Im 20 Yrs Old and I Want Breast Augmentation?

im 20 yrs old and i am an A i have been thinking about getting boobs since it does look like it will ever happen naturally. i want to go up to a size C but i dont know if it will look silly on me because im a very small girl about 110 pounds also should i go with silicon or saline?

Doctor Answers 18

I'm 20 years old and I want breast augmentation?

Hello! Thank you for your question. Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. Many surgeons use 18 years of age as the standard for when to offer the breast augmentation procedure to women. Maturity and the ability to make an educated decision for yourself of whether this procedure is the right one for you as well as factors regarding implant choice, size, incision placement, position of the implant, other adjunct procedures, etc are major factors. Having the maturity to understand all of the risks and benefits of the surgical procedure is also mandatory - thus, most are readily able to comprehend this at that age. 23 years of age is the FDA guideline for utilization of silicone implants.

Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Consult with a board certified plastic surgeon well-versed in this procedure. Research your surgeon's education, training, as well as ability to perform this procedure. See postoperative photographs and most importantly choose the one who you feel most comfortable with and competent to meet your expectations. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). 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. 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.

Hope that this helps! Best wishes for a wonderful result!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 14 reviews

Implant Selection Process

The FDA will only approve saline implants in patients younger than 22 years old.  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

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 65 reviews

Twenty years old and wanting breast augmentation

You are not the only twenty year old who has had breast augmentation or is thinking of having the procedure. Your physical and mental maturity is appropriate to proceed with the surgery. Implant choice and sizing is critical. See a plastic surgeon with experience.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 14 reviews

Twenty years old and want a breast augmentation

Twenty years old is not too young to get breast implants. You are small in frame and an A cup. That doesn't bother some women, but others simply don't feel feminine and feel they don't look good in cloths with small breasts. It is your personal outlook that is the determining factor as to whether you should undergo the surgery. If you lack self-confidence, this can make a huge difference. I have had patients through the years that didn't want to undress in the light in front of their husbands until they had implants. It made all the difference in the world to them. Also their husbands were very appreciative.

Regarding the type of implant, I would suggest silicone as they feel and look more natural, especially in someone with very small breasts. Saline implants sometimes show wrinkles, which are less prevalent with silicone implants. Be sure to emphasize to your surgeon that you want to look natural -- if that is your goal.

As to the safety of silicone implants, within the past two weeks, I have seen 7 patients that I used silicone implants in during the late 1970's and early 80's. All were extremely happy with them and had have had no problems what-so-ever. Plus, the newer implants are greatly improved.

Good luck on your endeavor. The breast implant surgery can be very gratifying for you, and I'm sure you will be elated. I do suggest that you go to someone certified by the American Board of Plastic Surgery.

Breast implants and size for a 20 year old

aalthough i prefer silicone,  i recommend saline TUBA insertion for my young patients.

a 32 c would only require about 225-250 cc 

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 38 reviews

Breast Augmentation


Thank you for your question,

I would recommend you discuss your options in full detail with your
board certified plastic surgeon as to what size implant would work
best aesthetically and anatomically for your body dimensions. There
are many pros and cons for both silicone and saline. However, silicone
implants tend to be more popular as they give a more natural look.
Once again, I would discuss that with your plastic surgeon.

Good luck.

Dr. Sam Speron

Sam Speron, MD
Chicago Plastic Surgeon

Breast augmentation

You should get at least a couple of consults and bring a list of questions with you.  A "C" cup is a vague term and , as you will learn, we measure size in "cc's".  Your most important measurement is the diameter of your breast.  Get an implant that corresponds to your diameter.  Try some implants on.  It takes some time to get used to the change.  Be sure and talk about exchange of implants during your life. Wishing you all the best.  

Talmage Raine MD FACS 

Talmage J. Raine, MD, FACS
Champaign Plastic Surgeon
4.5 out of 5 stars 8 reviews

Breast augmentation

Most of my patients tend to want to go to a full C/small D size.  Certainly the size implant that I would use on someone who is six feet tall would be much larger than the size that I would use on someone who is five feet tall in order to achieve that cup size.  There are pros and cons to saline versus silicone gel implants just as there are with subglandular versus submuscular placement of the implants.  This is something that your doctor should go over with you during your consultation.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast Augmentation

In short, you are not eligible for silicone implants due to your age.  You must be 22 years old according to FDA standards unless your surgery qualifies as "reconstructive surgery."  Nonetheless, you can also get great results from saline implants.  Consult with a board-certified plastic surgeon who will allow you to try on various sized implants in the office to help you determine what is the most appropriate size for you.  Best wishes!

Brian Howard, MD
Alpharetta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Breast Augmentation Asymmetry

I would suggest setting up a consultation with a board certified plastic surgeon to review your options.  Without seeing pictures or seeing you in person, it is impossible to give you specific advice.  However, in most cases, going from an A cup to a C cup is possible with breast augmentation.  The question is where to go with Saline for your age or waiting for Silicone implants.  


Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 66 reviews

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.