Breast Implants for Petite Woman. (Photo)

I appreciate your question.

The size of implant best of 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.At the time of your consultation, your plastic surgeon can talk to you about keloid removal/revision.

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

Good morning!Looking at your photos you appear to be a great candidate for augmentation surgery- I am sure you will do well.  As far as size/shape/profile questions- these are things that only a consult with a board certified plastic surgeon can answer- he/she are the only ones with the experience to be able to match the implant you need with your body type.I hope this helps

It is very possible to achieve a natural result with a petite frame.  The implants you choose will directly influence the outcome that you get.  Your plastic surgeon can show you different implants that fit within the dimensions of your breasts, and give you an idea of how they will look after surgery.  Keloids can be treated with different modalities, and certainly can be addressed at the time of your breast surgery.  Best of luck!

Thanks for your question and pictures.  It appears that you would be an excellent candidate for a breast augmentation and should get a very nice result.  Shape, size, and profile of implants will all be determined at the time of consultation based on chest measurements done by a board certified plastic surgeon.  Silicone implants are great devices and are an excellent choice for your augmentation.  Inframammary incisions (fold under breasts) typically heal well but even if they do thicken, they will be well hidden.  Keloid scars can be treated with steroid injections.  The central portion of the chest is a common area for people to form keloids, even if they don't form poor scars elsewhere.  Good luck!

For natural appearing breasts, I prefer to use silicone implants of a moderate plus profile placed in the dual plane (submuscular) position. Higher profiles tend to give you a more rounded, shelf appearance. It's hard to determine your best size without specific breast measurements and an in person exam. Remember to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Remember that sizers will only give you a rough estimate. Also, keloids can be excised but often return so best to use steroid injections to flatten them. I use an incision in the breast fold so it isn't very noticeable even if it does become a bit thicker. Good luck!

Hello,Thank you for your question. The best way to determine the sizes/volumes of implant which will meet your needs is to have a detailed discussion with your Plastic Surgeon and careful measurements taken which will determine your implant diameter. You will likely have a range of implants with the same width but increasing projection/volume as options for you. My patients find it helpful to try the implants on in the office with a form fitting T-Shirt in order to get an idea of the look that they like. Ultimately, I suggest that you choose the best implant for you based on the look you want, rather than a desired cup size because there is no standardization for bra cup sizing.I'm sure that your Plastic Surgeon will be able to talk with you about removal of keloids.All the best

If I was to do your operation I will use 300 cc smooth silicone moderate profile implant in subgladular location through inframammary incision. Keloid is unavoidable risk in patients who form keloids.    

Thank you for your question and photos.  I believe you would be a great candidate for breast augmentation.  If there is concern about keloids,  I would place the incision at the breast crease.  Also, any keloid excision should be complemented with a steroid injection (kenalog) to reduce the risk of recurrence.  If you prefer silicone implants, round smooth silicone implants in a sub-muscular pocket would be a great approach to achieve a natural look for your frame.  Keep in mind that the FDA recommends getting MRI exams every couple of years if you have silicone implants b/c there's a small chance that they can rupture without it being clinically detectable (silent rupture).  Another option is the new FDA approved new generation saline implants, called IDEAL implants.  These feel more natural than the old saline implants but have the reassurance of not having to worry about silent ruptures or follow up MRIs.  During the consultation, you should be measured for your breast dimensions in order to get an appropriate range of implant sizes.  In my practice, I have my patients also try on different implant sizers in a simple bra while wearing a tight t-shirt in order to get a better idea about the look they want.  Don't focus too much on the cup size or implant volume but more on the look you want.  Be sure to consult with an experienced plastic surgeon certified by the American Board of Plastic Surgery.  Good luck!

Hi and thanks for your question. Implant style and size depends upon multiple factors so I would have your plastic surgeon let you try on a number of different shape and volume of sizers so that you can decide which most closely approximates the ready look you wish to achieve. Keloid scars can also be treated at the same time as breast augmentation. Good luck!Richard Chaffoo, MD, FACS, FICSTriple Board Certified Plastic Surgeon

Your breasts are nice and youthful and you look like you want to be a full D cup in your wish breasts.  Its important to know to achieve that result you will need to measure for the ideal base width of the implant to achieve that look on your frame.  Its the base width of the implant that gives you the cleavage your desire.  Then you select the appropriate projection to match the fullness you want.  It is very important in thin women to select a line of implants that are more filled than less filled.  Various implant manufacturers will fill implants differently.  Less filled implants lead to rippling.  Going too large i.e more than 3 cup sizes can also lead to rippling.  The new line of Inspira gel implants from Allergan are very nicely filled.  These are more ideal for thinner and smaller women.  Finally select a properly qualified board certified Plastic Surgeon to do your surgery.