200cc good for me? (Photo)

From photos alone, your question cannot be answered precisely, nor should it be. An in person evaluation by an experienced board certified plastic surgeon whose aesthetics seem to align with your own is your best advice. The degree of breast asymmetry you possess is certainly within normal limits, with one breast showing a bit more skin than the other, making the nipple/areola slightly lower. This may or may not end up corrected with teh same size implants. From your photos it does not appear that a mastopexy would be required to correct asymmetry, with the possible exception of a small superior crescent mastopexy above the lower nipple.

The actual size implant is best determined by your plastic surgeon based on photos YOU select of your "ideal" outcome. In my practice I always come to surgery with more than one size and I routinely use sizers to see how close we can match your breasts to to your "wish" photos. This algorithm rarely leads us astray. The most common reason for patients to be disappointed after breast augmentation relate to size and position. Either too big or too small or too high. In your case I recommend a subfascial (above the muscle) placement for your implants.

Do you research, and be sure you are confident that your surgeon understands your wishes and that he or she can help you achieve your desired goals. Best o luck to you.

Dear kitkat107,

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

I believe 200 cc would give you a good result as far as projection and volume with that size implant most likely you will be able to obtain a full C. You do seem petite so we don’t want to put anything too big that would not look good with your frame, but anything between 200-250 I think would be a good balance for your body.