Breast Implants Size for 12cm BWD?
- Asked by nycgirl73 in nyc
- 4 years ago
Hi, first, thanks to the doctors here who take time to answer questions. I'm considering breast augmentation and still doing my research.
I'm currently a 34B (although my band size is probably more like 32), 5"4', 118 pounds, a BWD of 12cm (according to one surgeon), fairly petite but muscular build.
I'd like to be a full D cup; but really, as big as I can be without looking "fake." Given this information, how many cc's would you recommend? Thanks!
True base width and selection of appropriate implant sizes
Be very careful with how your base width is measured. commonly base width will be measured by examining the existing breast not the goal breast. The base width used to select an implant should be from just over a cm from midline to the lateral border of the goal breast. This lateral border is just beyond the chest wall border, and should be a bit farther out if you really want to go that large. Selecting a base width that is too narrow can create a very strange unnatural appearance and cause the loss of the overlying breast tissue. I also strongly recommend a subfascial approach if you are planning on going that big as you will have more lasting support. I hope this helps!
All the best,
Rian A. Maercks M.D.
Sizing for BAM
There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.
Dr. Sugene Kim
Breast implant size
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 press 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.
Web reference: http://www.poustiplasticsurgery.com/choosing-your-size.htm
Recent Breast Implants Reviews
Breast Implants Photos
No simple formula for correct implant size
If only it were that simple! You provide a lot of useful information in your question, but there is no simple algorithm or formula for choosing implant size. There are many factors to consider, and height, weight, bra size, and base width are just a few. I like to have patients show me what size they want to be, and what they consider attractive and natural looking. Then, on physical examination I take measurements, identify asymmetries, look at the quality of the skin, assess the need for a lift, note the amount of natural breast tissue, and get a sense of overall proportions. Based on the exam and the desired goal of the patient, I decide which profile of implant and what range of volumes would be suitable. In the operating room, I can use temporary sizers to determine which exact size looks the absolute best for that patient. Breast augmentation is not a simple numbers game, and getting a beautiful result involves good decision making as well as good technique. A crucial factor for success is good communication with your surgeon. I recommend consulting with a board certified plastic surgeon in person. Good luck!
Choosing an implant
Without a formal exam and an evaluation in person to assess your anatomy, it is very difficult to tell you what would be right for you. Once this is done, I will often have patients test it out with a baggy test.
Looking natural with breast implants
I offer patient's a simple analogy to illustrate what we mean:
Q: If you take a baseball and you cover it with a silksheet, what will it look like?
A: Like a baseball, you will even see the stitching.
Q: Now if you take that same baseball and cover it with a comforter what will you see?
A: It depends on how thick the comforter is but generally you will see a softly shaped lump.
So now the question is what do you have on your chest, silk sheets or comforters?
The way we determine this is by looking at your chest, if I can see your ribs (under the muscle) then you anatomy will have a hard time disguising the implant whether it is placed under or over the muscle and you are more likely better off with a silicone implant. Another way of measuring this is to pinch your upper chest skin (similar to pinch and inch of your waist on the Special K commercial). If you have less than an 2 cm (under 4/5 of an inch) than you have "silk sheets"
If you have a thicker skin/fat/breast layer that pinches over an inch than you have the option of going under or over.
Now the exception to the rule:
Q: What happens if you change the baseball to a volleyball?
A: All bets are off, whether you put it under or over the muscle it will not look natural.
The last issue is the implant shape. There are some anatomic shaped implants but I have generally found them to produce no significant difference in outcome with the exception of breast cancer reconstruction. However, this is my personal opinion.
Conflicting Goals for breast augmentation
Hi. From you question, you have some conflicting goals. On one hand, you want to look "natural". On the other hand, you want " full D" on your petite frame. These goals are hard to reconcile completely.
While a high profile implant could be used to give you more volume in your petite frame, it will tend to look more obvious / fake.
So, this becomes a trade-off situation. Which goal is more important to you?
In my practice, I find that trying on the sizers in a sports bra, and letting the patient tell me their preferred choice between several different sizes and shapes, works really well. I think that would help your decision making process. That way, you could "preview" the approximate look.
All the best,
The Right Size Implant for You
It sounds like you are a petite woman with a narrow BWD. The breast base diameter is just one of several factors that determine the correct implant size for you. Without actually seeing you, I feel a D cup on your frame will give an unnatural look.
You need to discuss with your plastic surgeon what result you are trying to achieve. Your plastic surgeon will help you choose implant size and style based upon your chest wall dimensions, the quality of your tissues, (tight or loose), the amount of breast and soft tissue present, as well as the breast shape you are hoping to achieve.
In general, women with wider breast diameters, larger chests and looser tissues can accommodate larger implants than a woman who is very petite with tight tissues and little breast tissue.
High profile implants have a narrower implant base diameter and may be a good choice for a petite woman, but they can create more fullness in the upper pole of the breast which some people consider unnatural.
I often use sizers during the consultation. The sizers are placed in a bra and give women a general idea what each size will look like on her particular body. I also use sizers during the surgery to help determine the best size.
I hope the above is helpful, but you need to have a thorough consultation with your doctor and be as specific as possible about the look you would like. Try to define the size and shape. Your doctor can then make the best recommendation for you.
I would look at your entire breast dimensions. Just basing size off of a base width is very inaccurate. It depends on your build, how much breast tissue you have and what your skin is like. There are so many factors that go into deciding implant size and shape it is difficult to know exactly what size works for your until you see a board certified plastic surgeon.
It's best to let surgeon pick breast implant size.
I think I already answered one of your questions. Picking the right breast implants is a fairly technical issue which your surgeon should decide DURING your operation. Just make sure he or she really understands the look you want.
Then disposable breast implant SIZERS are used during surgery to see which implants give you the look you want. This takes the guess work out.
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.