Which size of implant would deliver natural results with upper pole volume? (photos)

Question

I am 5'5, 145lbs. My bwd is 15cm. Sternum to nipple is 21. I wear medium/large tops, 36 bra band. The PS gave me the options of allergan 375cc mod, mentor 370mod+ and m430modhigh. I have very mild pectus excavatum, located higher up, under my collar bones. Which would provide a natural outcome with some upper pole volume?

William Andrade, MD · Answer

Hello, I find that every patient has a different idea of what looks natural, so it is hard to predict this type of outcome.  I find it more helpful to base the implant selection on the person's measurements, tissue thickness, and goals that are refined by looking at before/after pics, 3D imaging, or trying on sizers.  I typically recommend implants that are a little smaller than the measured BW but every surgeon has their own system.  Your surgeon will be the best source of advice since they presumably did a detailed breast assessment.

Michal Brichacek, MD · Answer

Natural is a very subjective term. What is natural to one patient, can be too small for one patient, or too dramatic to another. I find that the 3D simulation using the Crisalix simulation software gives you the best idea of the final. It is a simulation and is not completely accurate however.
Looking at your photos, I feel like all of those implant choices would be very reasonable if you aren't looking for anything overly dramatic. The difference between all those implants isn't that large.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast 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

Derek Fletcher, MD · Answer

Unfortunately, I can't tell you which implant is best suited for your body and goals without seeing you in person, performing a detailed exam, and assessing goal photos with you.
To ensure that I achieve my patient's goals in surgery, I request that they bring before and after photos of patients with similar frame size, starting breast size and the results they find most desirable. I use 3D imaging to narrow down the implant volume range. I perform a very detailed exam noting pec muscle morphology, rib projection, skin type, breast tissue type, and take 6 different measurements of each breast. On the day of surgery, I have 8 different implant sizes in two different projections (moderate and full for example). I use the patient's goal photos and implant sizers to ensure I create the desired change before choosing the final implant.

Camille Cash, MD · Answer

The higher profile implants will give you more upper pole fullness, however a smaller implant will look more natural.  Many surgeons have sample implants available that you can "try on" to see how you may look after surgery.  This might help you in your decision.

Which size of implant would deliver natural results with upper pole volume? (photos)

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Which size of implant would deliver natural results with upper pole volume? (photos)

Answers (9)

Answer: Breast implant selection

Answer: Breast implant selection

Answer: Implant selection

Answer: Implant selection

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.