How much larger can you go in choosing your implant versus bwd? (photos)

Question

Im 11.2 bwd and I'm concerned 325/350cc hp will not achieve size I want. Im 5'3", petite, 11ilbs, with 20% body fat.

Adam J. Oppenheimer, MD, FACS · Answer

The two key measurements in choosing the PROPER implant are base width and also NIPPLE TO FOLD distance (NF or N-IMF on stretch).Really, there are many doctors who just ignore all of this, but it really is true that each woman is designed and built for a specific range of implants to DECREASE THE RISKS OF PROBLEMS. If you don't care about problems long term, then just pick whatever size you want! I personally go with smaller implants than most doctors because I'm a one-and-done kind of surgeon. It's already about a 10-20% chance of needing another surgery in 10 years once you have an augmentation... I want my numbers close to 5%!Basically if your NF measurement is 8, you're made for about 300cc. If it's 9, your'e made for 400cc. This is an over-simplification, but not that far off from my M.O.As far as BW is concerned, there's actually a bit more leeway. If you are very wide then you don't want a narrow implant, and if you're narrow, you don't want a wide implant (duh). But there are ranges that can work: do you want more cleavage and "side boob"? If so, you can pick an implant that's wider than your current base width. Want your implants to be really round up top? Pick a narrower implant with more projection...

Donald R. Revis Jr, MD · Answer

Good afternoon!Great question- and the answer is you can go over your BWD as much as the gap between your breasts will allow. Some patients have 3cm between their breasts, so to maintain a nice 1 cm gap they can go over their BWD by 1cm on each side, which will take their gap from 3 cm down to 1cm for awesome cleavage. So it all depends on the math and the measurements!I have attached a link to my Breast Augmentation photo gallery for your review- hope it helps!

Seth Eberlin, MD · Answer

Thank you for your question.
 Choosing the right implant can be very stressful for some patients and
surgeons.  The best way to do this is to make sure that your surgeon
understands the aesthetic look you want.  Once you are both on the same
page for this, he/she will take some measurements and give you some options.
The measurements are important because if you
choose an implant that is too wide for your rib cage, they will be too close in
the middle and too wide and stick into your armpits.  In general we like to stay within the breast width measurements to prevent this from happening.
One great tool is the Mentor sizing kit.
 This lets you put anatomically shaped silicone pads of varying sizes into
a sports bra to see what look you like best.  I find this is much more
effective than just putting implants in because of how much the shape changes.
Overall, with you being petite with a small frame, ~350cc implants would look bigger on you than someone else with a wider chest.  If you make sure you're confident with your implant
choice before surgery, you'll likely be thrilled with your results afterwards.
Good luck!
Dr. Seth

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your post and provided information as well. The thing about size is...Did
 You Know? Implant size (measured by cubic centimeters, or “cc”) only 
matters as far as it will help you get the look you want. In these 
photos, can you guess who has the larger sized implants?What limits how big you should go?1.
 Your current breast size. This matters because you’ve got to have 
enough existing breast tissue to cover the implant. If you haven’t got a
 lot to spare, some implants may just be too big to fit.2. Your 
chest and shoulder width. Fortunately, implants come in different base 
widths so you can get a size that works well with your frame.I recommend to make an appointment with a board certified plastic surgeon for a person evaluation and to talk about your goals. Good luck :)

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical. There are no hard and fast rules when it comes to diameter of breast implant versus diameter of breast.  In other words, these measurements are useful but are only one of the many factors come into play when it comes to selection of appropriate breast implant size/profile. Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals we have time for a you their stuff's's homewith your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.I hope this (and the attached link, dedicated to breast augmentation surgery  for petite patients) helps. Best wishes for an outcome that you will be very pleased with.

How much larger can you go in choosing your implant versus bwd? (photos)

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