What Implant Size Should I Choose To Look Proportionate?
- Asked by Roxi_007
- 2 years ago
Hello, I am meeting with a board certified plastic surgeon in November to arrange my breast implant surgery. I was wondering what size implants I should be looking at in order to achieve a proportionate look. I am 5'7'' and around 145 pounds (I am slim..about a size 5 jeans). What size implants would give a proportionate look? Thank you for any help. -Roxi_007
Selecting Breast Implant Size
The actual size of a breast implant, measured in cc's, is really not very descriptive of what a breast augmentation will look like, or what the cup size will be. It is all relative to the size of the breast and the size of the patient preoperatively. A tall, broad-shouldered patient with small A-cup breasts may require 450cc implants to achieve a C-cup breast volume postoperatively, while a shorter patient with medium B-cup breasts may only need a 250cc implant to achieve a C-cup breast volume.
If a natural appearance is the goal, then the way to get the size right is to 'try out' different implant volumes and profiles in the operating room. Once the implant pockets have been created, sterile sizers can be placed in the implant pockets, and the upper half of the O.R. table raised so that the resulting breast appearance can be assessed with the patient in an upright 'sitting' position (chest fully upright) while under anesthesia. These sizers are available not only for each implant size but also for each implant profile: low, moderate and high (in this practice we use high-profile implants only in rare instances). Inflatable sizers are used for saline implant augmentations, and pre-filled gel sizers are used for gel implant augmentations.
For any patient there is obviously a range of implant volumes that would be considered natural-appearing, and a volume at which the upper pole of the breast begins to look very unnatural. While one patient may seek an augmentation that is 'perfectly natural', another may be interested in a result that is more on 'the full side of natural', and many patients do ask that the largest implant volume be selected that does not produce an unnatural fullness in the upper pole. By using breast implant sizers intra-operatively to determine exactly what breast implant profile and volume produces the best breast appearance in the O.R., patients can be provided with the closest possible approximation of their preoperative goals, and can be assured of a natural-appearing result.
Web reference: http://www.michaellawmd.com
Breast implants and looking proportionate
I disagree that external sizers are of any value in determining implant size and proportionality. The key to understanding how this works is thinking of it like fitting clothing. Your chest circumference will stay the same and the position and width of your breast will remain about the same if you want to look natural. The width of the implant must match the width of the breast. The forward fill and projection of your breast is what an implant provides and there are at least three forward projections for implants that are gel-filled or saline-filled. In most patients with average breast width for their chest circumference, this corresponds to an increase of 1 to 2 cup sizes. Thus the patient should get a realistic idea of what their current breast size is and figure up 1 to 2 cup sizes (depending on the choice of implant projection) and thus know what size she should look like after. Generally any woman can look proportionate if she is an A, B, or C cup because this in the normal range. D cups and above are out of proportion by definition but a woman might still feel she looks good or is proportionate. This is something only the patient should decide. The "size" of the implant in terms of volume is determined by the width of the implant matching the width of the breast and the forward projection chosen by the patient.
Picking the implants for you
I consider two factors when selecting implants for my patients:
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.
This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. So try these implants in the office to pick which look you like the best.
Hope this helps. Best of luck
Web reference: http://www.basuplasticsurgery.com
Recent Breast Implants Reviews
Breast Implants Photos
Show your plastic surgeon pictures of what you want to look like, and let her or him pick the best breast implant size.
1) I really think it is an important part of the surgeon's job to make this decision, which is pretty technical. Your responsibility is to make sure your surgeon understands what you consider a proportionate look, because this is so personal.
2) Then, if your surgeon agrees that what you want is wise (anatomically and cosmetically), the best implants can be selected during surgery, using sterile implant sizers. If the decision is made in advance, then it is just an educated guess.
Breast Implant Sizing Should Be Simple
You have been so smart in choosing a board certified plastic surgeon and then consider how the doctor helps you choose your implant size.
Number 1: try on implant sizers under a t-shirt fabric in black. If you like how your body looks in proportion, them relax. You have chosen the right size for you,
* if your doctor does not offer this service, then please get another opinion It is so much more accurate for you if you see yourself in the mirror.
Number 2: but less important in our experience, see yourself in an imaging program, such as Canfield or Axis Three. What we have found is people are more certain about size when they try on the sizers and look at themselves in clothes.
Breast implant size for proportion
The implant size you select depends on four primary factors: Your starting size, the size you desire, your breast base width, and compliance of your breast skin envelope. Choose implant dimensions, not volume. Width of the implant must roughly match your breast base width. Projection or profile must increase cup size to the look you desire. There are caveats, but in general, it is simple, and that's all you need to know. Your surgeon should help you select the implant style and size that will best meet your needs.
Getting what you want from breast augmentation
Breast augmentation is about getting the look you want, and the look does not have a number. To make the most of your consultation you should prepare with photos which show the hopeful new you, and perhaps a bra that you hope to wear and fill out. You can let the surgeon decide the look for you, even your friends, or your mother, but it is best if you figure this out for you alone.
Best of luck, peterejohnsonmd
Web reference: http://www.peterejohnsonmd.com
Selecting a proportionate breast implant
It is difficult to predict what size would be an appropriate implant until you have been examined. Even based on height and weight, some women may have small tight breasts, others may have breasts that are deflated but with looser skin. Some have wider breasts with a narrow cleavage and other have narrow breast with a wide cleavage. That's why when you see your plastic surgeon, she or he will examine and measure your breasts and body dimensions. Based on these measurements a safe range will be recommended that matches your body dimensions. Going outside these ranges will give you a less proportionate look and may cause long term harm especially by going too much larger than what is recommended.
Web reference: http://www.drhamawy.com/breast/augmentation-westchester-ny/
Proportionate is Subjective
Good job on choosing a qualified surgeon to have your consultation with, I view this as the most important step to getting what you want. Now proportionate is so subjective, Do you mean matching your hips? Your height? How wide is your chest?, How muscular are you? All of these factors will be discussed with you during your consultation. I hope all goes well for you. I would give an educated guess at 350cc to 425 cc based on your height and weight.:)
Breast Implant Size?
Thank you for the question.
Congratulations on your decision to proceed with breast augmentation surgery.
Some general words of advice regarding breast implant sizing/results may be helpful...
The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size. Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result. On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants. Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants. On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational. As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. in my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
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.