What are the most natural looking breast implants?

Dr Michael Kernohan MBBS, MSc, BDS, MRCS, FDSRCS, FRCS(Plast), FRACS (Plast

Achieving Natural Results after Breast Augmentation with Implants

When considering breast augmentation surgery, one of the main concerns for many women is achieving natural-looking results. While some women may want a more dramatic and noticeable change in their breast size and shape, others may want to enhance their breasts in a subtle way that still looks natural and proportional to their body.

With several years of experience in treating breast-related concerns, Dr Michael Kernohan  performs various procedures that cater to patients’ unique needs. These include breast augmentation, lift, and reduction, or a combination of these procedures that are customised to help patients achieve their desired breast shape and size.

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What Does “Natural Breast Augmentation” Mean?

The term “Natural Breast Augmentation” is typically used to refer to breast augmentation procedures that use the patient’s own fat to add volume to the breasts, rather than synthetic implants. This technique is sometimes called “fat transfer breast augmentation” or “autologous breast augmentation.” The term “natural” is used because the results of this procedure tend to look and feel more natural than traditional breast implants, as the fat used to augment the breasts is taken from the patient’s own body. Additionally, because the procedure involves using the patient’s own tissue rather than a foreign substance, there may be a reduced risk of complications or rejection.

However, the term can also refer to achieving natural looking results after a breast augmentation with implant surgery. But how is this possible?

The Type of Implant Makes a Difference

When it comes to breast augmentation surgery, the type of implant that you choose can make a significant difference in the outcome of the procedure. There are several types of breast implants available, and each one has advantages and disadvantages.

  • Saline implants: Saline implants are filled with sterile salt water and are available in both smooth and textured varieties. They can be adjusted in size during surgery, which can be useful for patients with asymmetrical breasts. One of the main advantages of saline implants is that in the event of a rupture or leak, the body will absorb the saline solution. However, some patients feel that saline implants do not look or feel as natural as silicone implants
  • Silicone implants: Silicone implants are filled with a silicone gel that is very similar to the feel of natural breast tissue. They are available in both smooth and textured varieties, and come in a range of shapes and sizes. Many patients feel that silicone implants provide a more natural look and feel than saline implants. In the event of a rupture or leak, silicone implants may not be immediately detectable without an MRI, and may require regular monitoring
  • Gummy bear implants: Gummy bear implants are a type of silicone implant that is made of a highly cohesive, form-stable gel that holds its shape even when cut in half. They are available in a variety of shapes and sizes, and can provide a very natural-looking result. They may be slightly firmer than traditional silicone implants, and may require a slightly longer incision during surgery

Bigger Isn’t Always Better

When it comes to breast augmentation surgery, the saying “bigger isn’t always better” holds true for many patients. While some women may want a significant increase in breast size, others may be looking for a more subtle enhancement that looks natural and proportionate to their body. Here are some aspects to keep in mind:

  • The importance of choosing the right implant size

Selecting the appropriate implant size is crucial in achieving a natural-looking result. Implants that are too large for the patient’s frame can look disproportionate and may increase the risk of complications such as implant displacement or sagging over time. You should work closely with your plastic surgeon to choose an implant size that is proportionate to your body and achieves their desired outcome.

  • The benefits of a more subtle enhancement

While many patients seek breast augmentation surgery to achieve a dramatic increase in breast size, there are also benefits to a more subtle enhancement. A modest increase in breast size can provide a more natural-looking result that is less likely to draw unwanted attention.

  • The impact of breast size on physical activity

For some patients, very large breasts can make physical activity difficult or uncomfortable. This can impact the patient’s ability to exercise, play sports, or perform other activities they enjoy. Choosing a more moderate implant size can allow patients to maintain an active lifestyle without discomfort or restriction.

  • The potential risks of very large implants

Very large breast implants can increase the risk of complications such as implant displacement, sagging, or asymmetry. Patients with very large implants may also experience back pain, shoulder pain, or other physical discomfort.

The idea that “bigger isn’t always better” when it comes to breast augmentation highlights the importance of individualised care and customisation in achieving the best possible results for each patient.

Size, Shape, and Placement of Breast Implants

Several factors contribute to achieving natural-looking breast implants. These include:

1.     Implant size

Choosing the right implant size is crucial in achieving natural-looking breast implants. Implants that are too large or too small can look unnatural and disproportionate. During the consultation process, your plastic surgeon can assess your anatomy, taking into account factors such as breast width, chest wall shape, and body type to recommend an appropriate implant size.

