300cc or 350cc? (photo)

Thanks for the photos. You have constricted breasts with minimized lower pole breast tissues, short distance between nipple and inframammary fold, and relatively high fold with sharp fold crease. On top of it, your areola are wide apart from each other. Additional information such as quality of breast skin and thickness of breast tissues will help finalize your treatment plan. For my patients who present with similar issues, the final treatment is almost always a set of compromises. It's important to figure out what's the most important issue for you. Is it certain size or shape? How important is cleavage? How far apart should the your breast implants be positioned? Are you willing to have excessive upper pole fullness? How about double bubble deformity?

My suggestion, just based on photos alone, would be periareolar incision, subfascial(above the muscle) placement, anatomical shaped texture silicone implant from Sientra. Low to mid 300's cc.

I would highly recommend that you seek out in person consultation with an experienced board certified plastic surgeon to work out the best treatment plan for you.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

   The IMF can be lowered to make the breast seem more round and lengthen the NAC to IMF distance.  This will allow the implant to be seated so that the NAC will be at the center of the new breast mound.  The natural space cannot be closed too much or a symmastia (one breast) can develop.

Both 300 and 350 cc appear to be conservative natural looking choices for you.  I strongly recommend that you try the implants on in a bra before surgery so you can visualize the size on you.  This will show you the appearance that you can expect in clothes post-operatively.  Good luck with your surgery.

Thanks for sharing and your photos. The options you discussed (300 and 350) both seem very reasonable and there's also a 325 cc that you can consider. I would recommend you see a plastic surgeon and have a full consultation. Best wishes - Dr. Aldo.

The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body. Consult with 3
experienced and expert board certified plastic surgeons to understand
your objectives.