I'm in a mental panic. I'm a very active mom of 5, health instruction who's lost 160 & needs help w/ size.Any suggestion?(photo)

The goal of mastopexy (breast lift) augmentation is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. During a consultation, measurements of the breasts are used as a starting point to recommend a breast implant.  The decision on size, shape, and position of these implants is based on your anatomy, the type and size of the implant, and your preferences. The type of lift is determined by your current nipple position and the quality of your tisssue.

As you consider a size, from your photos, a 200ml, 250ml, or 300ml  implant would likely both be proportionate for your frame. That being said, when deciding between similar sizes, I usually council patients to narrow it to two and then choose the larger size; it is a rare patient that wishes they were smaller once the breasts have settled and they get used to them.See the link below for more info on breast augmentation and breast lifts.A detailed examination will help delineate the best surgical treatment. In office sizing and digital three-dimensional simulations can help guide your implant choices. A second opinion with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.

Breast implant size is determined by a measurement of the base width of your breast.  If your surgeon recommends 250-300 based on this measurement then I would recommend you at least code 250 cc.  This is not an extremely large size and is usually what I recommend the patient's want to look normal but not too large.  It is important to have your implant placed under the muscle and if you have nipple position below the fold on her breast and he may need a lift as well.  For more breast implant sizing please read the link below:

Hello,

You're doing the right thing; sizing in the mirror. Stop thinking about bra sizes. Best of luck!