10 cm chest width - what size and profile should I choose?

The breast width measurement is not the most important step to choose an implant size. The best way to choose the implant size is to do a full measurment protocols. Understanding how much skin laxity there is in the upper pole and how much elasticity is present in the front of the breast . For example, if a patient has had a previous surgery, such as a breast lift, this will be a key factor in determining what size implant the skin can accommodate. If you don't want to have a large bust, then we must take your current measurement with the size and volume of your implants you have and, meausre the relationship between the thoracic diameter and hips diameter to create symmetry and harmony with your physique for natural and proportionate looking results. I hope this has proved helpful, and I wish you the best.

Breast implant sizing is one of the most important aspects of breast surgery. I would recommend seeing a board-certified plastic surgeon with preoperative 3D imaging. 3D preoperative imaging combined with tissue-based measurements is the best way to select an appropriate implant size that fits the breast.

it's important to note that choosing the right size is a personal decision and depends on various factors, including your body shape, desired outcome, and the recommendations of your surgeon.

Typically, breast implants are measured in cubic centimeters (cc) rather than a specific width. During a consultation with a plastic surgeon, they will assess your body type, discuss your goals, and provide recommendations based on their expertise.

It's crucial to have a thorough discussion with a qualified plastic surgeon to determine the most appropriate size for your individual case. They can guide you through the options, take measurements, and help you make an informed decision that aligns with your goals and ensures a natural and proportionate result.

Dear Fierce20156,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

At size 34, each 100 cc of implant corresponds to 1 cup size change. From this, you can determine the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

It is easy to size when you are either having breast augmentation for the first time or are upsizing. It's called in office sizing with purpose built sizers, something that could have saved you from having three surgeries already and needing a fourth. However, downsizing can't be demonstrated with sizers and so surgeon experience is necessary. My rule is that anything less than 20% reduction in size will not be visible. For you that means a 520 cc implant, maximum.

385 cc implants is appropriate in most cases. I would never go over 500 cc. 650 is much too large. But now that you’ve have 3 different set of implants and have a sense of size perhaps 459would be the right size for you

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Yes, 650 cc implants are huge and rarely look good long term. The size you want will probably look good and high profile might work best. Measurements are needed to be certain, and your surgeon can help guide you in this decision. I would suggest staying below 500 cc's for a better long term look.

It's difficult to determine a specific size for you without examining you and discussing your goals. However you have tried 385cc and thought it was too small, and now know 650cc is much too large, so it makes sense to meet somewhere in the middle which is what you are considering in the 485cc implant. The profile will depend upon how much projection you are wanting. I've included a video I hope you find helpful.