Breast Implants Size for 12cm BWD?

Be very careful with how your base width is measured.  commonly base width will be measured by examining the existing breast not the goal breast.  The base width used to select an implant should be from just over a cm from midline to the lateral border of the goal breast.  This lateral border is just beyond the chest wall border, and should be a bit farther out if you really want to go that large.  Selecting a base width that is too narrow can create a very strange unnatural appearance and cause the loss of the overlying breast tissue.  I also strongly recommend a subfascial approach if you are planning on going that big as you will have more lasting support.  I hope this helps!

 

All the best,

 

Rian A. Maercks M.D.

Thank you for your question and for sharing your photo. Size of the implants can be very personal choices that a patient makes. In many cases, patients can go from a A cup to a D cup or larger. In our practice, I begin by asking whether you are looking for more projection or perkiness and whether you mind have some of the breast tissue push outwards on the side. In addition, I ask you to try on different external sizers to give you a sense of what your breast may look like and the feel of extra volume in the breasts. The volume range and the breast shape preferences helps me the further guide you in your implant selection and to give you guidance on what the breast might look.I would visit with some board certified plastic surgeons in your area to discuss your options and goals in more detail.

Natural-Looking Breast Implants ("not fake") vs "As big as I can be" sometimes can be contradictory and you need to discuss this with your plastic surgeon before picking out implant sizes.It is very difficult to determine the exact size and shape of implant that looks natural for you without an examination by a board certified plastic surgeon. This is because several measurements, not just breast width dimensions are needed not to mention your breast characteristics to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be tough to answer your question. Additional critical decisions will also be made by your plastic surgeon such as: whether your implants will be above or below your pectoralis muscle. These choices are recommended to you based on the look you desire, the amount of sagging you may have, and other deciding factors. I always find it helpful for patients to bring in photos from my or other plastic surgeons’ websites to illustrate what they would like to look like. I bring these photos to the operating room for reference during surgery so that I have the advantage of “seeing through my patient’s eyes” to achieve their wishes.I personally order more than one set of implant sizes and use sterile sizers placed in the pocket during surgery to know in advance exactly which implant would work best for you. Software morphing programs can be helpful in some but not all cases (e.g. doesn't work well in my experience with existing implants, sagging or asymmetric breasts).My advice is to accept advice from your board certified plastic surgeon after a formal consultation and examination with measurements.. If still confused don't hesitate to get a second opinion.