If my BWD is 11.5-12cm can I still pick an implant with a 12.5cm width?

My PS thinks 355cc moderate plus profile with a 12cm width is a good choice. I just feel that is too small, I am currently a 32a/b and want to achieve a small D. He said the biggest he'd go is 385cc with is a 12.5cm width, I'd rather go bigger just incase even though its not much of a difference. Would this implant be too wide for my frame?

Doctor Answers 9

Breast width

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the answer is yes but the implant will be on the wider end of the range for your breast, causing some "outside" push on the implant.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  

Limits of breast base width

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Hello. The dimensions of the breast are important in implant selection as you know.The other breast dimensions such as skin stretch, nipple to fold distance and general skin laxity also play into implant choice.  A base diameter implant of 12.5 cm would probably fill your breast but perhaps a higher profile implant could be the answer.  In the Allergan line, there are many different profiles available in Natrelle Inspira (SRM--mod, SRF--full and SRX- very full projection).  In the Mentor line, which I think the Moderate Plus style is, I think there is a higher profile implant is available HP. The higher the profile, the more volume fill with the same base diameter. The more projected the implant the narrower and more pointy the breast will be.

Hope this helps.

Dr. Hamori

Christine Hamori, MD
Boston Plastic Surgeon
4.7 out of 5 stars 17 reviews

Yes you can...

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To achieve an attractive "side boob" your implant selection would be excellent. Your surgeon must create the submuscular pocket with precision. 

Good luck

Best, 

#drburnett # realself100

Choosing the right implant

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Choosing the right implant really requires an exam in person.  If your BWD is about 12, depending upon the look you want 12.5 is probably ok.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Too wide?

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Nothing is more reassuring, than hearing from a RealSelf user who is thinking in terms of diameter rather than "cc." 

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.

Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 

A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.

When sizing patients, there are a number of useful tools including:

-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)

-Breast sizers (rice bags)

-Goal photos

I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.

With regards to your particular question, in the setting of a round gel staying within 1 cm +/- of your measured width is advisable (with a preference towards "-" so as to avoid the dreaded lateral show and "fake" look). A 35 cc difference is not significant (less than a shot glass). 12.5 cm is 1 cm greater than your measured width and should be acceptable. However, patients should remember exceeding your BWD places one at greater risk of lateral fullness. If that is a major concern, err on the conservative side with regards to volume. Alternatively, choose a higher profile device width a lower base width and greater projection.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Donovan Rosas, MD
Kissimmee Plastic Surgeon
5.0 out of 5 stars 13 reviews

Impant selection

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Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  We use base diameter as a guide for implant selection, but it is not a strict rule.  You may also want to consider a high profile implant, which has a narrower base width.  The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.  

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 174 reviews

If my BWD is 11.5-12cm can I still pick an implant with a 12.5cm width?

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Thank you for your question.  If you want to have a larger breast implant then recommended for the base width of her breastyour E visit your plastic surgeon and consider high profile implants which have a narrower base and thus can have a larger volume. To learn more about implant profile read below:

Band width and breast augmentation?

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Thank you for the question.  There are no hard and fast rules when it comes to diameter of breast implant versus diameter of breast (band width). In other words, these measurements are useful but are only one of the many factors come into play when it comes to selection of appropriate breast implant size/profile.


You are correct: every patient undergoing breast augmentation surgery should understand that their anatomic starting point will limit the outcome of breast augmentation surgery. The use of a larger breast implant (than what is safely "allowed" by the patient's anatomy) can be problematic;  potential problems include breast implant displacement/malpostion issues ( such as bottoming out, lateral displacement, symmastia...)  and/or significant breast implant rippling/palpability.


Other factors involved include surgeon dependent factors: for example, careful breast implant pocket dissection and careful selection of breast implant size/profile.  Remember (when it comes to breast implant pocket dissection and achievement of ideal breast implant cleavage) that each nipple/areola complex must be centered on each breast mound.


Ultimately, careful selection of plastic surgeon and 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.


***Given your concerns, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.


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 know words such as “natural” or "small D cup” 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/video, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

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. I think it's best to choose an implant more narrow than your base width. 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.

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.