BWD slightly smaller than recommended implant

Question

My bwd is 11.5. My doctor is recommending a 275 moderate plus implant which has a diameter of 11.7. I really like the look when I tried on the sizers, but now I’ve done some research and I’m worried about it being too wide? Is a .2cm difference too much? I am 5’5” and 125 lbs. My bra size is 34AA.

Randal Haworth, MD, FACS · Answer

The breast implant size that is appropriate for you will depend on several factors, including your body measurements, your desired outcome, and your surgeon's recommendations. It's essential to discuss your concerns and preferences with your surgeon and ask any questions you may have about the implant size and shape.

A .2cm difference in diameter may not be significant, but again, it's essential to follow your surgeon's recommendation as they have considered your body measurements and other factors that may affect your outcome.

It's also important to keep in mind that breast augmentation is a personal decision, and the ultimate goal is to achieve a look that you are comfortable with and meets your expectations.

I hope this helps,
best of luck !

Ted Eisenberg, DO, FACOS, FAACS · Answer

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, and they choose what looks right for them. 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

Daniel Barrett, MD · Answer

Dear Sukit147,
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

Peter Andolina, DO · Answer

An implant that is slightly larger than your breast width is not a major problem.  2 mm is rather insignificant in terms of width.  I think your body will be able to accommodate the implant and you will have great results.  It is always important to discuss these types of issues with your surgeon as well pre-operatively so that you are both on the same page in regards to your final size.

Connie Hiers, MD, FACS · Answer

No, you will probably look very nice with that size.  With an AA starting cup, the 275 should give you a pretty size.

Alireza Najafian, MD · Answer

As you correctly mentioned, the base diameter is the most important measurement when it comes to choosing breast implant sizes and I am glad you are aware of it. The 0.2 cm difference could be negligible as long as it doesn’t require too medial or too lateral dissection of the pocket and I would defer that judgement to your surgeon.I usually order 2-3 different sizes (1 size that was chosen at the time of consultation and 1 size above and below), and patients agree to use the size that would look the best after the pocket is dissected. In 90% of the cases it is the size we agreed upon. I believe your surgeon will do the same and will use the size that matches your pocket at the time of surgery but it is worthwhile to have that conversation prior to the surgery if you haven’t yet.

Camille Cash, MD · Answer

It is likely that the implant that you have settled on will be just fine.  Surgeons often times will take more than one implant size (all of which are approved by the patient) into surgery in case one implant is obviously better than the other.  I use sizers during breast augmentation to confirm the best size.

Shana Kalaria, MD · Answer

BD measurement is relatively subjective and varies based on plastic surgeon. You very well could have a BD of 11.7 which would mean a 275 moderate plus would be perfect for you. Regardless this implant is not too wide for most chest walls and will look great on you. Good luck!

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.

I do not believe a small 0.2 cm difference will make a difference in the final result of your breast augmentation.

Often clinical base with determinations are not precisely accurate anyway.

The 275 cc moderate plus breast implant in my opinion gives the best most natural looking breast enhancement of any implant size or shape.

BWD slightly smaller than recommended implant

Answers (9)

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