I think it is important to consider that while they have not yet been approved in the US, the relatively inexpensive internal bra for natural breasts is said to be quite a hit in Europe, making those D cups or bigger suddenly resemble a cross between natural and implants, supporting to eliminate the breast fold and increase the projection. Unlike the expensive pigskin mesh sewn in for the internal bra for implants, the silicone based one for natural breasts requires only a small areola incision with two tiny ones for screw placement into ribs. I guess it has been like 5 years since I read about it, but I don't imagine insertion or construction has changed much.