I Am 5'6, Size 32A my Surgeon is Recommending 220cc Silicone Implants HP Partially Under? (photo)

Thank you for the question and pictures.

 As you can imagine, it is not possible to give you precise advise without direct examination and a full communication of your goals. Having said that, a 220 cc breast implant does seem on the small side.  I would suggest you communicate these same concerns with your plastic surgeon; if still in doubt,  additional in-person consultations may prove helpful.

The best online advice I can give to ladies who are considering breast augmentation surgery is:


1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.



2. Have a detailed discussion regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.



3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.




I hope this helps.

The two main manufacturers of silicone implants, Mentor and Allergan do not make a 220cc HP implant. You should double check your doctors' recommendation. There is a 200 and a 230cc HP implant from Allergan which are very narrow, 9.7 and 10.0cm respectively. Mentor makes a 200, and a 225cc HP silicone implant. These are also very narrow, 9.7 and 10.1cm, respectively. You do appear to have a narrow chest but I doubt that these implants would fill out the diameter of a breast that would fit perfectly on your chest wall. The problem with implants that are too narrow is that the cleavage is not as close and the side of the brest can seem too flat. The breast should slightly stick out past the edge of the lateral chest wall when looking from the front. After 10 years of experience I never use such narrow implants. The implant diameter is almost always more than 11.0cm. This provides the best proportions. An 11cm implant is 300ccHP. Consider it.