Breast implant size- 250cc silicone low profile, any suggestions? (Photos)

Question

I’m happy with my breast size on the bottom of my breast, but my upper pole is completely flat. If I were to pull a tank top down so my nipples were almost showing. I would look flat-chested and feel like a boy. I want small implants that look supernatural so I fill out my bras and bathing suit completely. Right now the top of my sports bra is flush with my chest wall. I want my breasts to fill my sports bras enough so that the top of my sports bra is not rubbing against my sternum.

Caner Kacmaz, MD · Answer

Breast implants are sized according to their volume in cubic centimeters (cc).

How do you know what size implant to choose? Looking at pictures and talking to friends who had a breast augmentation might help.

Off course the volume will depend on the shape and size of your actual breasts, your frame and the size you want to achieve.

Our plastic surgeon will advise you thoroughly. Bringing pictures of a desired restult to be shown to our surgeon, might be very helpful.

Kenneth Hughes, MD · Answer

A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bathing suit, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy.

Donald R. Revis Jr, MD · Answer

Good afternoon!
We would of course determine this by measuring your chest, reviewing photos together, and finally by having you try on the implant sizers here in the office, but just based on your photos and description I'm leaning towards the Mentor Moderate Classic in the 250-275cc range, under the muscle (of course), through a nipple or crease incision!

George Volpe, MD · Answer

Choosing the correct breast implant size or volume can be quite stressful not to mention your plastic surgeon may present you with a number of shapes and profiles. There are a number of methods for determining implant size, none is perfect but they all help. These include the use of sizers or computer 3D imaging of which there are several systems. It is also reasonable to show your surgeon photos from the Internet of what you are hoping to achieve. However, it may be impossible to completely achieve what you visualized but will probably be quite happy with the results! In addition to body shape and various measurements, other factors include your underlying muscle if sub muscular implants are going to be placed, your skin tone, presence of stretchmarks etc. A 250 mL implant is relatively small and the photos provided on this question do not indicate height or chest measurements so it is hard to determine if this will achieve the goals. In general, if more volume is desired in the upper part of the breast, a low profile would not be my first choice. Higher profile implants would achieve better superior fullness.

Daniel Barrett, MD · Answer

Dear lovetheoutdoors,
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

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. 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 profile 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Veerle Rotsaert, MD, FEBOPRAS · Answer

Hello there and thanks for sharing your photographs and thought process. 
If you want natural, then indeed a low profile implant in the low 200’s range sounds like a plan. You will get more upper pole fullness from that. Make sure you discuss your goals with your board-certified plastic surgeon so that you are both on the same page!
Best wishes!

Ali Gurlek, MD · Answer

Thank you for your Question. 
there are multiple factors influencing the actual size increase a breast implant will provide other than volume, including:
Implant profile (projection) and base widthImplant shape (i.e., classic round, teardrop shaped, extra upper pole fullness)How much natural breast tissue you haveThe width and contour of your rib cage

Connie Hiers, MD, FACS · Answer

I would suggest the moderate plus profile and place the implants behind the muscle for better upper breast fullness, more support to the implants, and avoid the implant edge look. I do not use low profile implants because they are just too flat. I have been doing plastic surgery for over 35 years and have tried all heights in the past.

Breast implant size- 250cc silicone low profile, any suggestions? (Photos)

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