Ideal breast size to my frame?

Question

I would just like to know what the ideal breast size would be for my frame and weight. I am 30 years old, 5ft 3, I weigh 110 pounds and I am currently a size 30D. What is the ideal breast size for my body frame?

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question.  Unfortunately without photos or more importantly, a physical evaluation, it is nearly impossible to tell you what would be best for you.  Please be seen in person by a board certified plastic surgeon who is an expert in the breast augmentation with implants to determine what would be best for you.All the best,Dr. ResultsMiami, FL

Martin Jugenburg, MD · Answer

You should see a board - certified plastic surgeon for an assessment.  An 'ideal' breast is one that fits your existing anatomy

William Andrade, MD · Answer

Thanks for your posting.  You will require an in-person assessment with an experienced PS to provide advice about implant sizing.  They will take into consideration your overall body type and your unique breast anatomy (dimensions, tissue thickness, skin tone, nipple position, etc.).

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant is dictated by your
chest wall measurements.  Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant
should be equal to or, more ideally, smaller than the width of your breast. The
breast width is a measurement of how wide your breast is at the base, which
should be measured at the level of the nipple. Choosing an implant that is
smaller in diameter than your breast width will avoid the "side
breast" fullness that is often associated with a more artificial
appearance.  Other than that, you should choose the implant based on
volume, not on the dimensions of the implant.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid silicone
(less cross-linked), if this implant should rupture, it will leak only into the
scar capsule formed around the implant but may cause some discomfort or implant
distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.

The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

M. Azhar Ali, MD, FACS · Answer

There is no such thing as best breast size. It is all relative and depends upon individual's desires. Some women prefer larger and others prefer smaller size. If you are unhappy with your breast size I recommend visit to a Board Certified Plastic Surgeon.

Robert S. Houser, DO · Answer

It's all in the eyes of the beholder.  From my standpoint, anything that fits on you chest is best.  So, that's a B or C cup!  A D cup on a small frame may be a bit generous, so a reduction may be an option for you.  But, the size of your breast and the tag on your bra may not match...  You may be wearing a D cup, but not filling it out.  You may need a small implant with a lift.  It's really impossible to tell without an exam.  See a few ASAPS member surgeons in your area and see what they have to say.  Good luck!

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for the question, I recommend you to get a consultation with a board certified plastic surgeon to determine your perfect sizing

Steven Wallach, MD · Answer

Everyones' ideal is different. In general, you have to be examined in person to review your goals and to see what might be appropriate for you.

Tom J. Pousti, MD · Answer

There is no such thing as "ideal breast size for my frame".  This is definitely one of those situations where every woman will have  or her own preference as to breast size.  This individual preference keeps plastic surgeons busy (increasing or decreasing breast size) for individual patients.  Keep in mind, that besides  breast size, there are many other factors such as breast position, patient lifestyle considerations, and again personal preferences that come into play. Best wishes.

Ideal breast size to my frame?

Answers (12)

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