110-112 lbs, 5’5”, I thought maybe 200 something ccs? (Photos)

Question

Originally I wanted to get a BA to bring my old boobs back. They were small bit had a full underboob curve, and in a push-up they curved in a circular way on the top. So, given that I’m 110-112 lbs, 5’5”, I thought maybe 200 something ccs. But after looking thru galleries, I am totally guilty of curve greed. What ccs would I need to do a frame appropriate curve/size similar to these pics? Or would something like these just be too big to look “natural” or supernatural, on my frame.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (200 versus 300), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. A given implant may well “fit” your breast, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Chul Hwan Seul, MD, PhD · Answer

Given your conditions, I recommend considering implants in the range of 300cc to 330cc for a result that aligns well with the desired photos. However, it's important to note that an accurate examination and specific consultation are necessary to predict the most suitable implant size for you. This personalized approach ensures the best possible outcome based on your unique factors and preferences. If you have any questions or would like to discuss this further, please feel free to reach out for a detailed consultation.

Daniel Barrett, MD · Answer

Dear vic danconia,
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

Brian K. Reedy, MD · Answer

Thanks for your question! Interestingly enough, all of your wish photos have pretty different outcomes. I would suggest finding a surgeon that will allow you to try on implants. I think that is how you're going to get the best determination of what size you want. Good luck!

Gary M. Horndeski, MD · Answer

At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. At size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From your photograph, you appear to be about a B. 200 cc implants would take you to a D, if you are size 32 or 34.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John L. Burns Jr., MD · Answer

I'd suggest using 3D imaging to see what implant would give you the goal you want.  The technology can control for implant shape, volume, and profile.

Gerald Minniti, MD, FACS · Answer

Contrary to widespread belief, mostly encouraged by my fellow plastic surgeons, looking at another person's results with a given implant is a terrible way to pick the implant for you. Just remember this: any given implant (size, shape, profile) yields a UNIQUE result for every person, no two people will look the same. More importantly, you have no idea how your proportions will be either. When you realize this, you will understand why looking at galleries is just a showcase for the doctor, not a tool to select YOUR implants. Almost 20% of reoperations are for the wrong size, which should not be the case!!! Go to a surgeon who uses in-office sizers and you will get just the right implants for you.

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. 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

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for breast augmentation. While the selection of implants is difficult to do via photos alone, in order to match your goal photos, you may want to consider larger than 200cc implants; maybe closer to 350cc.

Ronald J. Edelson, MD · Answer

You’re a good candidate for breast implants., I would recommend a bit larger size. 275 cc is not considered large. You would have a large B cup. 200 cc would be a disappointment