I'm 5'9 and 140 lbs - What Size Implants Should I Get?

Question

I'm thinking of going with the 339 on silicone implants but tossing the idea of a 371 i'm 5'9, 140lbs...I want to look natural and not big boobs I'm currently a 34a. Is there that much of a difference between the two.

Tom J. Pousti, MD · Answer

Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as  “natural”  or “C or D cup”  etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
 The use of computer imaging technology may also be very helpful during this communication process.

3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.
I hope this (and the attached link) help.

Alexander G. Nein, MD, MS, FACS · Answer

There is a relatively small difference between the sizes of these two implants. It is actually 32cc which is about 1 oz out of your measuring cup in the kitchen. Consider that amount distributed over the entire volume of your breast and I doubt you’d perceive any real difference. Ideally, implant size is chosen according to breast dimensions, skin conditions, patient build etc. But in this case the implant dimensions between these two are also quite similar. You’ll do very well with either of these implants but my personal observation over the past 16 years of doing this procedure is that nearly all women at six months after breast augmentation wish they had chosen a slightly larger implant than what they actually did choose.

C. Bob Basu, MD, MPH, FACS · Answer

There is not too much difference between these two implants.  I consider two factors when selecting implants for my patients:

	1.Dimensional planning

	2.Gel Implant Sizing system

	Dimensional planning &ndash; The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.

	Gel Implant Sizing system &ndash; During the preliminary breast implant consultation, you will be provided with an option to &ldquo;try on&rdquo; a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.

	This way your preferences are known and you can then pick a range of implants that will &ldquo;fit&rdquo; just right to give a soft natural fuller look.  So try these implants in the office to pick which look you like the best.

	 

	Good luck!

I'm 5'9 and 140 lbs - What Size Implants Should I Get?

Answers (3)

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