What size of breast implants will fit my body type and frame? I am 5'6, 200lbs (photos)

There are many factors that go into determining the appropriate volume of breast implant that is necessary to achieve your goal. This includes height and your chest frame in addition to pre-existing body fat and pre-existing breast size. If one is heavier, in most instances one requires a larger implant then a smaller framed woman to achieve a certain proportion. Surgeon your consultation will be able to guide you through this process.

Hello and thanks for your questions. There's no way to give you specific answers without seeing you in consultation and performing an examination to see if what you desire is possible. On the other hand, your comments and size recommendation seem reasonable to me. As far as sizing, I suggest you consider some principles I use to "guide" patients when choosing a breast cup for their breast augmentation.  A key is to se the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. You have to go into the office to do this:1) Explore reasonable options for breast implant size, usually two to three similar sizes, which allows the patient to visualize how different volumes affect their breast cup. 2) The best guide for a final breast implant size recommendation is derived using measurements from the patient’s own breasts and chest. 3) When measurements are considered then options for sizes can be presented. When patients feel unsure about a size and shape, we ask them back to the office to try sizing until they're very confident with the choice they're making. I suggest you see at least 3 board certified plastic surgeons to see what is achievable in your case.Please see results of round and shape implant results at my website in the link below.Best wishes always,Dr. Aldo

It sounds like you have already taken steps to research breast augmentation online, and are planning to book a consultation with a surgeon.  They will be much more helpful in assisting you with your implant choice, because they will need to measure your breasts, assess tissue thickness, skin tone, and other factors.

Hello,Thank you for your question and photos. Dimensional breast augmentation involves your Plastic Surgeon taking careful measurements of your chest and choosing a small range of breast implants which fit your breasts proportionately and meet your aesthetic expectations for size and shape. 550 may or may not fit you. On a larger frame, higher volumes can look quite proportionate and appropriate. You will need to be seen in person and work with your Plastic Surgeon to reach your goals. My patients find it helpful to try on the implants sizers in clothing and get a 3d feel for the volumes they like.All the best

I appreciate your question.

The size of implant best for you 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.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.



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

The best way to pick implant size is based on your breast and chest width and not the volume. As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look.This can be done by picking a different implant profile. The higher the profile, the narrower the base width of the implant. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they do not want to be too big but want to avoid the gap and still have cleavage without projection, they should consider a lower profile implant such as a moderate. There are options in between these such as the moderate plus. I prefer the underarm approach so there is no scar on your breast. The new silicone is the only way to go. Dr Ennis                            

First, I believe implant sizing is best done in an exam and based on breast measurements not just picking an implant volume.  Second, I think you need to have realistic goals before having any plastic surgery.  All of your "goal" pictures have dramatically different body types than you have.  Having had a child, you also have a small amount of droop to your breasts and you may never be able to go braless, especially with larger implants.  You should maintain a healthy diet and lifestyle and when you are ready for your consultation, have an honest discussion with your plastic surgeon about your goals and see what they recommend.

Thank you for the question and pictures.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) 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 are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication 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. For example,
I have found that the use of words such as “natural” or "C or D cup” or "noticeable chest" etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

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, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.