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Which breast implant size and placement is ideal for me?

I'm 40 years old, 155 lbs, 5'8" tall, currently an A cup, and I want to go to a full C or small D with silicone implants. Which size and implant placement (over or under the muscle) would be ideal for me and why?

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14 answers to “Which breast implant size and...”

A: The size and implant type are determined by soft tissue characteristics and body habitus

John M. Shamoun, MD

The size  and implant type are determined by soft tissue characteristics and body habitus. It is important to understand there are two types of breast surgeons - size surgeons and shape surgeons. It is my opinion that those who favor an ideal shape are better surgeons who serve patients' best interest, as... more

A: Breast implant size and placement best discussed with your doctor

Steven Wallach, MD

Your question is a very common one, but is best addressed by a careful exam with your doctor, and an appreciation for the actual size you want to be. My preference for most implants in a very thin, small breasted woman is to place the implant in a submuscular pocket. In terms of size, it would have to depend... more

A: Breast Implant Size and Postion

Michael Law, MD

I believe that the most important question for a prospective patient to ask themselves is this: Am I seeking a natural-appearing result? When the goal of this operation is a natural breast enhancement, the results can be absolutely beautiful. However, if the goal is to create a breast profile which is out of... more

A: Impossible to determine ideal breast implant size and placement without examination

Ralph R. Garramone, MD

It is impossible to say what implant size or style will make you happy given your height and weight and current bra size.  You need to be seen and examined.  The person with your same measurements who has very tight skin and breast tissue will look very different than a person with loose skin and... more

A: Breast implant size and placement is an individual decision with your surgeon

Bruce Barach, MD

There are many variables involved here, and more than one way to get a good result. Your surgeon can decide with you after his exam defines your particular anatomic situation and desires. I would echo the cautions of others who advise against going too big... you are asking for trouble in the long run. Don't... more

A: Under the muscle placement supports the implant like an internal bra

Edward A. Pechter, MD

Angela, a "full C/small D" sounds reasonable given your height and weight.  I prefer placement completely under the muscle because the muscle gives good support for the weight of relatively large implants to minimize future sagging.  You might need an implant of approximately 500... more

A: Don't go so big; they won't look natural.

George J. Beraka, MD

To Angela Guillory, Hi!  I always use temporary implant sizers during surgery to determine the actual final implant size that we will use.  Otherwise, it's just educated guess work. To achieve the look you want, you will probably need at least 400 cc implants.  But I don't  recommend this... more

A: there is no single correct answer

Richard Baxter, MD

This is a very good question without a simple answer. First, the choice of size is entirely subjective, so everyone has their own idea about what is right. There isn't any formula based on height and weight. It is not uncommon for us to see a patient a week after surgery who feels that they made the wrong... more

A: Measure, then pick the size; don't focus on cup size.

Brent Moelleken, MD

While there are charts as to implant size and expected cup size that you are no doubtr familiar with, this does not tell the whole story. We try to place implants below the muscle, because the blood supply between the muscle and the skin above is preserved.  Also, there is a much lower chance of scar... more

A: Try The Rice Test

Christopher W. Chase, MD

The best way to determine what implant size will give you your desired result is to see a plastic surgeon and be evaluated in person.  However, there is a way to try to figure out what implant size you like at home. The rice test: Fill knee high hose or cut off panty hose with dry rice to make an... more

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