How to Achieve a Natural Looking Breast Augmentation

February 3, 2026

Many women considering breast augmentation want results that look natural and balanced rather than obvious or overdone. Achieving a natural appearance depends on more than implant size alone.

In this video, Dr. Dimitri Koumanis explains how a natural-looking breast augmentation is achieved through careful implant selection, placement, and individualized surgical planning. A full transcription of the video is included below.

Video Transcription

One of the most common requests I hear in consultation is this. I want breast augmentation, but I want it to look natural. The good news is that natural-looking breast augmentation is absolutely achievable. The key is understanding that it’s not about one decision. It’s about many thoughtful choices working together. Today, I want to explain how we consistently achieve natural-looking results.

I’m Dr. Dimitri Koumanis at Saratoga Springs Plastic Surgery. And natural results are a cornerstone of our approach. When breast augmentation is done correctly, it should enhance your body, not announce itself.

So natural results start with anatomy, not trends. The first step in creating a natural result is respecting your anatomy. Your chest width, shoulder frame, rib cage, shape, and existing breast tissue all determine what will look balanced on your body. We don’t chase trends or copy photos from social media. Instead, we design an implant choice that fits you. When an implant is sized appropriately for your frame, it blends seamlessly with your natural proportions.

So, implant choice matters, especially width and profile. Many people focus on implant size alone, but width and profile are just as important. An implant that is too wide can look unnatural at the sides, while one with too much projection can look overly round or artificial. Choosing the right dimensions allows the breast to look soft, feminine, naturally contoured.

Proper implant placement enhances the shape and softness. Where the implant is placed also plays a role. Placing the implant partially under the muscle can help soften the upper breast contour and create a gentle slope rather than a sharp edge.

So, when do we address sagging when necessary? If there is breast sagging, simply adding volume won’t always produce a natural result. In some cases, combining augmentation with a breast lift can reposition the breast and nipple so the implant sits correctly in the right location. Ignoring sagging can make even the best implant choice look unnatural over time.

If you’re considering a breast augmentation and want a natural, balanced result, schedule a consultation with me, Dr. Dimitri Koumanis at Saratoga Springs Plastic Surgery at 518-583-4019 or go to saratogaspringplasticsurgery.com. Thank you.