How much narrower should implant be in relation to natural breast width?

Dear Vivid995694,
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

This should not be a problem. The WORKING breast diameter is the actual pocket that will be dissected that DOES NOT directly correlate with the external breast diameter measurements.

Thank you for sharing your question and photographs. BWD is one breast parameter that surgeons use to help select implants that will fit your anatomy but there is variation in the ways it is measured. That said as long as you are pithing 1-2cm of your BWD you should be fine, the more important consideration is that the 250cc sizers you tried on supply you with the goal outcome you desire. Best wishes!