I am currently 5"5 115lb 32A
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging technology may also be very helpful during this communication process.3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery.I hope this (and the attached link, dedicated to larger breast implant concerns) help.
Even knowing you are 5'5" tall, weigh 115 lbs., and wear a 32 A bra, measurements and examination will be needed to answer your question with any degree of certainty. You would also likely find that several consultations with ABPS-certified plastic surgeons who are also ASAPS members and do lots of breast surgery will yield different opinions, so it might be wise to do just that. Get several opinions and see what makes sense to you, along with looking at lots of before and after photographs from the surgeon you might ask to perform your breast augmentation.As a general answer I would suggest the latest generation of cohesive silicone gel implants, smooth round, submuscular placement, appropriate inferomedial partial muscle fiber release, meticulous technique for minimal bleeding, bruising and no-touch Keller Funnel implant insertion for the least risk of capsular contracture. Profile should be in accordance with size choice, then selecting the width that most closely approximates your pocket base diameter to within 1 cm of the midline on each side. Any closer and you risk symmastia (uniboob). For more information you can start by clicking on the web reference link below for my Comprehensive Guide to Breast Augmentation. Best wishes! Dr. Tholen
