I am 5'0" - 100lbs. Will 265 cc look too big on me? I am currently a very small 32a

You are obviously very petite, so you need a smaller implant than most. Speaking generally, since we don't have any measurements, my petite patients are in the low to mid 200cc range, so you should look great. Good luck!

Hello,
Thank you for your question.
It is difficult to make recommendations without
a full assessment and without your full measurements. At your consultation,
your Board Certified Plastic Surgeon will be able to provide you with
recommendations to help you achieve your goal.
Take care.

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

Thank you for your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend you voice your concerns with your surgeon, they are in the best position to ensure that the implants the two of your decide upon are the right ones to meet your expectations. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Breast Implant Size is a combination of subjective and objective
criteria.380 cc is a reasonable recommendation. There is not a direct
correlation between the cc's of a breast implant and the corresponding
cup size, as cup size is an inexact measurement that varies considerably
among companies and even within the same company. Online consultants
will not be able to guide you as well as surgeons who perform in person
consultation.The size of the implants are based on a combination
of a patient's goals and objectives and her anatomy. In order to
provide a natural looking augmentation, the surgeon needs to evaluate
many factors including soft tissue coverage, skin laxity, chest wall
width, breast imprint width, the shape of the breasts and relative level
of constriction to ensure that the breast implants are appropriate for
your body.

Hello dear, thanks for your post and provided information as well. The thing about size is...Did
You Know? Implant size (measured by cubic centimeters, or “cc”) only
matters as far as it will help you get the look you want. In these
photos, can you guess who has the larger sized implants?What limits how big you should go?1.
Your current breast size. This matters because you’ve got to have
enough existing breast tissue to cover the implant. If you haven’t got a
lot to spare, some implants may just be too big to fit.2. Your
chest and shoulder width. Fortunately, implants come in different base
widths so you can get a size that works well with your frame.I recommend to make an appointment with a board certified plastic surgeon for a person evaluation and to talk about your goals. Good luck :)

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: Your individual anatomy, desired outcome, realistic expectations, a
thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width, height, and projection, as
well as chest wall width all need to be considered when choosing an implant.
Trying on implant “sizers” of various shapes and volumes while wearing a tight
t-shirt, bra, or bathing sit at a preoperative visit will help you and your
surgeon choose the optimal implant.
There are no manufacturers' standards for cup sizing in the bra
industry. The cups of a 32 C and a 36 C are significantly different. Cup size
varies from manufacturer to manufacturer and even within styles from any
particular manufacturer. Nor is there a direct correlation between implant
shape or size and cup size.
Keep in mind that following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of each operative
procedure would not be in your best interest. I would suggest that your plastic
surgeon be certified by the American Board of Plastic Surgery and ideally a
member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, MD FACS
La Jolla, California

Thank you for the question. Online consultants will not be able to provide you with specific enough advice to be truly helpful. Much will depend on your specific anatomic features...Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "full B to small C cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link/video, dedicated to breast augmentation surgery for petite patients) helps. Best wishes for an outcome that you will be very pleased with.

I like to use computer imaging so the patient can visualize an approximate result. There are other issue such as implant shape and placement along with  your anatomy which will influence the result.