Will Breast Implants Appear Smaller with Clothes On?

Question

I am an A cup unfortunately, and ever since middle school I always intended on getting Breast implants.My first thought was to go up 2 a full C, but now I want a D cup because I heard that if you get a C cup you will look like a B in shirts, is that true and when you get implants can you lay on them when sleeping or is there a good chance this can create rupture?

Otto Joseph Placik, MD · Answer

First: laying on an implant does not generally cause rupture. Rupture is generally associated with crease fold failure.
In regards to visibility, it depends on what you are wearing. IF it is a loose fitting shirt, yes you may look  a size smaller. IF however, you are wearing a tueb top or halter top, it is likely that your breasts will be quite prominent.

Peter E. Johnson, MD · Answer

The clothing industry knows only too well that certain clothing can be worn to enhance the size or apparent size of the breast, as well as minimize the size of the breast. Individuals all learn over time what clothing style will suit them best or project the most flattering image. Those who are very small breasted will learn what bra or padding will enhance shape, and you may too have a friend with a very large breast who has learned to minimize with just the right clothing. Even with those friends that we know well, we can be surprised at the health club to see what 'size' that they really are.
Clothing and support will only go so far and generally we do get a good take on how small or large and individual will be underneath. Though clothing will be always an important factor in achieving our best look. Remember cup size is relative to your height and weight and overall chest size. A 32 D is not a 36 D. It is better to focus on the overall look, fill and projection of the augmentation you would like. In some bras you could wear a D while in others you could fit a C very well. Concentrate on what looks best for you and your lifestyle.
Implants after augmentation are largely forgotten. They should be an invisible part of your breast and who you are. The only time you need to think about them is when you go for a mammogram to get the necessary additional views to see the breast tissue fully. Otherwise lay on your stomach, exercise, start kick boxing, or go hang gliding!
Best of luck,
peterejohnsonmd

Steven Wallach, MD · Answer

Breast implant size is a very personal choice. Whether you go up one cup size or two it is hard to predict. Volume and body habitus are more important and this can be determined after a careful examination. In terms of resting on them, you can probably do that after a few months. No you should not be able to rupture them that way.

Bahram Ghaderi, MD · Answer

Implant sizing is very important not only in your happiness with proportionality of your breast size, but also in the long term effects on your skin and stretching that can occur. Going from an A-cup to a D-cup sounds like a big jump unless you have a significant amount of loose skin such as after massive weight loss or having children. Clothing can hide or reveal any breast size. Avoid choosing your implant size based on clothing as that can change on a daily basis. When you consult with a board certified plastic surgeon you will have measurements taken of your chest and skin thickness among other things and that will best determine what the right size implant is for you. The larger you go the more difficulty you will have after surgery. You can sleep on your stomach after surgery but of course if your implants are too big for you body that can cause some discomfort. Implants will not rupture because you sleep on your stomach. Do your homework regarding the correct sizing and make sure you discuss all your concerns with your surgeon.

Peter A. Aldea, MD · Answer

Dear Nikkan,
1. Do Breast implants appear smaller with clothes on?
Not much. Clothes do not exert that much uniform pressure that distorts and flattens implants. As a matter of fact, some clothes and bras make augmented breasts look MORE prominent.
I would urge you to get the breast implants your present breast skin can take in AND present breast tissue can cover to avoid the shiny, tight skin round "boob" look which is soon replaced by high visibility of the implant ripples later on. A good Plastic surgeon can measure you and advise you what will work.
2. Is it "true and when you get implants can you lay on them when sleeping or is there a good chance this can create rupture"?
No. It's an urban legend. I have NEVER seen an implant rupture from being hugged, sleeping on it, having vigorous sex, etc, etc. The only case of implant rupture by pressure was in a lady who in a head on car collision had her steering column come up and hit her chest. She survived. Her implants did not.
So, do not worry about it. Modern implants are engineered to take a lot of compression. Certainly more you can exert in your sleep.
Hope this was helpful.

Theodore Katz, MD, FACS (retired) · Answer

Stick to your original thought and go with the full C. If you are too big in most situations (i.e. tighter fitting clothing, bathing suits, no clothing), then you would be unhappy most of the time. There may also be times when you want to minimize the size of your breasts and certain clothing styles (loose fitting) will do this. Most clothing styles today flatter the female form, so go with what suits you best without clothing or with tighter clothing.

George J. Beraka, MD (retired) · Answer

Hi!
You don't want breast implants that are too big.  They look fake and don't age well.  Going to  C cup sounds right to me.  In very loose clothing only, your breasts will be less noticeable.  Let an expert plastic surgeon advise you as to size, because the size implant that's appropiate for you depends on your anatomy.
You can sleep on your implants.  That does  not cause them to rupture.

Richard P. Rand, MD, FACS (retired) · Answer

In choosing an implant size it should match your body appropriately and give you the look you want out of clothing. In clothing, the implant size can be minimized by loose fitting garments and maximized by tighter garments and push-up bras.

Will Breast Implants Appear Smaller with Clothes On?

Answers (8)

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