Hello, I'm getting breast implants in July. My current breast size is a 32A. I'm really slim on top, I would like to know what would be a good implant size for me to get. I would like to be a full C/ small D.
Im 5"10 and 150 Pounds I'm Really Slim on Top What Size Implants Should I Get?!
Doctor Answers (22)
Breast implant size
Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational. As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. 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 cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. By the way, the most common regret after this operation, is “I wish I was bigger”. I hope this helps.
How to pick breast implants.
1) This is the most common type of question on RealSelf.
2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical.
3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like.
4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big.
5) I recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.
6) The surgeon should have a large inventory of different size and shape implants available in the operating room.
7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.
8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating room inventory, and put in your breasts to complete the operation.
Choosing implant sizes
Silicone implants are softer to touch and have less rippling, so in someone as skinny as you who does not have a lot of fat to hide the implants, a silicone implant is a better choice.
Martin Jugenburg, MD
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Choosing the ideal breast implant size
There are a number of factors that go into determining the ideal implant for a persons frame. Firstly, you have to appreciate your anatomy and existing breast tissue, the chest (and breast) width, the position of your nipple and how big you would like to be after the implants are in place. None of this can be decided on a photograph alone and you should consult with a plastic surgeon who can discuss with you all of this including allowing you to "size" or "try on" implants during your consultation to determine how this might look in clothes.
The fact that you are tall will allow you to have a slightly larger implant, but this must be assessed in the context of your measurements. Communication with your surgeon is the key to success and photographs can be helpful in clarifying your surgical goals with your doctor.
Best of luck
Vincent Marin, MD, FACS
San Diego Plastic Surgeon
What Implant Should I Get?
Number one you have a good shape to your breast to begin with and you will have a phenomenal result with your breast augmentation.
Truly the best thing that you can do is be open with your surgeon about your desired results so they can help guide you in choosing the best implant for you.
I would spend time trying on various implants in your surgeons office and don’t be afraid to do this more than once. Also bring your surgeon pictures of what you want to look like after your procedure. This will make sure that you and your surgeon are on the same page about your implant desires.
Patients can confuse their decision by trying to be a specific cup size, which is good as a starting point, but really the best thing you can do in deciding on a size is trying implants in your plastic surgeon’s office.
The benefit of the silicone implants is that patients can place a slightly larger implant and still look natural. The silicone implants are much softer in feel and appearance than the saline implants. You would have to go with a very large implant to have a round fake look after your augmentation.
In terms of the profile of the implant, I typically decide on the volume of the augmentation first and then use the various profiles to match the breast width of the patient. This will keep the implant from being too wide, but still give patients the medial fullness that most patients desire.
It is important to see your board certified plastic surgeon to help guide you to an implant that will give you an aesthetically pleasing breast.
Talk to your surgeon to find out if they do this.
I'm 5'10" and 150#. I'm really slim on top - what size implants should I get?
Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.
Hope me that this helps! Best wishes for a wonderful result!
Im 5"10 and 150 Pounds I'm Really Slim on Top What Size Implants Should I Get?!
John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon
Implant size is a very personal preference. We have the Vectra system. If you have a surgeon in your area with this device, it can simulate the result of surgery on your body with a 3D image. It is quite amazing and gives my patients an accurate idea of what surgery will do for them.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.