Breast width - how close to your base width do doctors like to stay?

Each surgeon will have their own way of making these decisions.
Likewise, each surgeon will have their own way of guiding patience through the implant selection process guide
Some plastic surgeons will ask the patient to make the final decision regarding implants.
Other plastic surgeons will make the decision based on input from the patient.
The exterior breast diameter is only a reference number.
My personal approach has been to work with before and after pictures to get a clear understanding of what the patient is hoping to achieve.
Once I know what the ideal outcome is I bring those pictures with me to the operating room and use them as a reference.
During surgery, I use temporary implant size to determine what size and shape implant won’t give the desired outcome.
I tried to leave certain tissue layers intact when creating the implant pocket.
If a patient wants an aggressive augmentation, then I will most likely use high profile implants.
If they want a more modest augmentation, I generally use low profile implants.
My choice is to work with low profile implants, but if these don’t fit the breast diameter based on the volume, the patient wants then I need to switch to higher profile implants.
I typically have a full collection of implants available to me during surgery.
This requires either maintaining an implant inventory or sending back all the implants, not used.
As I mentioned, each plastic surgeon will have their own way of doing this.
Some people do it better than others.
Finally, anytime, excessively large implants are used the chance of undesirable side effects, complications and need for revision surgery will always go up.
The bigger the implant the more likely the patient is to have problems.
Best,
Mats Hagstrom MD