Confused after receiving multiple consults & recommendations, what size and profile would you recommend for me? (photos)

It is okay to get to varying opinions about a particular procedure. When you start to have multiple consults and multiple multiples with the same person you get to much information that can lead to considerable confusion. I would suggest a couple things one you might consider waiting to have a breast augmentation after you have your family. Number two you have to trust the surgeon that you feel most comfortable with and rely on his or her judgment. Good luck.Earl Stephenson, JR, M.D., DDS, FACS

At size 34 A each 100 cc’s of implant
corresponds to 1 cup size change. 300 cc
implants would take you to a D. I always
recommend small round textured silicone gel implants placed retro-pectoral
since they look and feel more natural, are more stable, less likely to ripple
or have complications needing revision.
Implant profile is irrelevant in the retro-pectoral position since the
muscle compresses it. Since you are very
active, I recommend the smallest implant possible, which will have less
displacement with muscle contracture.Best Wishes,Gary Horndeski, M.D.

You certainly have done your homework, and considered your
options. The descriptive paragraph you provided is very helpful. You have
experienced firsthand that each surgeon may provide different recommendations
based on practice philosophy, their individual patient experiences, and
beliefs/biases regarding implant styles and types.



Implant selection can be a complicated process, and requires a
complete patient examination and detailed consultation to reach that decision.
Therefore, in many respects, the surgeons that have already examined you in
detail are in a much better position to provide recommendations then anything
someone else can tell you over the Internet.



In addition to base width, skin elasticity and breast skin
envelope compliance are also important in the implant selection process. You do
have a good starting shape, and so with a moderate augmentation, you should get
a very nice result. I agree that a silicone gel implant would be your best
option. With your continued desire to be very physically active, a subglandular
implant position may be better, but this location does have a higher risk for
capsular contracture. The Natrelle 410 would complement your preoperative shape
very well. However, if you're going to continue to be extremely physically
active, it would probably be best not to utilize this implant in a subpectoral
position since there is likely increased stress placed on the shell as a result
of the textured surface and its integration into the breast capsule.



I prefer subpectoral implant placement (greater tissue coverage,
lower risk of capsular contracture, less rippling, improved mammography) and an
inframammary approach (ability to make a longer incision, control of the
inframammary fold, good exposure, reusable) because of the benefits they offer.



The simulation photograph you included certainly shows a nice
result using a 375cc high-profile (style 20) round gel. You mentioned that you
don't want your breasts to have a "softball look" or be "torpedo
boobs". A high profile implant is more spherical in shape, and out of all
the implants, is most likely to give this type of look. I believe high-profile
implants also direct greater biomechanical stress on the breast anteriorly and
inferiorly. In patients with less skin elasticity, this stress can lead to
stretching of the inferior pole skin (over time), and additional implant
descent, producing a high riding nipple-areolar complex. For these reasons, you
may wish to consider a moderate profile (style 15) implant instead. This may
mean that you have to settle on a slightly lower volume, but in the long run
may achieve a better result.



There will be advantages and disadvantages to every decision
regarding pocket location, fill material, implant style, and implant size.
Ultimately you should settle with the surgeon that you believe understands your
needs the best, and (the one you trust) will give you the results that you
desire. I hope this was helpful. Best wishes.

Way too many moving parts here, you need to pick the doctor and tell him or her what you want in your own words, it seems you are being moved around. With your anatomy and desire to workout I would likely do 270 under the muscle

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!