Breast Implant Size for Skinny or Small Framed Patients?

I would recommend the 225 moderate plus profile silicone, in my opinion, given your anatomic description

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
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

It is very important to communicate your size goals with your surgeon.  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 cup” 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 “I wish I was bigger”.
I hope this helps.

Hi,
If you are deciding upon silicone gel implants, the size has to be determined prior to surgery or with sizers during surgery. One advantage of saline implants is that the final size can be varied at the time of surgery and the appearance can be determined at that time with the patient sitting up. In reality the difference between 200cc and 225cc is minuscule. The issue is deciding upon what you want and what it may look like with consideration for your anatomy.
The final decision about size should be made by your surgeon after a thorough exam and discussion with you. You can try different sizes in a special bra and even walk around for the day to make up your mind, but in the end your surgeon has to make the decision because he/she is the one doing the procedure. I have attached a video that may help.

The difference between a 200 and 225 cc implant is very small and therefor of little significance. It has been my experience that patients are eventually happier if they go with the larger size. The best way to decide is to try them on and see how they look. There should not be that much difference.