32/34A, 5ft 3 & 8.11 stone - could I go 275cc over muscle? (Photo)

Based on a limited photo - you appear to be a good candidate for Breast Augmentation. However, choosing an appropriate size, and placement of the implants - is something that is determined and discussed during your consultation process with a Board Certified PS. Good luck!

Thank you for your question and photo. Unfortunately, the question of which implant is optimal for you is far simpler than the answer, which can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (300 versus 400), is far less significant than implant width and projection. Saline versus silicone is also important, as is "round" versus "anatomical" or "form stable" or "shaped".

Because all of these options to consider can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion to be sure and feel confident. Make sure that your surgeon sees photographs of your "favorites" or your concept of “ideal”. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Dear Terrific877227,
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

You can go over the muscle, but you will see the upper implant edge. Placing the implants behind the muscle will look more natural and give better upper breast fullness. However, you will have the muscle flexing and pushing the implants to the side when the muscle is used.

Selecting the appropriate implant for you is best done after an examination and discussion of your goals. Measurements will be taken of your breasts during a consultation. This information will be considered in addition to the look you are wanting when recommending an implant. Your surgeon will help determine not only the volume, but the style, type and projection that's right for you. Typically patients prefer to go under the muscle for a more natural look and lower incidence of capsular contracture. Your surgeon will discuss all of this and more with you during your visit.

You are an excellent candidate for a breast augmentation. The choice of over the muscle troubles me only because you have very little breast tissue to conceal the implants. Under the muscle (even transaxillary- scars in the armpit) would give better upper pole contours and the recovery time to drive, return to work and do some chores is 1 week (4 weeks to return to the gym).
You are correct that the post-op pain, bruising etc. is reduced with subglandular (on top of the muscle) placement. Weigh all of your options, but either way, you should have beautiful results.
Best wishes.
Dr. Taranow

Thank you for your question.275 cc might push you up to a small C so I suggest try exactly with some sizers to see how you like the silhouette! 300 or a bit bigger might be closer to full C.
The A cup breast did 4 pregnancies (with or without breastfeeding and it is up and perky. The over the muscle implant will make your breast heavy and I never saw a C cup breast stay as nice as that. Putting the implants strictly under the muscle is more painful (true) but they have their integrated bra... which never leaves you, makes the implant as inconspicuous as possible, specially with an A breast to start with and they bear less capsular contracture rates.
I would seriously consider submuscular pure with peri-areolar approach.Be brave, and you will be happy!

Hi and welcome to our forum! From your photos, I note relatively small, relatively symmetric breasts with no sag.There are advantages and disadvantages to implant location. Subglandular implants will have less tendency to be displaced by the underlying muscle (although this is an rare occurrence). Submuscular implants will have greater resistance to implant "rippling" if saline implants are used, especially since your breasts are small. Submuscular implants have less incidence of capsular contracture. As you are relatively small breasted, I would tend to place the implant in a submuscular plane to prevent rippling of the skin if saline implants are employed. Please take the following information "with a grain of salt" as the measurements are very imprecise:A cup = 235 gramsC cup = 530 grams530-235=295 cc implantYour estimate appears to be on target!Best wishes...

Yes, an increase above the muscle is possible, but my recommendation as a professional is to perform the increase below the muscle for greater projection and reanimation of the breast.