If my Breast Diameter is 11.5 and Rib Cage Measurements is 31 and Form Top of Chest to Nipple 21 Cm? (photo)

It is not possible to give accurate online advice regarding best implant size and style. 
The best online advice I can give to women who are considering breast augmentation surgery is: 




 

1. Choose your plastic surgeon carefully.  Concentrate on appropriate training, board certification, and the ability of the plastic surgeon to understand and achieve the results you are looking for. Before and after photos should be made available either at the consultation or on the surgeon’s web site.  Remember, however, these will be chosen for good results.  Photos are marketing materials. 



Since you are traveling out of state it may be best to have one or two consultations scheduled and possibly send photos to your surgeon beforehand.

2. Have a complete discussion regarding your desired goals with your plastic surgeon. This communication will be critical in determining what breast implant type, size and profile will most likely help achieve your goals. 
Bringing photographs of women who have the look you are interested in and some that you don’t like as well are helpful.  I do not believe that photos are helpful in determining implant size.  Terms such as “natural” or “D cup” or “perky” etc. have different interpretations and are therefore not helpful.
 Also, as you know, cup size varies with the manufacturer and the chest size, which makes discussing desired cup size problematic. 





 

3.  Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his experience and judgment to choose the breast implant type, size and profile that will best meet your goals.  In my practice, this decision is made prior to surgery using a specially designed set of implant sizers so the patient has a very good idea of how they will look after surgery.  Most of all we want you to like the way you look after surgery and after surgery when you start buying bras you will find what size fits best.

4.  There are quite a few questions on this site dealing with a description of body size and shape and bra size, requesting assistance with implant size.  Everyone’s body is different and choosing a size implant is ideally based on the size and shape of the breast, and the tissue characteristics of each individual patient, as well as their desired goals.  Many women may not be able to achieve the results they want without using an implant that is simply too large which often results in problems many of which require additional surgery.

 

Thank you and best of luck.

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
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