Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.
I appreciate your question.The size of implant best for you is dictated by yourchest wall measurements. Once we determine that we can choose the profilebased on what you want or need to achieve. If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision. Silicone will give you a fullness at thetop (upper pole fullness).Silicone implants come pre-filled with asilicone gel and are the softest implant available. They feel more natural,which makes them a good option for women with less natural breast tissue; butthey require a larger incision. It may be more difficult to realize if thistype of implant has ruptured, so it is important to monitor them with annualfollow-up visits. Additionally, because this implant contains a more liquidsilicone (less cross-linked), if this implant should rupture, it will leak onlyinto the scar capsule formed around the implant but may cause some discomfortor implant distortion.Anatomic gummy bear implants might be agood choice to give you volume.These highly-sought-after, anatomicimplants offer a look that more closely resembles the natural silhouette of abreast, and, therefore, are a very attractive option for individuals seeking anatural-looking, aesthetic primary breast augmentation. Additionally, theseimplants are an especially excellent option for patients undergoing restorativeor corrective breast surgery because they provide more stability, shape, andreduced incidence of capsular contracture. Compared to other types of siliconegel implants, the silicone in the cohesive gel implant is more cross-linked;therefore, should the implant shell “rupture,” it maintains its shape andsilicone does not leak.During your breast augmentationconsultation, you should feel the different types of implants available, andtry on various implant sizers in front of a mirror to help you to get an ideaof how you will look following the surgery. You should also bring pictures ofthe look you would like to achieve, as well as a favorite top to wear whentrying on implant sizers.The best way to assess and give trueadvice would be an in-person exam.Please see a board-certified plasticsurgeon that specializes in aesthetic and restorative breast surgery.Best of luck!Dr. SchwartzBoardCertified Plastic SurgeonDirector-BeverlyHills Breast and Body Institute#RealSelf100Surgeon
