31yo, 1BF child, 5’2”, 133lb, is an outcome like my goal photo likely with my starting point? (Photos)

Thanks for the photos. It is really difficult to answer your question as there is a lot that goes into sizing our patients. We perform measurements, evaluate the skin envelope elasticity, look at photos, look at diagrams and finally use the Allergan sizing system to size the patient in the office. We obviously listen and discuss exactly what the patient wants and doesn’t want so that we can deliver the expected results.
Your best path to determine what size would work and how big you can be would be to seek out a board certified plastic surgeon to discuss your options. Make certain the surgeon you choose has great deal of experience in breast implant surgeries.
Hope that helps.

Going from your current breast size to 600 cc implants may not be possible to do safely in one surgery. Extra full profile implants with a base width of 12.5-13 cm typically run in the 495-545 cc range. Using an implant with a diameter that exceeds your natural breast boundaries places you at risk of significant postoperative complications. I recommend you base your decisions on your breast dimensions and tissue type, not on implant size per se.

Thanks for your question! I'm not sure that many cc's will work for your frame. Moreover, you have a very short distance from the bottom of your areola to your inframammary fold. My guess is that your goal photo was not achieved in one surgery. I would suggest an in-person consultation to evaluate your goals. Good luck!

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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, and they choose what looks right for them. 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

Choosing the implant size can be one of the hardest decisions with breast augmentation. Every plastic surgeon has their own method to pick the correct implant size with their patients. The choice of implant is determined by combining your goals for size and the appearance of the breasts with a detailed assessment of your height/weight, breast dimensions, and chest width. In our practice, we generally have patients bring photographs of the desired appearance of their breasts after augmentation. We also have them try on breast implants in the office. Bigger is not always better. There will be more thinning of the skin and soft tissues, making the implants more visible. The increased implant weight and thinning of the tissues may lead to loss of support with time, so the implants sag. Based on your ideal photos, the breasts are wide and stick out beyond the chest wall, and your arms may strike the implants with running or lifting things. I would recommend discussing your goals with your surgeon, so collectively as a team, you can determine the best implant size for you.

Working with your measurements and using a highly projected implant, I think it may be possible to achieve your goal look. With a primary breast augmentation, you may not be able to fit 600cc of volume, but I believe you can get close. A 535cc ultra high profile mentor implant would fit a 12cm width with no issues. Good luck on your breast journey.

Based on this photo, your chest wall is narrow for too large implants; that means that implants of 600 ml may be by far too large for you to look natural. Implants up to 400-450 may be something that you need based on second photos. In person consultation with a board certified plastic surgeon will give you oportunity to discuss this issue in more details, in particular using sizers. Good luck.

The husband always wants bigger. Implants that size will be a problem down the line. 400 or 425 would be my suggestion.

Dear HNM224,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Personally I don’t think it is possible to go from your photo to your goal without a severe deformity. You don’t have room on your frame for implants that large.