Recommendations and Opinions for breast implants. (photos)

Judging by the photos what would your opinion and recommendations be for the type, profile, shape, texture, and kind of implant for me ? I don't care if people can tell they are fake ( anyone that knows me well enough to care or say something knows that I am going under the knife and is encouraging about it ) I pretty much know what I want I just want other opinions that maybe I have not thought about or considered.

Doctor Answers 19

Recommendations for breast implants

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Thanks for your question.  Your breasts have a normal shape with no sagging and good symmetry, so you should be a good candidate for the procedure.  You will get the best advice during a proper consultation with a certified plastic surgeon because they will do a full examination including detailed breast measurements.  They can then help you choose implants based on your anatomy and by using other techniques like sizers you can try on, looking at photos, virtual imaging of the possible results, etc.

Smooth round breast implants are best, not shaped or textured

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You must be a photographer. Who sends black and white photos any more? Smooth round implants are best. We are learning that there are sometimes serious problems with textured implants. Shaped implants are textured (the texturing helps make them stick to the tissue and not rotate). Many plastic surgeons, particularly in Europe, favor shape implants (also called anatomic, teardrop, form stable, or gummy bear). But there is no proof that they look better. In fact the evidence supports round implants. Texturing can rarely cause late seromas and even a rare malignancy called ALCL. So many surgeons are no longer using them, including myself. You can choose saline or silicone gel. Both are great. Saline is less expensive and some patients like the fact that there is no silicone gel filler. The difference in feel characteristics is small and they look just the same as silicone gel implants. You can choose a Moderate Plus or high profile. I usually insert Moderate Plus. You can read more about this at my website if you like. The link is below.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 62 reviews

Recommendations and Opinions for breast implants.

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You have a number of good qualities going for you. Your breasts are youthful looking and close together naturally, so you should get very pretty cleavage with an augmentation. I would recommend a high profile smooth, round silicone implant. This will allow for placement of more volume relative to your petite frame. You don't want the implant wider than your natural breast width. I would love to see you in consultation to answer all your questions and show you different sizes and styles of implants. Good luck!


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No one over the Internet can tell you which size and style will be best for you without examining and measuring you. I would suggest meeting with a board certified plastic surgeon and discussing all your options.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.8 out of 5 stars 18 reviews

Breast implants in a nutshell

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Breast implant selection is an important process and requires good communication between you and your surgeon. Typically, breast measurements are initially obtained to provide an initial guide to implants appropriate for your chest. It's then advised that you try different sizers in a normal bra with a tight t-shirt on to get an idea of what your breasts would look like. It's important to focus on the look that you want and not overly focus on a specific cup size or implant size.  Through this process, you'll be able to determine the best profile for you.  Most of my patients prefer silicone implants as they feel the most natural.  Specifically, I find that round smooth silicone implants tend to feel the most soft and natural, and provide great results based on my patients' feedback.  Be sure to consult with an experienced board certified plastic surgeon. Good luck!

Zachary Farris, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 23 reviews

Breast Augmentation - Size Selection

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Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. 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 breast surgery. Hope this helps and good luck with your surgery.


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To answer your question I would need more information.  I start my consults by asking what size you are now, then asking what size you'd like to be.  Then we discuss the shape and the "more natural" or "more fake" shape you like.  I review before and after photos with you so you can show me examples of size and shape you like.  Then we do measurements on you and an exam.  After all that...then we can discuss the right size and shape of implant to achieve the result you want!  I hope this helps.

Broad recommendations: silicone implants, under you muscle, infra-mammary fold incision.  

Levi J. Young, MD
Overland Park Plastic Surgeon
4.8 out of 5 stars 73 reviews

Recommendations and Opinions for breast implants.

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Thanks for your question and photographs. Anatomically you appear to be an excellent candidate for placement of partial subpectoral silicone gel breast implants (cohesive).  Avoidance of implants that are excessively large is in your best interest in my opinion.  In my practice, I would be discussing use of a transaxillary incision to avoid the prominent inframammary scar that I have seen in many patients.  Although I like areolar incisions I think your areolar diameter in the picture is too small for an appropriately sized implant.  I would recommend round smooth mid profile or mid-profile plus cohesive gel implants placed through the axilla in a partial subpectoral position.  I choose the final implant size during the procedure when test implants are positioned and the results can be directly viewed. Others of course have other preferences based on their experience and achieve equally good results.  Best wishes,

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 32 reviews

Recommendations for breast implants.

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Thank you so much for sharing this question and your photos. To me, you look like a very good candidate for surgery and so I believe many different types of breast implants, including various sizes. The specifics of a recommendation will be based on your desired results including your goals for symmetry, size, cleavage, etc. For a more fake look you can consider larger breast implants and those with high projecting profiles such as the Mentor HP series. 

Best wishes, Dr. ALDO :)

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 215 reviews

Recommendations and Opinions for breast implants.

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The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. or the type of implant. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.