Ask An Expert: What's the Most Natural-Looking Breast Implant?

Thinking about getting breast implants, but afraid they'll look too obvious? The key to natural-looking breast implants not only lies in the kind of implant used, but also where they're placed. We turned to our experts to find out how to get breast implants that look so good, no one will know they're not real. 

“For most patients, a properly done submuscular dual plane placement of a silicone gel implant gives the most natural result,” says Encino, CA, plastic surgeon George Sanders, MD. With an implant underneath the muscle, “There is less rippling of the implant that can be seen or felt, there is a more natural slope to the upper part of the breast, mammographic interpretation is better, and there is a lesser chance of capsular contracture (hardness) of the implant,” he says.

“If a patient has some breast tissue, then saline may look natural, but they tend to be firmer to the touch, and if overfilled when in surgery, could possibly take on the appearance of a ball,” adds Louisville, KY, plastic surgeon Nana Mizuguchi, MD.

Although an implant behind the muscle can give a natural look, Dr. Sanders warns that they should be placed differently depending on your body type. For someone with large breasts or a lot of fatty tissue, “either in front or behind the muscle looks about the same because the implant is hidden by the tissue,” he says. If you have a lot of muscle built up, “preference may need to be given to an implant placement in front of the muscle to avoid the unattractive movement of the implant that may occur with pectoralis major muscle contraction,” he adds.

If you’re extremely thin, avoid the dual plane position entirely. “Unnatural rippling of the muscle may occur in the lower part of the breast,” says Dr. Sanders.

 

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