34 B debating 286 cc or 304 cc silicon implants. Want a natural look. 5'8" and 145lbs with broad shoulders. (photos)

Hello,Here are a few points for you to think about. 1. Implant size has more of an impact then anything else on your breasts appearance.  Smaller always looks more 'natural'. 2. There is a 97% chance that your surgeon only recommends round implants.  Most American surgeons are fearful of shaped implants due to their unique potential for rotation, something that happens far less than round implants tendency to drop out or to the sides. Although most opposed will argue that 'there is no difference in appearance', it's less about initial appearance, and more about durability of result over the years.  That's because shaped implants do not rely on your soft tissue envelope to support or give them shape; instead, they shape the soft tissue envelope.3. If you wanted shaped implants, you'd be a great candidate.4. You and your surgeon should know which implant you're getting before surgery.  This is based on your aesthetic goals and your biodimensional analysis.  There is no reason for the use of sizers in the operating room, or waking up wondering what implant was use.5. Regardless of which implant type or size you pick, you  look like you're going to have a great result!Best of lukc!

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

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon