BWD vs Implant Size?

Dear Unicorn3213,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

BWD is useful in implant selection but there is some wiggle room. The distance between the breasts is determined by your anatomy and not influenced much by the implant. I encourage you to return to your surgeon to further discuss the implant options. Many have sample implants available for you to "try on" to give you an idea of how you may look after surgery. I've included a video on this process that I hope you find helpful.

The gap is due to your anatomy, and your breast bases cannot be moved. Implants behind the muscle are more restricted in filling in the gap as well because of the muscle. I suggest going with what your surgeon thinks is best since your surgeon has measured and examined you.