How big can I go with my breast implants (estimate please)? (Photo)

Question

How large of an implant will I need at achieve this look? I show my boobs and my body frame, and some wish pics. I am 5'2 175lbs

Donovan Rosas, MD · Answer

It is important to understand that anatomy defines the limits of volume.

Based upon your photos, you are seeking a very significant upsize on the order of 700 ml +. This will likely require a staged approach. Patients seeking high volume may begin with an implant which does not meet their goals but will allow for stretch over time to eventually facilitate the placement of an even larger device. This may be combined with secondary fat grafting as an adjunct.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Chet Mays, MD · Answer

Thank you for your inquiry!  At you consultation appointment, you should have the opportunity to try on different implant sizes.  We always recommend taking a couple different shirts to see how you will look in your clothes.  We would love to sit down with you to discuss these.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Carlos Marciales, MD · Answer

Hello, thank you for asking, to obtain a result like in the photo, and taking into account the starting point which is your current breast size, I think you will require several surgeries, at first I don't think you can put a such a large implant in your body, the size you want is approximately 650-750 cc, you should start with a 400-450, and in a second surgery put larger ones. Thank you

Daniel Barrett, MD · Answer

Dear Princessyolanda5,
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

Leila Kasrai, MD, FRCSC · Answer

More measurements would be needed to give you a better estimate. However, based on your wish pics, you are aiming for a rather large size. You may need to stage your surgeries to go that big. This would allow your tissues to accommodate the larger implants. Doing it at one time may significantly increase your risk of complications.

Gianfranco Frojo, MD · Answer

Implant sizing is very important. I would see a board-certified plastic surgeon with preoperative 3D imaging capability to show you the potential sizes/outcomes. This should be based on the tissue measurements from the breast.

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 with different size and style breast implants, if interested. 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 size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

The most important thing is the breast lift. The traditional techniques require the vertical scars and will not achieve the desired appearance. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Please do not try to go the size of your wish photos. Mammoth breast like those are not pretty sitting on your lap. Plus, your neck and shoulders will not be happy trying to carry such a heavy load. Also, buying clothes and bras will be difficult. I would suggest a lift or even small reduction for you.

How big can I go with my breast implants (estimate please)? (Photo)

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