33 years old, 5’4”, 135 lbs, high profile or moderate plus for C cup? (Photos)

Question

Hello doctors! I’m 33 years old, my height is 5’4”, and I weigh 135 lbs. I had 2 kids and breastfed both of them. I’m looking to have a breast augmentation soon and would really like full but not crazy in your face boobs. Please let me know what size I should do and also high profile or moderate plus for my body type? I would like to have a full C cup look.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on your photos, you seem to be a good candidate for breast augmentation. There’s a small chance that you may require a lift procedure but an in person evaluation may be needed to tell. The exact sizing, and type of implants is determined after the examination by your doctor and the decision is always made together with the patient to select what’s ideal for your body. I hope this helps.

Leila Kasrai, MD, FRCSC · Answer

Your nipples seem to be located below your breast fold and pointing slightly downward, therefore a breast lift would most likely be recommended. This can be performed at the same time as your breast augmentation. As for size, more measurements would be needed to give you a range. During your in-person consultation, your board certifed plastic surgeon will be able to give you a range of sizes that may be suitable for you, based on a set of measurements and your goals.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Brian K. Reedy, MD · Answer

Thanks for your question! I would suggest going into this with the expectation that you will need a lift as well. Your breasts are droopy enough that I would recommend that with a moderate profile implant to give you a nice, perky breast without being too large. Good luck!

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

An examination in person would be required to properly evaluate yoo and make specific treatment recommendations, however from your photos it would appear that you would most benefit from a mastopexy (breast lift) to reposition and reduce the diameter of your nipple/areola on both sides.

If you want to be a bit larger a low or moderate plus profile implant with the proper diameter can be inserted at the same time. Best of luck to you.

If you want to be a bit larger a low or moderate plus profile implant with the proper diameter can be inserted at the same time. Best of luck to you.

Daniel Barrett, MD · Answer

Dear rebeccab5,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The profile chosen is based on your measurements and the size implant you choose. During your consultation, you will be measured and can try on a variety of sizes to see what you like. Your surgeon will then choose the appropriate profile for you.

Aleksandr Shteynberg, MD · Answer

Hello rebeccab5. 
To get to a full C cup you would probably need implants in the 300 ml range. It would be helpful to have implant sizers available for you during a consultation to get a better idea of what enlarged breasts may feel and look like. Based on the photos and your desired breasts appearance, probably a moderate plus profile may be appropriate. Also going with a little bigger size may allow for a very good look without a lift procedure. A breast lift may be needed based on exam, breast measurements, skin elasticity, and the size of the selected implant. 
Best.
A. Shteynberg, M.D., F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.

Camille Cash, MD · Answer

Implant selection is a complex process that is best done with the help of a board certified plastic surgeon.  After a discussion of your goals for surgery your surgeon will take your breast measurements.  This information will be combined with your goals to help determine the appropriate implant for you.  If a lift is indicated, this will also be discussed.  I have included a video on breast implant selection that I hope you find helpful.

33 years old, 5’4”, 135 lbs, high profile or moderate plus for C cup? (Photos)

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