Motiva Ergonomix mini - what size will I need to get a similar result to this? (Photo)

Question

Hello! What size do you think i will need to get a similar result to the inspo photos. I really what my breast to look very natural so I am interested in the mini projection. I am 158cm (5'2") and 50kg (100lbs)

Ram Kalus, MD, FACS · Answer

As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (200 versus 300), is far less significant than implant width and projection, as you already seem to understand. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. A given implant may well “fit” your breast, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Although the Motiva Ergonomix is an excellent implant choice, the precise implant size can only be determined with an examination in person and measurements of your breasts. Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

John L. Burns Jr., MD · Answer

The MINI will give the least projection and the Ergonomix will give a teardrop natural shape.  I'd suggest using 3D breast implant imaging to gauge the best size for you.

Elizabeth Kiwanuka, MD, PhD · Answer

To achieve a natural look similar to the inspiration photos , it's important to consider several factors when selecting the appropriate implant size and projection:
Implant Size: Given your height and weight, implant sizes typically range from 200cc to 300cc for a subtle enhancement, but the exact size will depend on your body proportions and how full you want the upper pole to appear. Since you're interested in a natural look, aiming for the lower end of that range may be beneficial.
Mini Projection: Opting for mini projection implants can help maintain a more natural contour and reduce the risk of a "fake" appearance. These implants offer a more rounded shape that complements your natural breast tissue.
Consultation with Your Surgeon: Your surgeon can help determine the best size and projection based on your body type, goals, and the specific look you’re trying to achieve. It’s essential to understand that the same implants will never give similar results on different patients. Final results are always a combination of the implants, your own tissues, and implant placement.
Visual References and Sizers: Bring your inspiration photos to your consultation, as these can provide a helpful visual reference for what you're aiming to achieve. Additionally, trying on sizers can give you a good idea of the volume that will work best for you.
Individual Anatomy: Remember that everyone's body responds differently to implants, so it's essential to discuss your specific anatomy with your surgeon to find the most suitable option.
Ultimately, collaborating closely with your surgeon will help ensure that you select the ideal size and projection for a natural-looking result that aligns with your vision.

Aftab Siddiqui, FRCS(Plast) · Answer

Same implants will never give similar results on different patients. Final results are always combination of implants,  own tissues and implant placement. You can get good idea by trail of sizers which will give you idea on volume. Using 3D simulation can give you some spatial idea of the expected results.

Daniel Barrett, MD · Answer

Dear bajisiek,
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

Jose Segura, MD, PhD - Account Suspended · Answer

Good morning, when reviewing the photos sent; I consider that the ergonomix is a suitable option for your case and the volume can oscillate between 200 and 250 cc until making the measurements you are looking for and the natural way; Another option can also be anatomically shaped polyurethane that would achieve your goal. I hope the suggestion will help you.

Oscar Porras-Escorcia, MD - Account Suspended · Answer

First of all thanks for your question,
As I can see just with a 2-dimensional picture of your case you would like a natural upper pole fullness with more cleavage in order to get a natural result. But to know for sure a volume, I really recommend you consult a Board-Certified Plastic surgeon that will help you with your decision-making process. With an in-person consultation your plastic surgeon will determinate your actual cup size, this is done with specials cup sizers, after that your cup goal should be stablished so you could know: the volume of the implant that is needed for your goal, if you only need a breast implant or if you are candidate for an hybrid technique like a breast augmentation with fat transfer using also your pectoralis muscle. (This depends on every patient)

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