2.     Implant shape

Implant shape also plays an important role in achieving natural results. Round implants provide a fuller, more dramatic look, while teardrop-shaped implants have a more natural slope that mimics the shape of a natural breast. The choice of implant shape will depend on the patient’s goals and anatomy, and should be discussed with your plastic surgeon.

Round or Teardrop?

Round implants have a spherical shape, and are designed to provide equal fullness in both the upper and lower poles of the breast. They are often preferred by patients who want a fuller, dramatic look to their breasts.

Teardrop-shaped implants, also known as anatomical implants, have a more tapered shape that is designed to mimic the natural slope and curve of the breast. These implants have more fullness in the lower pole of the breast and less fullness in the upper pole, which can create a more natural-looking result. Teardrop-shaped implants are often preferred by patients who want a subtle enhancement to their breasts that looks proportionate and natural to their body.

The choice between round and teardrop-shaped implants will depend on several factors, including the patient’s aesthetic goals.

3.     Implant placement

The placement of the implant is another important factor. Implants can be placed over or under the muscle, or a combination of both (known as dual plane placement). The choice of implant placement will depend on the patient’s anatomy and the desired outcome.

4.     Breast symmetry

Achieving symmetry between the breasts is critical. If one breast is significantly larger or smaller than the other, or if the nipples are uneven, the result can look unnatural. During the consultation process, your plastic surgeon can make recommendations to achieve better symmetry.

5.     Incision placement

The placement of the incision for implant insertion can also affect the final outcome. Incisions can be made in the fold under the breast, around the areola, or in the armpit. The choice of incision placement will depend on the patient’s anatomy and the type of implant being used.

The Importance of Realistic Expectations

The importance of having realistic expectations cannot be overstated when it comes to breast augmentation surgery. While the procedure can enhance the size, shape, and symmetry of the breasts, it is not a magic solution that can completely transform a patient’s body.

You should approach the procedure with a clear understanding of what can and cannot be achieved, and should work closely with your plastic surgeon to develop realistic expectations about the outcome.

By discussing aesthetic goals, reviewing before-and-after photos, and preparing for the recovery process, you can approach breast augmentation surgery with confidence and a sense of peace knowing what to expect. This can help to ensure a positive outcome and a satisfying experience.

FAQ_Dr-Kernohan_Sydney

FAQs about Breast Augmentation Natural Results

Which is the most natural breast augmentation?

  • The most natural-looking breast augmentation technique is fat transfer breast augmentation, also known as autologous breast augmentation. This technique involves using the patient’s own fat, typically harvested from other areas of the body such as the abdomen, hips, or thighs, and injecting it into the breasts to add volume and shape. The main advantage of fat transfer breast augmentation is that it uses the patient’s own tissue, so there is no risk of rejection or allergic reaction. Additionally, because the fat is taken from the patient’s own body, the results tend to look and feel very natural, and there is no risk of implant-related complications such as implant rupture or displacement. However, fat transfer breast augmentation may not be suitable for all patients. It is recommended for patients who are looking for a subtle increase in breast size, as the amount of fat that can be safely transferred is limited. Additionally, the success of the procedure depends on the availability of donor fat, which can vary from patient to patient.

Which type of breast implant feels the most natural?

  • Many patients and plastic surgeons believe that silicone implants feel the most natural. This is because silicone implants are filled with a silicone gel that is similar to the look and feel of natural breast tissue. The gel is designed to have a natural “give” or bounce, similar to natural breast tissue, which can help the implant feel more natural to the touch. In addition to their natural feel, silicone implants also have the advantage of being available in a wide range of shapes and sizes, which can help patients achieve a customised result.
  • According to data from the Australian Society of Plastic Surgeons, silicone breast implants are also the most popular type of breast implant in Australia. In 2020, approximately 92% of all breast augmentation procedures in Australia used silicone implants, compared to 8% that used saline implants. Silicone implants are popular in Australia for many of the same reasons they are popular in the United States – their natural look and feel, versatility, and range of sizes and shapes available. Australian plastic surgeons also report that silicone implants are less likely to cause rippling or wrinkling, which can be a concern with saline implants.

What is the most requested breast implant size?

  • The most requested breast implant size in Australia can vary depending on a variety of factors, including the patient’s age, body type, and aesthetic goals. However, according to data from the Australian Society of Plastic Surgeons, the most common breast implant size is between 250cc and 350cc. It’s important to note that the choice of implant size should be based on the individual patient’s anatomy and goals, and should be made in consultation with a specialist plastic surgeon.

Further Reading about Breast Implants

Medical References about Breast Implants