Is a moderate classic profile my best option to obtain a full, natural look when considering my breast width (13.4 cm)? (Photo)

Dear Katie,    Thanks for submitting your picture. From observing your picture, you appear to be  small A cup size with left breast slightly bigger than right breast.    To become full C cup size , you will need implants with volume of 450 cc. For 34 small D - 500 cc. Due to the size asymmetry, you will need a little less volume in the left breast.   As far as implants type, I have been in practice for over 29 years and performed breasts augmentation surgery with implants on thousands of patients. Many of them are mothers and daughter as well as sisters. It is inconceivable  that they would have referred their family, if they would have been unhappy with the outcome. I use almost exclusively, smooth, round , moderate profile saline implants made by Mentor.   The reasons for that preference are too many to discuss in this session, but I will be glad to provide them to you if you contact me.   Not all results are the same, because experience, skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely, in order to avoid bad result and need for corrective surgery.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                          Best of luck,                                              Dr Widder

A moderate profile breast implant may create the beautiful, natural results that you desire. You may also have great results from a different size and/or profile of breast implant though. As you note, your plastic surgeon’s recommendation is based on the width of your natural breast and the breast size you want to achieve. Since you’re having doubts, you may want to seek a second opinion from another plastic surgeon about the best size and profile for your goals or try rice sizers at home to get an idea about which size of breast implant may be right for you.

Hello!

The best option for you is to be sized with implant sizers to get an idea of what the different implant sizes will look like after surgery. I find this type of sizing is important to having my patients understand what they will achieve in fullness between different volumes and profiles (moderate vs. moderate plus). Some type of simulation can and should be done.

Good luck!

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  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.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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. 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 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



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon