee feel more feminine.

I recommend using relatively small, round, smooth walled high profile implants placed under the muscle. Saline implants are fine in this setting, and can be put in through a very small incision. Silicone implants are also fine, but with a slightly longer scar. I would aim for a large A cup.

We use temporary implant sizers DURING SURGERY to determine the best implant size. We try different volumes in the sizers with the patient (under anesthesia, of course) sitting up on the operating table. Then the sizers are discarded at the end of the operation. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)

Thin tight skin with little breast tissue is a situation in which it is more difficult to look natural, if you mean that the implant is not detectable. However, patients such as this can be some of the happiest patients, because modest improvement is so significant for them. My brief advice would be to consider relatively small volume implants, placed subpectoral. The implants should be as wide as her natural breast area, which usually equates to a low or moderate profile style. I would encourage her not to try to achieve a full C-cup or larger postop size. Small B-cup may be natural appearing for her and minimize stretching her thin tissue.

Without seeing and talking with a patient, it is difficult to answer these questions well. (Sutton Graham II, MD, Greenville Plastic Surgeon)

For woman with very little breast tissue, breast augmentation can have a dramatic impact.

However, each woman’s breasts size, skin availability, skin tone, and overall body frame impact the choice of implant and the placement of the implant.

For women with very small breasts, the implant will be supplying the majority of the breast volume.

As you can imagine, this means that the implant needs to be concealed as much as possible.

I recommend placement underneath the pectoralis muscle. This is to soften the palpability of the implant as well as the visibility.

By placing the implant under the muscle, it reduces the likelihood of seeing rippling or distortions in the implant. In addition, many women with smaller breasts opt for silicone implant.

Because the implant is providing the majority of volume, the “feel” of the implant is very important. Silicone implants simply have a more natural feel than saline implants.

It is important to review all the pros and cons of silicone before this decision, and your plastic surgeon can help you with this. Also, be aware that silicone natural looking implants are not approved for patients under 22 years of age. Lastly, but in my opinion most importantly – implant size. The selection of an implant is based on several factors, but it is important to choose a size which fits your body.

This is determined by the width of the breast, the laxity of the skin, and the desired increase in size. Attempting to enlarge the breasts outside of what your body can handle usually leads to problems down the road and dissatisfaction in the long run. In summary, breast enhancement in women with very little breast tissue is a very common procedure. Having a detailed consultation with a board certified plastic surgeon to review your options is an important first step. (David Bogue, MD, Boca Raton Plastic Surgeon)

Many thin patients with little breast tissue successfully undergo breast augmentation everyday; however, when there is little breast tissue there are several things you need to consider. When it comes to the size of the implant, it is best to select a size that is suitable for her frame. A large implant can cause stretch marks and have a “fake” appearance. Another thing to consider is rippling. When saline breast augmentation patients have very little breast tissue, they may experience what is known as rippling. This is when the edges of the implant are not completely smooth and can be seen on the breast.

Natural looking implants are placed under the muscle, but ripples can still be seen at the bottom of the breast. Silicone breast implants are often recommended for patients in this case. (Tarick K. Smaili, MD, Beverly Hills Plastic Surgeon)

No patient is too small to gain a benefit from breast augmentation. To achieve a natural result when one has very little of her own tissue may require a submuscular gel implant of a modest size. I would expect her final cup size to be at most between a B and C. Generally, women fitting the description of your fiance can expect excellent results if they do not attempt to push the enveloped so to speak. (David A. Ross, MD, Chicago Plastic Surgeon)

Patients with little breast tissue and subcutaneous fat will get nice results from natural looking implants but I feel that silicone gel is vastly superior to saline in this situation. With silicone gel, I’m not convinced that going under the muscle is necessarily aesthetically better although I will get some argument from other plastic surgeons on that opinion. As long as capsular contracture doesn’t occur, you girl friend will be delighted with her results. (Vincent N. Zubowicz, MD, Atlanta Plastic Surgeon)