Full, Round Breast Implants for a Petite Woman?

Question

I just turned 18 and I want to get breast implants. I am a size 32 A and 5 feet tall. I am very petite and do not have a lot of breast tissue. What is the biggest size implants I can get without looking out of proportion with the rest of my body? I was thinking of possibly going to a full B cup size. Could I go bigger? Also, would silicone or saline be better? I would want them to be round and full so I would have a good amount of cleavage.  Thanks!

David L. Mobley, MD, FACS · Answer

Your implant size will be based on a number of factors:
 
     1. Your chest measurements.  The base diameter of the breast is an important measurement and gives the surgeon information on what will fit properly
 
    2. Your shoulders and Torso appearance.  Women with more square shoulders and thinner waists can carry a somewhat larger implant
 
     3.  The length of your waist.  A longer distance between your breasts and your hips means you can go slightly larger
 
I allow women to try on the implants during the consultation to give them an idea how the size would look in clothing.  This seems to really help in the decision making process
 
In general I believe thinner more petite women get a better more life like result with a silicone implant since there is less of you covering the implant. 
 
I believe depending on the above points, you could easily look very good and natural with a small C cup size breast after augmentation.  Often women wish they had gone bigger a few months after surgery, so if it comes down to a couple of choices,  choose the larger of the two.  I would also consider a more high profile implant to avoid looking to wide across the chest

Kurtis Martin, MD · Answer

Based on your description , you could easily be a B cup or larger. You should consult with a PS and try on sizers to determine your optimal size. I think if you go bigger then a D cup you might be out of proportion. I would recommend placing silicone implants under the muscle via an incision of your choice. Don't try saline, you are too thin and will have a good chance of rippling.

Otto Joseph Placik, MD · Answer

AT 18 you can only receive saline implants. Depending on your breast diameter and soft tissue characteristics, I would choose a moderate plus implant with a width no greater than your BWD.

Farbod Esmailian, MD · Answer

The size you are describing sounds about right.  In general silicone implants produce more favorable results in very thin patients like your self.  Unfortunately, silicone implants are FDA approved for patients 22 years of age and older.
Having said that, saline implants are your only choice, but dont be dissappointed, they are still very nice implants that will provide you with the look you want.
Good luck.

Ronald Levine, MD · Answer

It depends on your breast measurements. If you have little of your own natural tissue, you will need to stick to a smaller implant at first. This allows for your tissues to expand. Then, if you want to go bigger, your tissues will have expanded to allow for a larger implants. Therefore, you may need to have more than one surgery to achieve a larger size - although it may not be necessary depending on what size you choose first. Both saline and silicone offer natural looking results, however silicone tends to be favoured simply because it is resembles natural breast tissue more.

Paul Gill, MD · Answer

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
	Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
	The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
	I wish you a safe recovery and fantastic result.
	Dr. Gill

Mark A. Schusterman, MD, FACS · Answer

I rarely if ever recommend anything larger than a 300 cc implant for petite woman (size 0 or 1) under 5'5" tall. usually in the range of 250 - 275 cc. Try them on before surgery to get an idea of how they will look once implanted.

Tom J. Pousti, MD · Answer

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" means different things to different people and therefore prove unhelpful.
	Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
	I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.
	I hope this helps.

Steven Wallach, MD · Answer

Without an exam it is hard to say what would be best for you. But, you are not allowed to have silicone because the FDA restrcits it to patients  22 and older.

Kenneth R. Francis, MD, FACS · Answer

Steph,
A full B cup would still look natural on your frame.  You are limited to saline filled implants because of your age.  If you can hang on for another 4 years, silicone gel will become an option for you as well.  Good luck!

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