5'4, age 33, will 325/350cc on naturally larger boobs be too big? (Photo)

Question

33year old, 5’4” no children but plan on becoming pregnant at some point in the future (not sure when). My natural cup size is a 32D. I am seeking an augmentation without lift. My goal isn’t necessarily to gain size but fill in my upper part of breast for volume and a natural result. My surgeon suggested a 325 and 350cc smooth silicone. I am worried this is too big, I have tried to find research and photos on naturally bigger boobs with implants but can’t find much.

Gary M. Horndeski, MD · Answer

You need a breast lift not augmentation. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Tommaso Addona, MD · Answer

Thank you for your question.
When it comes to breast augmentation, oftentimes your surgeon will allow you to "try on" different implant sizes prior to your procedure. They will have you place the implant within a bra, and then try on a tight fitting shirt to mimic the appearance of your breasts post-operatively. I recommend speaking with your plastic surgeon to discuss your concerns and for evaluation.

Ted Eisenberg, DO, FACOS, FAACS · Answer

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

Leila Kasrai, MD, FRCSC · Answer

A side photo would help determine your nipple location in relation to your breast fold. Augmentation alone may be sufficient to give you more fullness, however if your nipples are located below your breast fold, a lift may be necessary.

J. Jason Wendel, MD, FACS · Answer

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.

Daniel Barrett, MD · Answer

Dear Pioneering7555,
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

Ronald J. Edelson, MD · Answer

While those implants are perfectly  appropriate I really feel you need a lift. Go on some more consults to see a lift entails. Without a lift you will get a poor result and would be better off with no surgery at all

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and the photos. 
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection. Based on your photos, 320-350cc range size implant will likely give you a nice fuller cleavage that you desire.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Camille Cash, MD · Answer

Breast implant selection is best done in person.  This gives the surgeon the opportunity to measure your breasts as well as discuss your surgical goals.  The two implant sizes you mentioned are conservative to moderate size.  It will give you more volume, but the various projections available can impact the final look.  You may want to return to your surgeon's office to discuss your options further.  Many have sample implants you can "try on" to give you an idea of how you may appear after surgery.

Connie Hiers, MD, FACS · Answer

The gain in cup size is about 150 cc's, so you should be gaining about 2 cups sizes.  However, you do not appear to be a complete D since your upper breast is less full. I would suggest going back to your surgeon and actually trying on both sizes so you can see.

5'4, age 33, will 325/350cc on naturally larger boobs be too big? (Photo)

Answers (11)

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