By Dr. Glenn Lyle, Board-Certified Plastic Surgeon, Raleigh, NC
As a plastic surgeon specialising in breast and body surgery, I’ve had countless conversations with women who feel self-conscious about having small breasts. For many, breast size is more than just an aesthetic concern-it’s deeply tied to confidence, femininity, and self-expression.
If you’re struggling with this, I want you to know that you’re not alone, and there are solutions available to help you feel more comfortable with your breasts. Every woman deserves to feel confident and empowered in her body, and through modern advancements in cosmetic surgery, there are now more options than ever to achieve your desired look.
Why Some Women Have Small Breasts
Breast size is primarily determined by genetics, but several other factors can play a role. Some women naturally have smaller breasts due to their family history, while others may experience a loss of volume over time.
Genetics is the most significant factor influencing breast size. If the women in your family have smaller breasts, there’s a high likelihood that you will too. However, other biological and environmental factors come into play as well. Hormonal imbalances can impact breast development-particularly during puberty. If estrogen levels are lower than usual, breast growth may be stunted. Additionally, body fat percentage plays a crucial role. Since breasts are primarily composed of fatty tissue, women with naturally lean body types or those who engage in high-intensity exercise may notice a smaller bust.
For some women, life events such as pregnancy and breastfeeding lead to changes in breast size. The body goes through hormonal fluctuations that can increase breast volume temporarily, but once breastfeeding ends, some experience a loss of fullness. Aging is another common factor-over time, the body produces less collagen and fat, or breast tissue get replaced by fat which can contribute to a reduction in breast size and firmness.
What Can You Do About Small Breasts?
If you’re looking to enhance the size or shape of your breasts, there are various options available. The right solution depends on your desired results and level of commitment. Some women explore non-surgical options before considering surgery, while others choose breast augmentation for a more defined transformation.
Surgical Solutions for Breast Enhancement of Small Breasts
Breast augmentation is one of the most effective ways to achieve a fuller, more proportionate appearance. In my practice, I customize every procedure to match the patient’s body type and aesthetic goals, ensuring that the results look and feel natural. Breast implants come in a variety of volumes and profiles to allow for the best fit for your chest. It involves precise measurements and a degree of artistic sense.
– Breast Augmentation with Implants
Implants are the most common option for women looking for a reliable and noticeable enhancement. Silicone implants provide a softer, more natural feel, while saline implants allow for small adjustments in size after placement. Many of my patients tell me after surgery: “I finally feel like my body matches the way I’ve always imagined myself.”
– Fat Transfer Breast Augmentation
For women who want a modest increase without implants, fat transfer offers a more natural approach. This technique involves removing fat from another part of the body-such as the abdomen or thighs-and injecting it into the breasts. It’s an excellent option for those who prefer subtle enhancements while also benefiting from body contouring. It is rare to go up more than a cup size. With 1/2 cup size more common. Overfilling can result in fat necrosis , oil cysts and excessive calcifications.
– Breast Lift with Augmentation
Women who have lost fullness due to aging or pregnancy may benefit from a breast lift combined with augmentation. This procedure not only enhances volume but also reshapes the breasts for a more youthful, lifted appearance. This procedure is indicated for patients with breast ptosis or drooping. Usually the nipple position has fallen to or below the inframammary fold. While augmentation alone may help with minor ptosis, mastopexy either with vertical incision or anchor incision with implants is often needed to lift the breast, narrow the shape and improve upper pole fullness.
One of the most rewarding parts of my job is seeing the joy on a patient’s face after surgery. “I finally feel like myself again” is something I hear all the time from my patients.
Meet Dr. Glenn Lyle
Board Certified Plastic Surgeon
Dr. Glenn Lyle, a board-certified plastic surgeon, has been proudly serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2002. With a deep passion for helping patients reclaim their confidence, Dr. Lyle specializes in transformative breast surgery and body contouring procedures. Whether addressing the effects of weight loss, pregnancy, or aging, his expert care and artistic approach empower individuals to look and feel their best. Dr. Lyle is dedicated to creating beautiful, natural results that reflect each patient’s personal journey and goals.
Non-Surgical Options
For those looking for subtle improvements, lifestyle changes such as strength training can create more upper body definition, giving the illusion of a fuller chest. While these exercises won’t physically increase breast tissue, they can enhance the overall appearance of the bust.
Some women consider hormonal therapy if they suspect a hormonal imbalance is affecting their breast development, but this should only be pursued under medical supervision. Of course, an easy and immediate way to create the look of larger breasts is by using padded or push-up bras-though these are temporary solutions.
External vacuum expansion devices such as BRAVA now called EVEBRA utilize external vacuum cups to stretch the breast tissue and in some cases increase breast size to a small degree. This device is often recommended for those wishing for more effective fat transfer as it prepares the breast to receive your own fat prior to surgery.
Creams and Pills sold online promising breast enlargement are best avoided.
While these methods may work for some, many of my patients express a desire for a lasting, natural enhancement. That’s where breast augmentation comes in.
