Currently a 34B. What size is better for natural 'lean' looking breasts: 285, 305 or less mod profile? (photo)

There is only a minimal difference between 285 and 305.  Without seeing you in person and performing measurements, I would recommend the larger size.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery.

Best wishes!

Dr. Desai

Thank you for your question. Your surgeon needs to base the implant size on your breast dimensions and your desired size. In your case, There is very little difference in size between the implants you are considering and you will not be able to see a change in breast size  if the implants are placed in the submuscular position. Best of luck with your upcoming surgery.

The difference between 285cc and 305cc breast implants is small. Your breasts likely won’t look any bigger with the 305cc breast implants than if you had gotten the 285ccs. Given how you want your breasts to look, the more important question may be the profile. A moderate profile has less projection than a high profile but more than a low profile. Which profile bests suits your breasts is determined by the diameter of your breasts and your ideal look. The breast implant should fit within your natural shape, so you may need a higher profile to accommodate more volume. Your plastic surgeon can help you pick a profile that gives you a lean look and adds the volume you want.

Hello,Thank you for your question and photos. First, the difference of 20cc would be almost impossible to see- it is very slight. Second, often patients feel that their implants appear smaller once settled and healed so, especially placed under the muscles, I'd recommend to my patient to anticipate that slightly smaller result. My patients also find it helpful to try on implant sizers with a form fitting T-Shirt in the office in order to get an idea of how they will look. Ask your Plastic Surgeon to help you with this.All the best

Hello and thank you for your question.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

more important to match the size of the implant with YOUR base diameter and then also to pick the correct style/shape of implant for your desired look. YOU will not notice a difference between 250 and 305 post-op, need to change sizes 100-150cc to see a significant difference, especially if placed under the muscle. 

Right now you are focusing on a very small difference in size which will not matter. The more important issue is what is the base width and profile of the implant chosen. This does make a difference. There will be no difference in you cup size with the 2 implants you are looking at. I hope this helps. Good Luck!

So much of what is "ideal" is in the eyes of the beholder. I use a 3 dimensional imaging system with VR goggles to give my prospective patients a real idea of what they will look like with the implants we agree on. You can also use a breast sizer (not an actual implant) and a sports bra to see how it feels. 
Chest measurements help in deciding what width of a particular size implant to use but there are no "perfect" breasts for a given measurement. 
Whatever you decide, don't fret over 25 cc. It is less than two tablespoons!
Best of Luck
Dr. J

I appreciate your question.



The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.  

Silicone will give you a fullness at the top (upper pole fullness).



Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.



Anatomic gummy bear implants might be a good choice to give you volume.



These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.



During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.





The best way to assess and give true advice would be an in-person exam.



Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.





Best of luck!





Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.