and you must decide for yourself what is more important and what will make you happier. My 800 cc patients look huge but they are very happy with their look and results and are not worried about 'natural'. Rice sizers do work well if provided with adequate instruction and use of unlined brassieres to get an idea of how you will look in terms of fullness/size (not naturalness). Your photos suggest you do not need a lift and with larger implants, your nipples will be positioned a little higher. See a local surgeon and find out what options are available for you and use his/her sizing system to help you decide on what you want.
The exact size to choose and the final look you want is of course a
personal choice and everyone has a different opinion. Ultimately, it
should be your decision. Nevertheless, in order to achieve a more
natural or balanced look it is helpful to choose implants that are
proportional to your breast and chest dimensions.
Matching the dimensions of the implant to the dimensions of your
breasts (most importantly breast width) will offer you the best chance
of achieving a proportional look. Your plastic surgeon can help you with
this. At the time of the consultation an exam can be performed and
breast measurements can be taken. These measurements can be compared to
the dimensions of the implant choices to help determine a starting point for implant size.
You may then have the opportunity to try a similar sized test implant
in your bra to get an idea of how large you’ll be. You may then choose
to stay with that size or go up or down as your taste and desires guide
There are however some considerations that you need to be
aware of when choosing implant size. As the size of the implant goes up, it
requires more stretching of the breast tissues to cover that implant. As the
breast tissues stretch, they thin out to a certain extent. Think of what
happens to chewing gum as you stretch it out. So with a larger implant (and
that also means a heavier implant) there are thinner tissues supporting the
weight of that implant. At some point one crosses a threshold where the weight
of the implant exceeds the ability of the tissues to hold it long term. For
each individual, that threshold will be different and unfortunately
Some women may do quite well with an implant that size while
others may develop significant sag over time. The larger the implant is, the
less predictable the long term results are. As a general statement, implants
350cc or smaller normally have good long term results and the results should be
stable. The further one goes above that size, the more the risk of sagging
increases although it will not happen to everyone.
The final choice is of course yours and you’re doing this to
make yourself happy and that’s what you should do. Just be aware that all
decisions and choices have implications – some good, some bad. As long as you
are aware of your choices and the implications associated with those choices
then you are in a position to make the best decision for yourself. Best of
In my practice, I find it using sizers with a sports bra gives the patient the best idea of what she may finally look like.
Determining implant size requires a personal consultation and collaboration with your plastic surgeon. Achieving a pleasing result is a combination of learning your cosmetic goals and informing you of your options based on your anatomy and the anticipated effects of gravity and aging. Remember, you are making a decision that is going to impact your appearance for the rest of your life so try to think long term and educate yourself so that you make good decisions.
There is no "right" size implant to tell you, however due to your height, you can have a larger than average implant. From looking at your photo, I would recommend bilateral liposuction to reduce the size and weight of your breasts a bit and then replace that volume with a larger than average implant to give you a more youthful, perky breast. Having a consultation that allows you to size with sizer's would be most helpful to you as well.
From your picture, I do not think you need a breast lift. Many people find rice sizers confusing. Goal pictures, and sizing implants in office as well as computer imaging are all helpful, and in combination should give you a good idea of what you can expect. Unfortunately large implants look very high initially, and there is some element of uncertainty as to whether they will completely settle into an optimal appearance. A careful in person examination will give you the best idea combined with these other techniques to determine size.
Thanks for our inquiry. From the photo it appears that you have enough breast tissue to cover fairly large implants, but there is no "correct" implant size. I'd suggest a consult with a surgeon so you can try on sizers and get a sense of what provides the desired contour.
It is difficult to tell from just a photo. Measurements of your brest and chest should always be taken into consideration. That being said it looks like you have enough breast tissue to expand oround the implants. My guess is that you could have implants in the 350-400cc range without looking "rediculous". Good luck.
Hi and thank you for your pictures and questions. Your question is a good one, as I believe that sizers do not give an accurate estimation of what your breasts will look like after a breast augmentation. How the sizers sit in a bra is quite different from how implants actually rest in the body and on the chest wall. That being said, I do use sizers in my practice, but only as a very rough estimate. Your best determination of implant size is after a thorough evaluation of your anatomy and an honest discussion with your plastic surgeon about your desired end result.
As for whether you will need a lift or not, it is difficult to tell for sure from your one photo with your arms partially elevated. To make an educated guess just from your pictures, you will likely not need a lift, however an in person evaluation with a board certified plastic surgeon will be best.
You are starting with fairly symmetric breasts with good skin quality (at least from the pics) so I anticipate that you should have a lovely result. Good Luck!
Best plan is trial of implant sizers at
the time of your consult based around the dimensions of your breast and chest
wall. Go for moderate profile silicone gel implant through an
inframammary approach (breast crease). I would think that a lift is not needed
based on your photo. You will have a nice result as your breasts have a nice
starting shape. Good luck and thanks for sharing.