27 years old, 5’5, 122 pounds - what breast implant size/profile is right for me? (Photos)

Question

Hi I’m 27 years old 5’5 122 pounds I want to get a breast augmentation. Skin stretch 2. PCSEF 60%. Base width 11.5 at most. I want something noticeable but natural. Not sure what size/profile to go with. I don’t want to look BIG. I’m a pretty fit person I have a good amount of breast tissue, I’m a small B cup. I do want some upper pole volume and overall breast fullness but I don’t want to look overdone. Any advice would help.

Damien Grinsell MBBS, FRACS (Plast) · Answer

Hi
You needn't be too concerned - you are starting from a good place and in experienced hands will get a very good result regardless of size or shape of implant.  You ideally need to do breast implant sizing in a bra to give you an idea of the size you want to go. A general guide is that 150 cc equals a cup size. As a rough guide I would advise about a 300-350 cc implant and a textured round implant will give you the most upper pole fullness. This will equate to about a D cup.
Regards
Damien

Gary M. Horndeski, MD · Answer

I recommend a donut mastopexy to move the nipple-areola complexes more medial and at the same time place submuscular implants. At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. At size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
With regards to your specific question, I would recommend sizing into a moderate/moderate + and if you desire greater volume upsize to higher profile device. A BWD of 11.5 may be volume limiting.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." 
Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants 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 and style 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 size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gerald Minniti, MD, FACS · Answer

Only you can know the answer to that personal and subjective question. What does 'noticeable but natural' mean? What does 'I don't want to look too BIG' mean? These things only have meaning to you. Going to a surgeon who will use in office sizers is the best way of determining the right size implant. The process allows you to see yourself in clothes with your new breast size and you will determine all of these questions you have.

27 years old, 5’5, 122 pounds - what breast implant size/profile is right for me? (Photos)

Answers (5)

More Breast Implants Questions

Flattening with Older Implants Post Breastfeeding - Is this concerning? (Photos)

Breast implants before Nuss procedure - will it affect the procedure?

60 pound weight loss maintained, breastfed for 2 years - Preservé implants without a lift? (Photo)

What is the smallest Motiva Ergo Implant I can choose for a 12.2cm breast pocket in Mia Femtech or Preserve Motiva?

My cat's s nail punctured my breast, could it have also punctured my implant?

Can implants correct a grade 2 nipple inversion on one side?

WE SEND PRETTY
EMAILS