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

Thank you for your question and for providing photos. While it is impossible to precisely select an implant size without examining you, I would admit that the implant choice would be of concern to me. It is not the absolute volume of 220cc that is of most concern to me. I would be more concerned with the base width of the implant. A breast augmentation always looks its most natural when the width of the implant matches the chest width. This avoids the big space between the breasts that some women get after an augmentation.

The 220cc high profile implant is a very narrow implant. My concern is that it would leave you with a gap between your breasts and look very implanted. A wider implant would give you a more natural look, and the profile of the implant could then be chosen based on how full you wanted to look. This three dimensional approach to implant selection should help you get a natural and more predictable result.

Best of luck with your upcoming surgery.

Jeff Rockmore

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.