When choosing a size for breast implants it is extremely important that both the patient and the surgeon are on the same page. This is a surgery that you want to get right the first and only time!
It is important to note that one manufacturer's D-cup bra may be the same size as another manufacturer's C-cup bra. Therefore, I have all of my patients choose "want-to-be" pictures either from one of my before and after books, or from an educational site that I refer them to.
I place these pictures on the wall in the operating room and use sizers until I have a match. This helps to choose the precise implant volume that will match my patient's desires. This will also help to determine the projection of the implant chosen, as some women desire fullness approaching the armpit and others dislike this look.
Of course, implants must also be matched to the measurements of a woman's breast diameter and the amount of breast tissue that is present to start.
The most important factor in determining the right size is a long discussion with your surgeon about available implants, incisions, placement and then choosing a picture with a breast volume you find pleasing.
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