Finding the right breast implant size

In my opinion, this is the most critical portion of your consultation. Finding the right implant size is vital, since once the implant is in, there is no other option other than additional surgery.

Hopefully, you are realistic and would prefer an implant which is proportional to your body.  During your consultation, the surgeon should measure your chest width and height and the elasticity and amount of breast tissue you have.  Based on those findings, the surgeon can recommend a range of implant sizes.

In our office, we have the patient try the implant with a sports bra.  The patient tries the implant with or without clothes.  Since we have implemented this "try out" in our consultation, our revision rate for inappropriate breast size has been zero percent over the past three years.

By trying the implant, this will also give you an opportunity to see if you and the surgeon can see "eye to eye".   I always recommend an implant which can comfortably fit within your body and, at the same time, fill your breast to the maximum.  An implant which is too large for you will eventually cause the same problems associated with very large breasts (stretching and drooping of breast skin, enlargement of the areola, pain in the back and shoulders, etc.)

There are many factors in deciding which implant type or size is best for you and which technique or position.  You should seek several opinions from Board-Certified plastic surgeons to help you determine what is best and why.  An easy place to start is at www.surgery.org, the website for The American Society for Aesthetic Plastic Surgery.   Members of this society focus on aesthetic plastic surgery. Good luck.

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There are many different things to look at.  You can start with the implants whether you do smooth, textured, shaped, round.  Then there is the incisions which include through the belly button, arm pit, areola or under the breast.  Then there is the position whether in front of the muscle or behind it.

In general for some one young and first surgery and no pregnancies, the implants are placed behind the muscle.  Taking all the incisions in mind with all the pros and cons, the "best" incision is either periareolar or inframammary which is just at the breast tuck.

You can read some more about this from the American Society of Aesthetic Surgery or also visit my website to read more.

Good luck.

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