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Sieber Plastic Surgery San Francisco

Natural Looking Breast Augmentation: What are your Options?

Have you been thinking about breast augmentation San Francisco surgery but really want to focus on having totally natural looking breasts?

Many women with natural breast (who are simply unhappy with the size and shape of their current breasts) would like a new silhouette that doesn’t look out of place in proportion to their body. In other words, they’re looking for breast augmentation.

This is also a common goal of women who have recently undergone a mastectomy and would like to reconstruct their breasts in a way that reminds them of their former breasts — or those that at least don’t look unnatural.

In the following article, we’ll be going over what breast augmentation options you have if your core goal is natural-looking breasts. But first, let’s go over the totality of your options when it comes to breast augmentation plastic surgery procedures.


There are two main ways to have natural looking breasts: you can either get breast implants (saline breast implants, silicone breast implants , or gummy bear shaped breast implants .), or you can get what’s called fat transfer breast augmentation.

Let’s discuss your breast implant options first.

There are three main types of breast implants:

  • Saline Implants: Those formed with sterile salt water inside a silicone shell.
  • Silicone Implants: Those formed with silicone gel inside a silicone shell.
  • Gummy Bear Implants: Those formed of a form-stable silicone gel (thicker and firmer than other types of implants) inside a silicone shell.

Your other natural looking breast implants option is fat transfer breast augmentation. This is a procedure in which your surgeon will remove fat (via liposuction) from an area of your body where you have more fat than you actually want — for example, from your buttocks, abdomen, or thighs. This fat will then be processed and ultimately transferred back into the body in the breast area, in order to augment the overall size natural shape of your breasts.


In order to achieve natural looking breasts, there is an argument to be made for both most natural looking breast implant and the breast augmentation fat transfer process. Both procedures can result in totally natural looking breasts that most patients end up very happy with.

Still, these days, the fat transfer process often wins out, and this probably makes sense to most people. After all, you’re using a natural part of the body that was already part of extremely natural part of you (fat) and using it to simply augment a different part of your body.

If the fat transfer process goes well, the fat that was once on your thighs or abdomen will adhere to the breast tissue and become a permanent, living part of your body there. It’s a great solution that many patients like. No follow-up MRIs are necessary, and no leaks can occur because no foreign substances are present.

With that being said, there are some situations in which patients are not good candidates for the fat transfer process.


In some cases, patients will not be good candidates for fat transfer, and in that situation, if the goal is natural-looking breasts, implants are still the only solution.

The first barrier to entry when it comes to fat transfer breast augmentation is the amount of excess fat that the patient has. For example, a rather trim patient who doesn’t have much excess fat on the abdomen, buttocks, thighs, or elsewhere won’t be a good candidate for fat transfer because there simply won’t be enough fat to harvest.

In this vein, it’s important to keep in mind that it’s not a one-to-one ratio from harvesting to re-injection with fat transfer. In other words, most plastic surgeons often will inject more fat than is actually needed in the breasts because not all of the transferred fat will survive.

A second barrier to entry with this procedure is the desired end result of the breast augmentation surgery. If the patient desires natural looking breasts but still wants them to be on the larger size, and if they are starting from having no breasts (for example, after a mastectomy) or from having quite small breasts, fat transfer won’t be the best solution. This is simply because fat transfer works best for small changes in the overall size and shape of the breasts.


If you are not a good candidate for breast implants and want a natural result breast implants still a great option. The key is to go with implants that look and feel natural, and this means staying on the smaller side in most cases.

Here are some other features of natural looking results:

  • Silicone over saline: In most cases, silicone implants tend to look more natural than saline implants. That’s because silicone gel flows in a way that better mimics real fat when inside its silicone shell. Saline, by contrast, tends to look more liquid and can cause rippling in the skin, which looks unnatural. Gummy bear implants may be a viable option as well.
  • Implants that are placed beneath the muscle: Breast augmentation procedure can place the breast implants above or beneath the pectoral muscle. In general, when breast implants are below the muscle, it looks like natural breasts.
  • The right amount of space between the breasts: Breasts that are spaced too far apart can look unnatural. Likewise, too little space can cause unnatural-looking cleavage. It’s important to go with the spacing that matches your natural anatomy.

Questions and Answers

What is the difference between Round implants and Anatomical Breast Implants?

Anatomical shaped implants exhibit distinct behavior within your body compared to round implants. When upright, round implants may take on a somewhat anatomical appearance, but the fullness they maintain in the upper breast region is contingent on factors such as your skin surface area, skin elasticity, volume of your natural breast, and the distribution of your breast tissue. In contrast, anatomical implants are designed to retain their natural shape, following the contour of your breasts more closely.


The absolute best way to know what breast augmentation option is right for you to achieve natural looking is to meet with Dr. Sieber. Not only will Dr. Sieber be able to tell you whether fat transfer breast enhancement or natural look implants will look more natural on you, but he’ll also be able to examine your anatomy and help you choose the best placement, implant size amount, and shape for your resulting breasts.

To schedule a consultation appointment with Dr. Sieber board certified plastic surgeon in San Francisco, contact us today.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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