What is Considered Proportionate Breast Implants for Me?

Question

I am thinking very heavily about getting breast augmentation. I'm 20 years old, 115 lbs, and 5'3. I'm a 32 A or small B right now. what size do you think is proportional for my age, weight and height? any other advice????

Austin Hayes, MD · Answer

Thank you for your question. The most important factor when sizing implants, is working closely with your surgeon, in person, to find the implant size that gives you the look that you desire. Careful measurements of your breast and chest wall will help determine which size implants will fit within your natural breast footprint. Taking into account your desired look, and your measurements, an implant is chosen that specifically fits your body.  Unfortunately, online recommendations are not that helpful. Make sure that you have a good relationship with your plastic surgeon, so that you two can work together to find the right size. In my office, patients try on implants in a bra and clothing. There able to see how they look in the mirror, and in photographs. Most women know they have found the right size when their breasts come into balance with their shoulders, waist, hips and buttocks. Women are also encouraged to bring in wish pictures, so that I can get a sense of the look that they would like to achieve. Good luck with the process!

Otto Joseph Placik, MD · Answer

It is very easy to be confused by this measuring system. Cup sizes are only used as estimates for clothing. Although the measuring technique for determining cup size is precise, the results of these measurements are not. Let me give you an example; weight is a very accurate measurement. However two patients that weigh 120 lbs are not likely to look alike. The same is true with two patients that have C cup breasts. This is why physicians tend to use volume (cubic centimeters or cc) as a more accurate measurement. Note: If you are trying to figure out what breast implant size you want to obtain, you can try the szing tool available through b4bra.com or read the articles about measuring there.

	Size is a complex decision that is not only based upon your height, weight and current cup/bra size but ALSO on also on your breast diameter, waist, shoulder, and skin envelope measurements. These can only be assessed in person during a consultation. A good place to start is using my "Find your perfect size" tool listed in the left hand column of my bodysculptor.com home page. Another good place to look is the searchable database section of the physicians' photos on implantinfo.com. Best of luck.

	Please see our website for a description of the procedure: bodysculptor.com You can view some of Dr. Placik's patients or many other patients by visiting the website:photo gallery

David Shafer, MD, FACS · Answer

Thanks for posting the picture. However, it would be better to have standard breast pictures with multiple angles and just your torso. Breast implant size is really determined by your breast width and the amount of existing breast tissue. In consultation with your plastic surgeon, you can come up with a range of breast implants that are appropriate for your anatomy. I see you are in Phoenix. I know several plastic surgeons in that area if you need a recommendation.

Tom J. Pousti, MD · Answer

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" means different things to different people and therefore prove unhelpful.
	Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
	I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.

	Best wishes.

Steven Wallach, MD · Answer

Tough thing to say in terms of what owudl be best for your without a full exam and a discussion of your goals.

Deason Dunagan, MD (in memoriam) · Answer

Without proper photos or an examination, it is hard to say what would be right for you. Everyone's body anatomy is different and a 375 cc implant in you will look very different in someone else. For this reason, it's best to consult with several surgeons and make a decision that both you and your surgeon are comfortable with.

George J. Beraka, MD (retired) · Answer

How to pick breast implant sizes

	Answer by George J. Beraka, MD
	Manhattan Plastic Surgeon
	1) This is the most common type of question on RealSelf.

	2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical.

	3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like.

	4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big.

	5) I recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.

	6) The surgeon should have a large inventory of different size and shape implants available in the operating room.

	7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.

	8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating roon inventory, and put in your breasts to complete the operation.

What is Considered Proportionate Breast Implants for Me?

Answers (7)

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