I'm 5'7.5", 106lbs, 32AA, tight tissue, 0 kids. Inspira 240cc med profile or Natrelle 240cc low profile? (photo)

Choosing the right size and type of implant depends on any number of factors most of which require an in person exam. So, schedule a consultation with a board certified plastic surgeon in your area (link below) to discuss. Your surgeon may have gel inserts so you can "try out" the 240cc. If not, do the at home rice method (1oz rice = 30cc breast volume, place in baggies, insert in bra) to see if you like the look. Best, Dr. Nazarian

I work with the style 10 (low profile) implants and Inspira moderate profile implants quite often. For you, I personally like the Inspira route. You are so thin and fit with very little breast tissue and that implant produces less rippling than the style 10. I agree with both physicians that you shouldn't try to go much larger. It is important to get a good result with the first surgery. If the size isn't quite as big as you'd like, it will be easy to go back and replace with a larger implant in the future. Best of luck!

Thanks for sharing your concerns with us. I prefer using the Cohesive Gel - Silicón Breast Implants with textured cover ("gummy bear implants") They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance.To place the implants, I recommend making the incision through the areola (leaving an unnoticed scar) in conjunction with a Round Block Areolar Reduction to get an appropiate areolar diameter, with a minimal and hidden scar (a circumference line surrounding the areola).The breast feeding chances can be affected to a lesser or greater proportion, depending of the surgical manipulation made in the mammary gland and areolas during the procedure. In my practice, I try to be as delicate as possible, preserving the integrity of the gland and areolas. Therefore, I recommend a certified plastic surgeon with experience in such cases and with special training in breast surgery.Respectfully, Dr. Emmanuel Mallol.- 

I appreciate your concern, because size does matter when seeking a natural looking result in breast augmentation. I ask my patients to bring in photos of breasts the size they desire, because there can otherwise be confusion because B or C cup can vary greatly by brassiere manufactures! I also utilize the implant in the bra technique, with several different implant sizes with a tighter fitting T-shirt to get an idea of what you will look like. Finally, I prefer to meet with my breast implant patients at least twice before surgery, so I am confident that I know exactly what her desires regarding shape and size are. I then have several sized implants in the patient's desired range available in the OR to allow me to tailor the operation to her needs. Be certain your surgeon understands your desires and you should do great as this operation carries a very high satisfaction rate. Good luck!

Thanks for your question and the photos. There are always trade offs in a slender patient such as yourself. When there is little natural breast tissue implants of any kind are less well hidden. In my approach to the slender patient I recommend three things:Common sense size.Under the muscle.Silicone.For your concern on base width I suggest you have your ps have you try on implant sizers. A gentle curve under the arm which balances with the curve of the hip is what I look for.For your concern about cleavage, most plastic surgeons will place implants as close to the midline as possible, but how close they get in a submuscular placement will depend upon the insertion of your muscles. We do not like to elevate the sternal insertion of the pec muscle as this can cause synmastia or breadloafing.With respect to the size, your goal images are between a low and moderate profile, again , trying on sizers can help you with this decision. You may also want to consider a Mentor cohesive implant. I find the shell is softer and may look more natural in the slender patient.I hope this helps and I have included a sizing link as well.

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based 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.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid silicone
(less cross-linked), if this implant should rupture, it will leak only into the
scar capsule formed around the implant but may cause some discomfort or implant
distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



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 and restorative breast surgery.

Best of luck!



Dr. Schwartz

First, we all use different landmarks for measuring, that's why your 2 docs are off a little.  Use the Inspira implant because it is an overfilled silicone implant that should resist rippling more that the other implants which is VERY important in you.  As for size, I think that the 240cc moderate profile would be great.  It will get you close to some of your wish-pics, but the "tightness" of your skin will be the determining factor.  Good luck!

Choosing the right implant for you is based upon a physical exam and a discussion of your goals. It is difficult tot tell you what is best for you without the above. Good luck.

Hi,

Thanks for posting your question. I am happy to try and help you.

There is really no way to accurately predict what size you would like without an
examination. During your examination and consultation, you should try on some
sample sizes and see what you are comfortable with. This is an accurate
approximation of what you would get. If in doubt, go up one size from the one
you like. Then the PS can help explain with the size and current condition of
your breasts the effects of those sized implants will have on you.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you. They have the experience. If you are
uncomfortable, go on another consultation.

Best wishes,

Dr. Michael J. Brown
Northern Virginia Breast Augmentation

Congratulations on your decision to pursue breast augmentation!  From your photos I think you are a great candidate.  In answer to your questions:1.  You BWD may be different because while it is an objective measurement taken in the office, each plastic surgeon does it a little bit differently, and because each breast usually has a different base width.  No two breasts are the same, even on the same person.  The base width is a good starting point for implant selection but not the only factor to take into account.  2. With regard to choosing the "right" implant, the most important part of the process is making sure that your plastic surgeon understands the look you are trying to achieve. What is "too big" for one woman is perfect for another, and some people like the look of a natural slope and others are looking for more fullness in the upper pole or top of their breasts. From your photos and description, it sounds as though you lean more towards a natural teardrop shape.  In our office we have a 3D imaging system called VECTRA which allows patients to see themselves with different implants in place. This technology gives you the opportunity to see how you would look with different size and shape implants (and more specifically to see what you would look like with the different profile implants mentioned). Although not a guarantee of your results, we have found it really helps patients to communicate what they like and don't like, and to take a much more involved role in deciding on their final size. One consideration you didn't mention is anatomically shaped cohesive implants.  These are often a great option for a very thin patient like yourself who doesn't want the round look of an implant.  Good luck in your process!