I'm a 36 year old, mother, 5'9", 130lbs. Could you please recommend me what would be best for my breasts? (photo)

I appreciate your question and your desire to make the best choices for your implant procedure. With many options available to you, the process can seem overwhelming indeed! Fortunately, if you are working with a board-certified plastic surgeon experienced in all types of breast augmentation, you will have all the support and advice necessary to make the decisions that will ensure your desired results. In addition to the type of implant, saline or silicone, your surgeon will help you choose the size, profile and placement that will work best for you. This is best accomplished when you have a personal assessment in your surgeon’s office, so factors can be considered carefully and expectations discussed. Good luck to you with your augmentation decision.

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.

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

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Thank you for your question and photos.  You would be a good candidate for breast augmentation.  Given that you are slim I would also suggest going under the muscle.  The breast dimensions will provide some idea about the size of implant that can be used.  The 300cc range would be suitable for you.  It is important to discuss with your surgeon the desired look and shape you would like to achieve.