Best Implant Size for 6'1? (photo)

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 for MTF patients 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 the below link.

The best way to determine size is to use a volume sizing system with your board certified plastic surgeon that specializes in transgender surgery.  Once you know which volume gives you the look you like, then an implant  can be chosen based on your dimensions and the look you are trying to achieve.  The most sophisticated way to do the surgery is via the armpit with the surgical endoscope.  The incisions are well hidden, are off the breast, the space is created very precisely, and there is less bruising, bleeding and pain.

I typically approach the transgender woman in a slightly different way than a cis- woman.  First of all, are you on hormone therapy, and if so, for how long, are you continually seeing the breasts enlarge or have they plateaued?  What dose of estrogen are you taking and what method (oral, transdermal patch, injection, pellets)?  Second, I have found that transgender woman need to go larger secondary to the larger shoulder girdle and breadth of their chests.  As a result, rather than using a low profile implant, a higher (moderate) profile is used.  So for example, depending on your desire, I would recommend a shaped textured implant if you want to look more natural, and a round implant if you want that more implant look. The size I am looking at suggests a 450 cc textured, shaped implant that I would place under the muscle.    Hope this helps.