I’m 5’6, 120 lbs & want small D cup - what size implant should I get? (Photo)

There are trade-offs with each decision about breast implant sizes and profiles. It helps to keep in mind that there are 3 key variables: volume (size), base diameter, and projection. You can pick only 2; if you know the diameter and projection for example, that determines the size. If you know the size and diameter, that determines the projection. Most important is the base diameter because it has to relate to the diameter of your breast. The choices you were given between 2 projections reflect 2 sizes because the diameter was chosen based on you measurements. Forget cup size.

Dear Wonderdallas128,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery