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.

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look."
With regards to your specific question, 2ml does not sound unreasonable if you are seeking a very conservative upsize. For smaller framed individuals, a HP device is recommended.
Communication is key as you and your surgeon create your custom surgical plan.
As always, discuss your concerns with a board certified plastic surgeon.

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.

Thanks for your question!
It's a personal choice. It depends on what you will feel comfortable with.
Many patients , post surgery, wish they had gone larger, so keep that in mind.
Best wishes!

Thank you for your inquiry! At you consultation appointment, you should have the opportunity to try on different implant sizes. We always recommend taking a couple different shirts to see how you will look in your clothes. We would love to sit down with you to discuss your options and answer any questions. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

It seems you are and excellent candidate for breast augmentation, but only you and your plastic surgeon can decide what implant volumes will give you the appearance you expect. For my patients, I also like using sizers and a sports bra. A main concern with an implant this small is that is wide enough to give you the upper pole fullness you want. If a patient continues to be somewhat unsure about things, I usually find it is better to have them return to the office to recheck sizers and maybe appearance speak with me a bit more about what you are looking to achieve.

Hi.
To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation. Opinions and preferences will vary somewhat from one surgeon to another surgeon. Personally I start with the base width of the patient as the starting point for the footprint of the future implant. Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile. I go over all of that all in detail with my patients at the time of their consultation. A sizer system can also be a helpful tool for communication of size desires for your specific body.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area. He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care,
Dr. Howell

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

At size 32, each 100 cc of implant corresponds to 1 cup size change. 200 cc implants would take you to a 32 C and would be an appropriate size. However, it may not be adequate. Your breasts, in terms of position of the breasts, are low on the chest wall and the implants will have to be centered underneath the nipple-areola complex, which is low. This may require lowering the inframammary fold and will result in large low breasts. I recommend a circumareola lift to elevate the breasts higher and at the same time place the small implants totally submuscular.

Best Wishes,

Gary Horndeski, M.D.