Implant size and placement ? I'm 5'7" and 115 lbs. I measure 13 in. (photos)

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision later in life.

Thank you for your questions. you have B-Lite in Turkey. you can have your procedure in Turkey we have B-Lite implants.

Breast implants are sized according to their volume in cubic centimeters (cc).

How do you know what size implant to choose? Looking at pictures and talking to friends who had a breast augmentation might help.

Off course the volume will depend on the shape and size of your actual breasts, your frame and the size you want to achieve.

Our plastic surgeon will advise you thoroughly. Bringing pictures of a desired restult to be shown to our surgeon, might be very helpful.

Good morning!You have already settled on an appropriate size range, but you do have a big gap- so now it's in the hands of your surgeon. Make sure you discuss this issue with them and make sure they feel comfortable being able to give you  one finger gap- it's all about the dissection- not too much, not too little, just enough!

Hi.  To appropriately discuss implant size and choice, you really need an in person evaluation by a plastic surgeon with good experience with breast augmentation.  Opinions and preferences will vary somewhat from one surgeon to another surgeon.  Personally I start with the base width of the patient as the starting point for the footprint of the future implant.  Tissue characteristics, and desired postoperative size, and patient anatomy all factor in to the proper selection of implant volume as well as profile.  I go over all of that all in detail with my patients at the time of their consultation.Based on your picture, you appear to have very small amount of breast tissue to start with, and so likely your implants would be placed underneath your muscle.  I am betting that you have a fair amount of space in the middle of the chest between where the muscles attach to your breastbone, and that part is not able to be really changed without creating significant problems.  But the amount of space that you naturally have between where your muscles attach will basically determine how much space is in between your implants, when they are placed underneath your chest muscle.  You can have your plastic surgeon explain that in more detail to you based on an in person examination.
I would recommend consulting with a board-certified plastic surgeon with good experience in this area.  He or she can thoroughly review the options with you so that you can make a good and well-informed mutual decision.
Good luck and take care, Dr. Howell

Hello dear!
Thank you for your question and provided information as well..
Based on your photos, it seems that you have symmetrical breasts for which you wish to add more volume. There are many ways that plastic surgeons perform measurements in order to determine which breast implant size, style and shape will best suit your goals. It is important that you communicate to your board-certified plastic surgeon what are expecting, to make certain that your goals are realistic. It's helpful to show pictures of results you'd like, but please keep in mind that these are other people and your body is different from everybody. In my office, we use a method of sizing with silicone gel forms of known volumes. This is proven to be a very accurate means of determining what size will might be of additional interest to you as well.
Know that the size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   
Hope this helps and best of lucks.
Dr. Luis Mejia.

I recommend an in person evaluation by a plastic surgeon to be measured and discuss your goals. After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. They also get to see what they would look like when the implants 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.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author                                
RealSelf Distinguished Hall of Fame Inductee

Size, size, size. My patients always find this the most important question and so we try to listen to their concerns. We do have Crisalix (a 3D sizing system) for patients so they can envision what they might look like after surgery. We give them some guidance based on their measurements and chest width. Then the nurses do the sizing in person but also with the 3D system. I think it is really helpful so that anatomy can be pointed out to the patient. The implants are usually put under the muscle, so I find that if patients already have a wide space between their nipples before surgery, will still probably be a similar width after surgery. Make sure to see a board certified plastic surgeon. 

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Your Vectra images should wide set breasts with lateral nipple positioning.  You will have a nice result overall but your cleavage will be somewhat limited due to nipple position.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Thank you for sharing your question and photographs.  Based on your supplied Vectra Imaging it appears that you do have a wider set of breasts either due to natural development or a wide sternum.  During an in-person examination the extent of each breast diameter can be measured and a representation of the "gap" that will exist after surgery can be demonstrated.  Hope this helps.

Dear Generous446061,
determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery