5’2”, 110lbs, currently 32B, need size help

Question

I’m very interested in getting a breast augmentation that looks busty, natural and doesn’t result in back pain (as I do like to do sports). At 110lbs I’m a 32B and before I was a fullC at 120lbs. My band size is actually 31. What size implants would you recommend to achieve a large, natural look (I like natural and also bubble Look) Reference images attached..

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. The potential implant sizes and dimensions is best determined after an evaluation where your plastic surgeon will take measurements of your breast as soft tissue. You will be able to achieve your wish pic look. I hope this helps. Best of luck!

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and the photos. 
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection. Based on your photos, 350-400cc range size implant will likely give you a nice full cleavage that you desire.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Leopoldo Baccaro, MD · Answer

To determine the correct size breast augmentation, there are many factors to take into account m, and not simply the volume of the implant.

I recommend you have a consultation with a board certified plastic surgeon so you can have a thorough exam, with measurements, and a detailed conversation about the look you’re going for.

Best of luck!

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 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

Erik Miles, MD, FACS · Answer

If you are active in sports, and have a small frame, you need to be careful about getting implants that are too large.  It’s difficult to advise you without an examination and measurements, but an implant in the 400 cc range will likely give you the results you desire.  Seek a consultation from a Board Certified Plastic Surgeon to discuss your goals.  I spend a significant amount of time with patients during breast augmentation consultations, because there are many decisions that need to be made. It’s best to look at all the implant options and use a sizing bra to make sure that you are happy with the surgical plan prior to proceeding.  Best wishes.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. You may wish to "try on" several of the implants so that you can have a better visual representation as to what they would look like.   Best wishes!

Robert M. Tornambe, MD · Answer

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 fit her needs. Be certain your surgeon understands your desires and you should do great as this operation carries a very high satisfaction rate. Be sure to consult with a board certified plastic surgeon. Good luck!

Donald R. Revis Jr, MD · Answer

Good afternoon,
You are an excellent candidate for augmentation, under the muscle, with saline or silicone implants. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office. For the round bubble look you would need either an XHP or UHP silicone gel implant, or overfilled saline- and in terms of size I'm thinking 450-600cc.

Gary M. Horndeski, MD · Answer

At size 32, each 100 cc of implant corresponds to 1 cup size change. If you want to go to a C then you would need 200 cc implants. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. It appears that you are starting out with very pretty breasts and what appears to be a slight asymmetry (this is normal) but you are like y to have a spectacular result with proper planning and a precisely performed operation.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity. But one person's "exaggerated" may be another person's preferred aesthetic.

Volume (300 versus 400), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest.  It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

In my practice, besides a thorough interview process and physical examination with precise measurements, we use onlay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition,  we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

5’2”, 110lbs, currently 32B, need size help

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