Sizing Help!! Best size for me?

Good morning,
The best way to determine the appropriate size to reach your goals is to take several tops to your PS office and try on the implant sizers, and also to bring some wish pics with you to discuss with your surgeon. Any surgeon doing breast augmentation should employ these two key components in the implant selection process. In general, the rule is go with the larger of the two sizes if you are debating, and the 485cc will likely make you a D in most manufacturers sizes.

Hi, thank you for sharing your question. You are a great candidate for breast augmentation. While only you and your plastic surgeon can determine the ideal size implants for you given your dimensions, I would consider an implant in the 400 to 435 range based on the information you provided and your photos. I hope this helps.

Implants alone will not solve your problem. Your breasts are too low and lateral on the chest wall. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

To my eye you need a lift as well as an implant. I don't know if either surgeon mentioned this. Look up "lollipop lift" to get an idea of what is done. And go with the 375 cc's

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Unless your friend measured you, how could she suggest what is right for you. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear Newme19892022,
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

Implant selection is a complex process and is best done in person. The larger, higher profile implant will give you a larger, more projected look. Both implants will increase you multiple cup sizes. I encourage you to return to your surgeon for further discussion of these options. Many surgeons have sample implants available you can "try on" to get an idea of how you may look after surgery.

I would first suggest trying on both sizes. You might prefer to split the different and go with a 425 cc implant. The 485 cc is getting somewhat large.