As its name suggests, breast augmentation is performed to augment the bust size of patients, making this particularly appealing to flat-chested women or those with AA and A cup.
Flat-chested women have very little tissue and fat, a feature which must be given importance to achieve natural results and prevent complications particularly wrinkling and rippling.
First and foremost, patients with small breasts should stay away from textured implants that have a rough surface, a feature always found in teardrop-shaped implants to prevent them from rotating and causing visible deformity.
Some textured implants also come in round shape. The theory behind this is that the rough outer shell can prevent the tissue from becoming too thick—a condition called capsular contracture—that it results to deformity and pain. However, no extensive study has proven this claim.
Textured implants, particularly those with large “graininess,” should be avoided by flat-chested women because they face a higher risk of palpable and visible wrinkling. For this reason, they are generally advised to choose smooth implants, which are also believed to last longer because they are less prone to “folding” that can lead to rupture over time.
Aside from smooth shell, the breast implants for flat-chested patients are ideally filled with silicone gel rather than saline (or a sterile mixture of salt and water) to simulate the feel of natural tissue—something which they definitely lack.
The result between the saline and silicone implants is the same when there is an ample amount of tissue and fats, although this is not the case if the breasts are very small as the saline implants, more often than not, lead to an unusually round appearance.
A dome-shaped breast is one of the most common telltale signs of plastic surgery, so it is not surprising that most patients do not want this look.
Another technique to avoid the “fake” look is to choose the appropriate implant size. The general rule is that natural appearance is easily achieved if the breast volume mostly consists of natural tissue rather than implants.
When plastic surgeons refer to large breast implant, it often means a size that is more than 600-700 cubic centimeters.
Meanwhile, the amount of tissue also dictates the most ideal breast augmentation technique. More often than not, flat-chested women have undefined breast crease, making this incision site more challenging, although not impossible.
Plastic surgeons are extra careful when using the breast crease incision site on small-busted women to avoid a low- or high-riding scar.