Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. The size, profile, and shape of theimplant is based on your desired breast size/shape, your chest wallmeasurements, and soft tissue quality. This decision shouldbe based on a detailed discussion with equal input from both youand your surgeon. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The mostimportant aspect is to find a surgeon you are comfortable with. I recommendthat you seek consultation with a qualified board-certified plastic surgeon whocan evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, desired outcome, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 C and a 36 C are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and cup size. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
