Which Breast Implant Size and Placement is Ideal for Me?
- Asked by Angela Guillory
- 4 years ago
Sizing and Implant Placement
A generalization about cup sizing is 225-250cc will increase one cup size. However, there is no direct correlation or measurement to guarantee a cup size.
Try putting dry rice in a zip-lock bag and place this in yoour bra. Add volume until you get the look you like. Bring this to your plastic surgeon who can measure the amount and use this as a guide in determining a desireable size for you.
I offer 3-dimensional imaging which can produce a simulation of yoou with different size implants to help you find the size that matches your goals.
The question of under- or over-the-muscle is best discussed with your surgeon to determine what might be best for you.
The size and implant type are determined by soft tissue characteristics and body habitus
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 they value long-term results over short, fleeting results.
Remember that saline and silicone implants often look exactly alike when a fair amount of breast tissue is present to cover the implant.
The feel however is usually softer with a silicone implant in general.
There is no single correct answer
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 choice because the implants look too big; then after the swelling subsides and the implants settle a bit, they look just right. But a year later they might feel that they should have gone a little bigger.
Secondly, cup size is just not an accurate way to describe breasts. It varies according to manufacturer, and relates as much to the dimensions of the chest as to the actual volume of the breasts. My recommendation is for you to be involved in the decision up front and not leave it up to the surgeon alone (some surgeons feel differently). The best way is to try samples of various sizes tucked into a bra with a cup size you like.
Recent Breast Implants Reviews
Breast Implants Photos
Measure, then pick the size; don't focus on cup size.
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 formation requiring reoperation when the implants are placed below the muscle.
We measure the diameter of the breast first, and then discuss which implants will fit into that diameter, rather than focus on a particular desired cup size. The maximal measured diameter defines the maximal implant size. For patients needing the biggest possible implant, a high projection implant may be best.
However, the implant must still fit into the patient. Larger implants can necessitate big pockets, sometimes meeting in the middle (synmastia), causing permanent disruption to the muscle that attaches to the sternum, or projection into the armpit.
Also, the muscle in a patient who has very small breasts may be very tight, in some patients it may be very difficult to fit in such a large size difference as you are seeking (A to C or D).
Bra sizes are notoriously unreliable. Women with a B breast come into my office convinced they are an A, a B or a C, just because that is the size they are most comfortable with.
I know many fine doctors differ with me on this point, and place very large implants. However, I believe that large breast implants cause large problems, including thinning of the tissues, disruption in blood supply, fast drooping, visibility of the implant, rippling, greatly increased need for revision surgeries, etc. I understand that at the Playboy Mansion I am considered a conservative doctor, guilty as charged. But I suspect in 10 years time, my patients will fare much better with appropriate moderate sized implants than patients who have received huge implants.
There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.
Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.
I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.
By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.
I hope this helps. Good luck!
Ideal Breast implants
No doubt you have already been told that your first step is consulting with a Board Certified Plastic Surgeon. Ideally, you will get a referral from someone you know who has had a good experience with her breast augmentation. From there, interview a couple of surgeons. By the time you finish, you will be comfortable in knowing that you've picked a size and a type of implant that fits your goals and lifestyle. It would be presumptuous of me to tell you that "425 mL midrange silicone gel implants placed under the muscle via the inframammary crease incision," is the answer to your question even though that may work for the consult I just saw. I hope that this helps.
Sizing Breast Implants
These are fantastic questions and ones I hear every day. Unless a special circumstance, as in revision breast surgery, I place most breast implants under the muscle. I feel this gives a softer, more natural appearance and a gentler slop from the shoulder blade down through the nipple...
We perform in office sizing with silicone sizers and an experienced nurse who helps consult with you and determine a range of sizes that will fit best on your frame. This range is initially fine-tuned by my physical exam measurements which objectively map out the width of your breast and determine what implant diameter will (and more importantly, which diameter/size will NOT fit your body).
Recently, I have also used a 3D imager, combined with the above techniques, to further aid patients in determining their idea size. We call it Precision Vision Fitting and a 3 D model is made of you (after 1 picture is taken) on a computer and different implants are placed hypothetically and Visualized on the computer screen....this allow you, the patient, to see what YOU would look like with a number of different breast implant sizes...REALLY COOL and patients absolutely love seeing themselves with their enhanced breasts.
I suggest that you see a Board Certified Plastic Surgeon with considerable interest and expertise in breast surgery who can help you with your implant sizing.
I hope this helps...good luck!
Determining breast implants to achieve the best results
Depending on the look you would like to achieve, I would recommend consulting with a Board Certified Plastic Surgeon. The most important part of having surgery is finding a well qualified surgeon to perform it for you safely to achieve the best results possible. During your examination, your plastic surgeon will let you know whether you are a good candidate for either saline or silicone gel implants.
Determining breast implants size and shape can be done using sizers. I would suggest finding pictures of the look you like to show to your Dr. For more information regarding breast augmentation, compare before and after photos of patients. Good luck.
Breast implant size and placement best discussed with your doctor
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 upon the base diameter of your breast and the projection that you want.
Breast Implant Size and Postion
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 proportion to a woman's body, the results (by definition) never appear natural, and these patients not infrequently end up having a series of operations to address problems with their abnormal appearance. For that reason, I encourage women who are investigating breast augmentation to consider a breast implant size that will help them 'fill out clothes better' and improve the overall proportions of their body, not one that makes them look like "the gal with the boob job".
While the issue of 'over' or 'under' the pectoralis major muscle receives a great deal of attention, even more important than breast implant position relative to this muscle is implant position vertically and horizontally on the chest wall. In many patients, the inframammary fold needs to be lowered in order to allow the implant to rest at a level that appears natural relative to the position of the nipple and areola, and in order to prevent the appearance of excessive upper pole fullness.
In consultations I listen carefully to each patient to ensure that I clearly understand their goals for breast augmentation surgery. Based on that discussion, and on the physical examination, I go into surgery knowing what the ideal volume should be within two or three breast implant sizes. However, the patient and I do not decide on one particular size prior to surgery. There is absolutely no way, in my opinion, to know exactly what size implant is the ideal size for a particular patient in advance of creating the implant pockets in the operating room. For that reason I keep a wide range of implant sizes on hand in the surgery center.
If natural is the goal, then the way to get the size right is to 'try out' different implant volumes in the operating room. Once the implant pockets have been created, I place a 'sizer' in one implant pocket and have the upper half of the O.R. table raised so that the patient is in an upright 'sitting' position (chest fully upright). The sizer is then inflated gradually to the point that the breasts appear full, but not unnaturally so. In this manner the exact volume that produces a full but natural breast profile is determined.
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