Im 5"10 and 150 Pounds I'm Really Slim on Top What Size Implants Should I Get?!

When choosing breast implant sizes, your only limiting factor really is your chest width.  A wider chest can accommodate wider implants which mean bigger implants.  Although it is surgically possible to place a very large implant on a small/narrow chest, it would look exceptionally bad.  Talk to your board certified plastic surgeon.  He will recommend the correct size for you based on your chest width as well as based on the underlying chest wall bony structure and skin. 

Silicone implants are softer to touch and have less rippling, so in someone as skinny as you who does not have a lot of fat to hide the implants, a silicone implant is a better choice.

Sincerely,

Martin Jugenburg, MD

Deciding on which implant to use is always a difficult decision
for women. The benefit is that in this day and age is that there are so many
choices of implants that the augmentation can be tailored to each patient.



Number
one you have a good shape to your breast to begin with and you will have a
phenomenal result with your breast augmentation.



Truly
the best thing that you can do is be open with your surgeon about your desired
results so they can help guide you in choosing the best implant for you.



I
would spend time trying on various implants in your surgeons office and don’t
be afraid to do this more than once.
Also bring your surgeon pictures of what you want to look like after
your procedure. This will make sure that
you and your surgeon are on the same page about your implant desires.



Patients
can confuse their decision by trying to be a specific cup size, which is good
as a starting point, but really the best thing you can do in deciding on a size
is trying implants in your plastic surgeon’s office.



The
benefit of the silicone implants is that patients can place a slightly larger
implant and still look natural. The silicone implants are much softer in feel
and appearance than the saline implants.
You would have to go with a very large implant to have a round fake look
after your augmentation.



In
terms of the profile of the implant, I typically decide on the volume of the
augmentation first and then use the various profiles to match the breast width
of the patient. This will keep the implant
from being too wide, but still give patients the medial fullness that most
patients desire.



It is important to see your board certified
plastic surgeon to help guide you to an implant that will give you an
aesthetically pleasing breast.

Far more important than the technique
is the skill and experience of your plastic surgeon. Choose your surgeon rather
than the technique and let them explain why one technique may be better than
another.

See the below link on some
suggestions on finding the most qualified Plastic Surgeon for Any women desiring breast augmentation surgery is a candidate as long as there are no health problems present which would preclude her from having surgery. If the desired goal is to enhance or restore size and shape or to improve asymmetry, breast augmentation is a viable option. Breast augmentation can improve a body image, self-esteem, self-concept, and quality of life.Ideal Candidates for Breast AugmentationDesire larger, shapelier breasts.Moderate degree of breast sag and smaller breasts, whose problem can be solved by enlargement.One breast that is noticeably smaller or is positioned differently than the other (asymmetry).Uneven chest wall or rib cage.Women requiring breast reconstruction following a mastectomy.Restore breast volume or shape following pregnancy, breast feeding and/or weight loss.

Consider the dimensional breast augmentation technique. It is designed to consistently achieve the most natural–looking result based on variables like your height, weight, breast width, breast height, distance between nipple and breast fold. These are all considered to achieve your desired cup size.Talk to your surgeon to find out if they do this.

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Hope me that this helps! Best wishes for a wonderful result!

The single photo gives very a very limited view of your breasts.  However, you are tall and narrow in the chest.  I would prefer to use a high profile implant to keep the base width smaller.  As far as sizing, it's best to see a plastic surgeon in person for help with that.  You can also try on implants to gauge sizes.  If I had to guess, I would suspect you would be in the 350cc HP range, but see a plastic surgeon in person.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Implant size is a very personal preference.  We have the Vectra system.  If you have a surgeon in your area with this device, it can simulate the result of surgery on your body with a 3D image.  It is quite amazing and gives my patients an accurate idea of what surgery will do for them.

You are taller so you will need a larger implant than a shorter person. But to ask for a size by looking at a photo isn't really a good idea. The person that would have the best idea is someone that is examining you in person. If you are unsure then go on some more consultations with board certified plastic surgeons.

Several surgeons have given helpful (and different) answers to your question about implant size and shape expectations. In my opinion, shape and size expectations go hand-in-hand.

Don't be too worried if your surgeon uses a different method, so long as you feel confident that the process has answered your questions and makes sense to you. If you still have questions, by all means, ask your surgeon!

My basic approach is to first discuss your goals and perform a careful examination of your tissues.

Shape -- Is my job to explain and show you

After I examine you I will review with you other patient's pictures that have similar breast tissues and shapes. This is maybe the most important part of the consultation where I get to gage what your impression of size and shape is from patients that are similar to you. I'll often learn critical new information about your goals here. And I then give you a good idea of what you can anticipate.

Size -- Is shared between both of us, as I need your feedback from sizing

I'll then make some suggestions for sizers to start with and have you try different sizes. Ultimately this is a great starting point for zeroing in on a size for you. We have more information for you, if you'd like, on doing additional sizing at home, and we repeat the sizing for confirmation at the preoperative visit.

Hope this helps,

Nick Slenkovich, MD FACS

Hello Aurora 1433,

It would be impossible to recommend an implant size for you with out a thorough examination of your anatomy, so I can not comment about one implant versus another.  Information gotten from an examination includes breast base width, height, tissue elasticity, tissue thickness, and asymmetries of the breast or ribcage.  All these variables come together, along with your personal aesthetic goals, allowing the surgeon to make the best choice for you.


Keep in mind that choosing an implant that is inappropriately large for your anatomy is the most common mistake that plastic surgeons make (at the behest of their patients, who's only concern is the cup size after surgery); one that is costly for the patient and will most likely lead to an unexpected issues, dissatisfaction with the results, and frequently reoperation.
 

Pretty, long lasting results in breast augmentation surgery are gotten from an appropriately sized implant (based on the patient's anatomy, nothing to do with subjective measures like proportion), that has preferably a medium or low profile, and is placed under the pectoralis major muscle.


Best of luck!