Size/profile recommendation for me? (photos)

Unfortunately, the question is far simpler than the answer, which can only be determined with a careful examination in person and detailed discussion with your plastic surgeon. Volume (300 versus 400), is far less significant than implant width and projection. Saline versus silicone is also important, as is "round" versus "anatomical" or "form stable" or "shaped".
Your particular anatomy shows that you have a gap between your breasts and so accentuating you cleavage is challenging if you do not want to be too large.
Because all of these considerations can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion to be sure and feel confident. Make sure that your surgeon sees photographs of your "favorites" or ideal. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. Selection of the ideal implants for you is best done in person after an evaluation of your breast anatomy, shape, soft tissue thickness and skin laxity. Profile selection will depend on the size you want and whether it will fit within your anatomic boundaries. Consult with a board certified plastic surgeon for the best results. I hope this helps.

I encourage you to begin by visiting with a board certified plastic surgeon near you for a consultation. During this important meeting your surgeon will take measurements of your breasts (this is different than bra sizing) and discuss your surgical goal look. Then a range of options will be presented for you to consider. Together you can select the implant that's best for you. I've included a video I hope you find helpful.

Your breasts are widely separated, have poor cleavage and have marked stretched marks. Augmentation alone will be insufficient. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Hello, and thank you for your question. There are several variables that go into planning and undertaking breast augmentation, which include the overall breast shape, the starting volume, the skin laxity, and the position of the nipple-areola. A lot depends upon your starting chest wall anatomy and breast template. And how this all fits with your body shape. When considering what implant to choose, there are more things that come into the picture. These include the width, the overall volume, and the shape of the implant. The projection and the width are important in that they need to match the base width of your breast and still provide the fullness that you wish to achieve. Another factor is the distance between the nipple-areolae (plural) themselves. From your photos, the nipple-areolae are slightly wide. The options would include a slightly wider implant that would reduce the gap - but because it needs to be centered on the nipple-areola - this would also increase the distance laterally. Another option would be to use techniques to center the nipple-areolae but these would require external scars as skin would have to be removed. Putting implants into a breast often magnifies the little imperfections. As a general rule, it takes about 200 cc per cup size increase. It appears that you are closer to a small B. So, a 350-400 cc implant would be expected to give you a two cup increase to a D cup. We would then give you appropriately sized implants to try on at different volumes. In this way, you would have a very good understanding of what to expect. I would be interested to see how HP or HP Xtra sizers fit you. In our office, you would try on or 'test drive' the implants. Based upon the information, a range on implants would be ordered for your surgery. A board certified plastic surgeon will be able to identify your individual requirements and give you realistic expectations of what surgery can or cannot be achieved. Respectfully, Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for the question. Selecting implants is an individualized process that depends on many factors. More importantly, an in-person examination and assessment by a plastic surgeon is necessary. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Good evening,
You are an excellent candidate for breast augmentation, either through a nipple or crease incision. You may choose saline or silicone gel, depending on your preference. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office. The key is filling the wide gap you have between your breasts- I like to create nice one finger cleavage!

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with a series of plastic surgeons in your area to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!

Dear Bright15565,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery