Breast implant sizing that fits your specific body type and meets your subjective goals

C. Bob Basu, MD answers: How to choose breast implant size?

I'm worried that if I get breast implants my A cups with too large implants will give me a top heavy look (my friend calls it the stripper look!).  Is there a rule of thumb or tips for choosing breast augmentation sizes?


C. Bob Basu, MD
21 days ago

I help my patients select the correct size with two methods:

1. Dimensional planning  and
2. A Gel Implant Sizing system

Dimensional planning – 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 – During the preliminary breast implant consultation, you will be provided with an option to “try on” 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 “fit” just right to give a soft natural fuller look.

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A: Communication with your plastic surgeon is essential when choosing a breast implant size

Joseph Perlman, MD
7 months ago

I perform about 150 breast augmentation's per year, and I would say at least 95% of patients are happy with their breast size postoperatively.  

The key to obtaining good results,  is finding out what the patient's desires are.  Both the plastic surgeon and the patient have to be realistic about what results they are trying to achieve.  

You have to take into account the patient's height, weight, age, whether they have children and whether they breast-fed, preoperative breast size and post operative size that they desire.

I also take into account whether a patient has broad shoulders or broad hips.  When I ask patients what look they are trying to achieve ,most patients will tell me they want to be "proportionate".  I try to choose an implant size that balances them out. 

Then again, there are patients who tell me they want to be larger than most women and others that tell me that they just want a little extra ,that won't interfere with their active lifestyles particularly patients that are heavily involved in running. 

Many patients will bring pictures from a magazine to  give me an idea.  Others will tell me that they saw pictures on my website.We will look at these pictures to get an idea of which patient has photographs of similar results that they hope to achieve. 

I also encourage my patients to look at a few of the breast implant search engine websites.  On these websites, the physicians will put the patient's pre-operative cup size and postoperative cup size as well as what size implant they placed.

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