Petite frame at only 4ft11 inches tall and weigh 48kgs. Looking at 250cc to achieve a 32 C cup. Thoughts?

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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for your question about breast implants.

Selecting the most appropriate breast implant size for breast augmentation is a personal decision that ultimately you have to make. An in-person consultation with implant sizing is best.

It depends on your height, weight and breast base width diameter.

To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breast implant surgery.

I hope this helps.

Dear MissSG,
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

Thank you for your question. Bra cup size is a notoriously inaccurate way to determine the “look” or breast size you desire due to variability in bra manufacturers. That said, the volume (250 cc) is actually less important than the diameter (width) and projection (“profile”) of the implant. You are more than likely in the right neighborhood but I recommend a thorough consultation with an experienced board d certified plastic surgeon whose aesthetics align with your own, and I also recommend you use photos of “favorites “ to share with your plastic surgeon such that he or she have a visual understanding of your desired final result. Onlay sizers are useful with a bra in the consultation room as well. Do your research, trust your plastic surgeon. Best of luck to you.

Thank you for your question! It would be best to consult with a board certified plastic surgeon to help guide you through your decision making process. Selecting an implant is based on many factors, including your frame, your breast measurements, and your goals. It is important to make sure that a breast implant does not exceed your personal breast measurements. Otherwise, your result may appear unnatural. It is also important to consider different types of implant projection. For example, a 250cc low profile implant would look very different from a high or ultra high profile implant of the same volume.
The benefit of placing an implant over the muscle is that it can have a more natural appearance in the right patient. However, the risk of capsular contracture (scar tissue) is higher. Placing an implant below the muscle has a lower risk of capsular contracture, but sometimes the implant can "dance" or have "animation deformity" from the muscle pushing on the implant.

During your consultation, you will be measured to see what range of sizes best fits your frame and tissue. You then can try on these sizes to see what you like. I think from 200 to 250 cc's probably will do very well for you.

Implant selection is a detailed process. In addition to selecting volume, you will also need to consider type, shape and profile. If you are wanting a more natural look, below the muscle is typically the better choice. It also carries a lower risk of capsular contracture. Many surgeons have sample implants you can "try on" to give you an idea of how you may look after surgery. I've included a video on implant selection that I hope you find helpful.