400, 425, 450cc - Silicone Implants? 5'8, 155, Curvy, Atheltic Build

Question

Hello I am 5'8, 155 with a Curvy, but Athletic build. I carry my weight in my lower body, I have broad shoulder, long legs, full hips and bottom. I want the fullness I had in my breast before having two kids, and because I'm having surgey, maybe a little extra :,). I am a professional in a conservative work environment and have two small children, but I appreciate feminity and feeling sexy... Struggling with choosing the right size. Currently a 36 B/C. Appreciate doctor or community feedback.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your photograph.  You need to consult with a BC PS to get a more accurate determination of size.  Size can be determined by your chest width.  In my experience a woman of your height an implant in the 400's would be appropriate

	Dr. ES

Gary M. Horndeski, MD · Answer

You are focusing on implant size when your bigger problem is your breasts have descended.  A simultaneous lift is essential.  There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape the breast tissue to create upper pole fullness, elevate them higher on the chest wall and more medial to increase cleavage.  Through the same incision, an implant can be placed.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall will give maximum anterior projection with a minimal size implant.  Smaller implants are more stable long term and look and feel more natural.  At size 36 each 200 cc's of implant corresponds to 1 cup size change.  From this, you can calculate the implant required to achieve your desired goal.

	Best Wishes,

	Gary Horndeski, M.D.

James E. Murphy, MD, FACS · Answer

Pictures are a great tool when deciding what size implant you would like. There are website where you can plug in your height and weight and current cup size. Then you can chose implants in various sizes on women with you similar physique.  This will give you an idea of sizing. Remember to keep your goals in mind, such as cleavage, upper pole fullness etc. Discuss this with your surgeon. Together you will be able to make the decision together.

James N. Romanelli, MD, FACS · Answer

Congratulations on being fit after having 2 children!  From your photo and dimensions I think you can probably carry any of the 3 sizes you mention.  When I size patients in the office we use sizers and really emphasize the balance between breasts and hips.  It is really helpful to look in a full-length mirror, holding the sizers to your chest and turning side to side to see what is most pleasing.  I am also a fan of 3D imaging as one more tool to help you visualize a result.  But if I could only use one way of sizing, I would use the sizers held up to the chest.  Good luck!

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Based on your picture, I think that you are starting at a great “starting point” when it comes to  achieving a nice outcome after breast augmentation surgery.  Although potentially useful to some degree, online “consultations” cannot be as precise as necessary.

	Ultimately, careful communication of your goals, careful measurements (dimensional planning),  careful selection of appropriate breast implants and skillful execution of the procedure will be important steps in achieving your goals.
	 

	Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery 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.      
	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) help.

400, 425, 450cc - Silicone Implants? 5'8, 155, Curvy, Atheltic Build

Answers (9)

Answer: Athletic Build Looking for Curvy Implant Results

Answer: Athletic Build Looking for Curvy Implant Results

Answer: Best Breast Implant Size/ Profile for Me?

Answer: Best Breast Implant Size/ Profile for Me?

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

400, 425, 450cc - Silicone Implants? 5'8, 155, Curvy, Atheltic Build

Answers (9)

Answer: Athletic Build Looking for Curvy Implant Results

Answer: Athletic Build Looking for Curvy Implant Results

Answer: Best Breast Implant Size/ Profile for Me?

Answer: Best Breast Implant Size/ Profile for Me?

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.