Recommendations for Different Age Groups
– Younger Candidates (20s-30s)
Young women often seek breast augmentation to enhance confidence and achieve better proportions. They tend to favor silicone implants for a natural look and feel. But saline implants still remain a good option – usually for those seeking smaller implants. Submuscular placement is usually recommended when using saline implants to minimize palpability.
– Middle Age Candidates (40s-50s)
Many women in this age group look for a way to restore lost volume post-pregnancy or due to aging. A combination of augmentation and a breast lift is often the best option but this entirely depends on nipple position and degree of ptosis. Many times, aging results in a condition called “ pseudo ptosis “ where the breast tissue sags but the nipple stays above the fold. In this situation, implants alone can “ lift” the breast.
– Mature Candidates (60s-70s)
Breast augmentation in this age group is not as common but can be a safe and effective treatment. Fat transfer may be less effective as we age and also can lead to changes in mammograms.
Before and After Photos - Seeing Real Transformations
One of the best ways to understand the potential results of breast augmentation is by reviewing before-and-after photos of real patients. I always tell my patients: “A picture is worth a thousand words. Seeing other women’s transformations can help you visualize what’s possible for you.” You can browse real patient results in my online gallery to see the incredible transformations we’ve achieved here in Raleigh.
I also use the CRISALIX 3D imaging system which uses your own images and shows what you might look like with different size implants.
My Perspective on Breast Augmentation
Breast surgery is about more than just aesthetics-it’s about confidence, self-expression, and feeling comfortable in your body. My goal is to create results that look natural and complement your unique shape.
I believe in open, honest conversations. “My job isn’t to tell you what you should do-it’s to give you all the information and support you need to make the best decision for you.”
Preparing for Your Consultation with Dr Lyle
If you’re thinking about breast enhancement, scheduling a consultation is the first step. We’ll discuss your goals, review your options, and determine the best approach for your unique body.
It’s important to come prepared with questions. Some key topics to consider include the different types of implants, the recovery process, and any potential risks associated with the procedure. I also encourage patients to bring reference photos of the look they hope to achieve. Additionally, a thorough review of your medical history ensures that we choose the safest and most effective approach for you.
FAQs About Small Breast Augmentation
Am I a good candidate for small breast augmentation?
If you are in good health and have realistic expectations, breast augmentation may be an option for you.
What is the difference between saline and silicone implants?
Silicone implants feel more natural, while saline implants can be adjusted in size after placement. Detection of rupture is easier with saline devices as the implant will shrink fairly rapidly if it leaks. Both are made of a silicone outer shell with a gel implant filled with a jelly-like form of silicone, while the saline device is sterilely filled with saline (salt water) during the operation by the surgeon.
Can I achieve a natural look with breast implants?
Absolutely! Modern implants and surgical techniques ensure a natural-looking result tailored to your body. Whether submuscular or on top of the muscle—each patient’s anatomy is different and requires a tailored approach.
What is the recovery process like after breast augmentation?
Most patients can return to normal activities within a few weeks, with full recovery in a few months.
Will breast augmentation leave visible scars?
Incisions are carefully placed in discreet areas, such as under the breast fold (most common approach) or around the areola with mastopexy.
How long do breast implants last?
While implants are long-lasting, they may need to be replaced after 10-15 years or if complications arise. The newer implants have a better track record for decreased rupture, so the anticipated lifespan is much longer than prior models. Evaluation with ultrasound or MRI may be necessary to determine if the implants are leaking if they are silicone gel devices. Saline devices simply shrink, giving you an easy diagnosis.
Can I breastfeed after breast augmentation?
Many women can still breastfeed, but it depends on the surgical technique used. It’s best to discuss this during consultation.
Medical References
- Why Do I Have Small Breasts and What Can I Do About It? / Cadogan Clinic / https://www.cadoganclinic.com/ask-the-expert/body-and-breast/how-can-i-enlarge-my-breasts
- Causes of & Reasons for Small Breasts / Knix / https://knix.com/blogs/resources/causes-of-reasons-for-small-breasts
- What to Know About Breast Shapes / MedicalNewsToday / https://www.medicalnewstoday.com/articles/breast-shapes
- Normal Breast Development and Changes / Johns Hopkins Medicine / https://www.hopkinsmedicine.org/health/conditions-and-diseases/normal-breast-development-and-changes
- Understanding Small Breasts: Causes and Solutions for Women / Manchester Private Hospital / https://manchesterprivatehospital.uk/blog/small-breasts-causes-and-solutions/
Next Steps
If you’re considering a breast augmentation in Raleigh, NC, and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation. Let’s work together to help you achieve your best results-safely and beautifully.
To book a consultation please fill in the contact form or phone the office at (919) 307-8585.
Further Reading
Explore additional resources and articles to help you understand more about breast augmentation.
- Read Dr Glenn Lyle’s Blog on Beautifying the Chest–How Breast implants can have dramatic results.
- Read Dr Glenn Lyle’s Blog on Can You Have a Breast Augmentation After age 50?
- Read more about Breast Augmentation in Raleigh, NC
- Read more about Breast Augmentation + Lift in Raleigh, NC
