Breast Implant Size and Placement for Slim, Sporty Woman?

I am a 34 AA, slim, 42-year-old who is very sporty. My ribcage under my breast is 30 inches. I am having breast implants and don't want to have large breasts, just some! Under the muscle my surgeon says, but sizing, he recommends 200 cc. I am thinking maybe 175 cc or is that pathetic? Also, I have been told you can lose 10% by going under the muscle? What would you advise for me?


Doctor Answers 18

Breast Implants for slim, athletic woman - View photos to see results on slim women

I perform many very conservative breast augmentation surgery procedures. The before and after images can be found on my breast augmentation gallery (link below). I even have a section on my website devoted to breast implants and athletic women. Most women I see in my practice want a very natural looking result. Women who make their living as professional athletes, fitness models, acrobats, aerialists, ballerinas and others are particularly concerned about the way their breasts look and move. 

It is important to find a plastic surgeon who is very experienced in dealing with athletes and women with very limited breast tissue. 

A plastic surgeon who uses biodimensional planning is a must. Look at a lot of photos as a way to start your search. 

Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 66 reviews

10941 Raven Ridge Rd
Raleigh, NC 27614

200-250 cc breast implants are the smallest breast implants I would use on sporty slim woman

Almost all women who have had breast implants wish at one year that they had gone larger (at least in states other than California, where very large implants are the rule).

In my experience, a 175 cc implant is hardly noticeable. 200 cc is a good choice, but 250 cc would also give you a very nice result.

Always follow the advice of the surgeon you have chosen. If you don't feel comfortable with the advice, see another board certified plastic surgeon.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 65 reviews

195 Commonwealth Avenue
Boston, MA 02116

Breast implant placement for a sporty woman

Dear Katie

This is a double edged sword. I would recommend going under the muscle with silicone implants. I think you are too thin for over unless you are a professional athelete. and the small amount of muscle would hinder your performance.

As far as size goes you need to take several things into consideration - amount of breast tissue and skin, skin laxity, base diameter of the breast any drooping, etc. All these factors may affect what size implant to use. Also knowing your height and weight would help.

I do think you are a good candidate and your surgeon and you are being realistic with sizing. I use measurements, Portrait 3-D imaging and pictures to discuss with patients pre-op and still rely on sizers or test implants during surgery to get it right. Sometimes a 225 cc implant although slightly big initially will give you the best long term result.

Talk to your surgeon and try not to bind his hands within reason as far as size goes but show him the look you want to achieve. Good luck with your surgery.

Steven Schuster, MD
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

1905 Clint Moore Rd.
Boca Raton, FL 33496

Implant Sizing in Petite Woman

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection other than in office exam and good communication with your surgeon.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 62 reviews

9200 Pinecroft
The Woodlands, TX 77380

3D Vectra Imaging Very Helpful

One of the most important decisions facing breast augmentation patients is the size of breast implants that will be used.Most patients are striving for harmony, balance and proportion with the surrounding anatomic structures.Typically, they want a natural look with some fullness in the upper breast areas.

The patient consultation is the starting point for their decision and every effort should be made to have good communication.Most patients tend to speak in terms of cup size.Unfortunately, cup size isn’t always helpful because manufacturers of bras label their bras differently and women don’t always wear their bras the same way.In other words, some women wear their bras snuggly while others wear them loosely.This creates communication problems when talking cup size.

In an effort to determine breast size in a more objective manner, we utilize external silicone sizers and a 3D Vectra Computer Imaging System.External silicone sizers are designed to sit on top of the patient’s breast.They can be held against the patient’s chest or placed inside the patient’s bra.This technique helps the patient visualize what their breasts will look like with a specific-sized implant.This will also give them a sense of the volume that will sit on their chest wall and how it feels.

The 3D Vectra Computer Imaging System is a relatively new technology that we have found to be extremely helpful for determining breast implant size.This system allows the patient to visualize different sized implants on their actual body.Patient’s find this to be extremely helpful.

The ability to visualize your projected surgical result alleviates much of the anxiety associated with this procedure.I feel that both the use of external silicone sizers and the use of the 3D Vectra Computer Imaging System accomplish this goal.It’s important to remember that final adjustments in the size of breast implants will ultimately be made in the operating room, depending upon anatomic factors.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 142 reviews

8900 West Dodge Road
Omaha, NE 68114

Breast implant size and placement for slim, sporty woman?

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Given your desires, a breast augmentation, with an implant or fat grafting, would be an ideal procedure that would meet your expectations. Breast augmentation is now the most popular procedure performed in plastic surgery today. One tolerated very well by women with minimal downtime and high patient satisfaction.

Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, etc). Your height, weight, breast width, and body habitus will make a difference for which implant style/projection to choose. Implant profile will also make a difference on the projection, which will influence overall breast/cup size. I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you of results. Sizers are helpful during an in-office consultation. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. This is the most important determinant for the sizing of implants, which will provide the optimal result and most aesthetically-pleasing result for you.

Consult with a board-certified plastic surgeon well-versed in breast procedures who will examine and discuss with you the various options and factors to consider and help you decide which one will be the right one for you. Hope me that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

8900 E. Raintree Dr.
Scottsdale, AZ 85260

Breast Implant Size and Placement for Slim, Sporty Woman

If you have tried a 150 cc implant and are happy with the appearance than you should be pleased with a 175cc implant under the muscle.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 58 reviews

880 W Central Rd
Arlington Heights, IL 60005

Breast implant size

To have a natural look, implant size and placement is very important. If you want a little breast volume and a natural look, I would recommend a subpectoral placement of a moderate profile implant. Implant size 250 to 280cc. You being very slender and sporty would make this approach and placement ideal. A full evaluation and discussion with your surgeon would be necessary in making the final decision.

Chester K. Cheng, MD
Bay Area Plastic Surgeon
4.0 out of 5 stars 16 reviews

4165 Blackhawk Plaza Circle
Danville, CA 94506

What size breast implant is right for me?

This is a very common question in my office and on Breast implant sizing is a little bit of an art, but a lot of it is truly based on measurements. You need the base width of the breast tissue, medial and lateral pinch measurements, upper pole thickness. These are all very very important in making the final decision regarding size. At that point, you will have a few options within a size range. If you are asking us the difference specifically between a 175 and a 200cc implant, that is difficult to answer. It is a subtle difference and only you and your surgeon together and figure out which might be better. Having said that, women who are unhappy after breast augmentation are usually unhappy because they chose an implant size that was too small. Keep that in mind.

In terms of location, someone with thin skin and minimal breast tissue (maybe this describes you given the picture) will benefit from placement under the muscle. However, if you are "sporty" and tend to lift weights, your implants will clearly show when you work out since the pectoralis muscle contraction will push the implants out to the side. You really need to weigh the pros and cons of this with your surgeon and pick a location. If you don't mind the motion while lifting weights, then under the muscle will likely look more natural for you. Good luck.

Sirish Maddali, MD
Portland Plastic Surgeon

244 Western Ave
South Portland, ME 04106

Breast augmentation choices

Under the muscle placement is a good choice for a thin patient with les than 3cm of tissue pinch in the upper pole of the breast. However,you will need to disuss with your surgeon the level of sports that you play. In general hardcore athelete are better off being above the muscle. When it comes to size it is important to have all your measerements. 175cc Seems to be a very small implant. Try them on first to see if this is what you have in mind. All the best!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 17 reviews

20301 SW Birch St
Newport Beach, CA 92660

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.