How to choose breast implant size?

Best thing to do is communicate with your surgeon. I ask my patients to bring in pictures of breast sizes that they like and even dislike. I review these photos with the patient and discuss if it is reasonable with their body type, size,etc.. I take these photos to the operating room with me and when the patients is on the operating room table, I use temporary sizers to view how different cc's look on the patient. I sit the patient up on the operating room several times and compare them with the photos that they have chosen.  When I see that I have achieved the patient's goals, I remove the temporary sizers and put in the implants. There is no guess work. I have all sizes from both manufactorers available to me at all times. This procedure takes more time BUT gives more exact results.

The key is communication with your plastic surgeon.  You need to both be on the same page as to what the goal is.  Having said that, the most accurate way I have found is to measure the base width, (the footprint), of the breast.  I then go to a little chart that gives me the suggested cc's.  I will then take a size above and a size below to the O.R. 

There is an interaction between the bony structures, the breast, and the implant.  The implant will enhance what you have.

The main thing in my practice is proportion.  We take in consideration, height, hips and shoulders to helps us make the right decision for that individual patient.

I like to stay within the width of the patients base diameter for the breast.  Having said that, you also want to stay in proportion to the rest of your body, in particular to your gluteal region.

What you can do is th rice test (which I describe on my website) or try out sizers at the doctors office.

Good luck.

It is always my goal to create proportion where it isn't.  So implant size needs to be determined by shoulder, waist and hip measurements and by buttock size.  In addition women don't want to feel their breasts when their arms are at their sides. 

I have patients wear a sports bra and then try on sizers.  It's usually pretty obvious which implant looks the best by creating the right proportion.  It's not the number that matters it's the over all body appearance.

When deciding  what cup size you would like to be following breast augmentation surgery, several factors should be taken into account.

1) The size you think you would like to be

2)The actual diameter of your breast (measured in your plastic surgeons office)

3) How you look with implant sizers placed in your bra at your consultation

4) The amount of skin laxity or sagging your breasts have

All of these things must be taken into account to give you the best possible look and fit.  All to often, patients present with requests that will not fit them as an individual due to their breast anatomy.  The rule of thumb is to have realistic expectations regarding the cup size you would like to achieve.  Make sure you and your board certified plastic surgeon have a thorough discussion and are on the same page with your wishes.  This will optomize your results and increase your level of satisfaction with the surgery.