275cc Mentor silicone UTM implant surgery booked for 2/6/23 - would you go any bigger w my frame & stats?

Hello! Implant sizing is the focus of breast augmentation consult visits. Sizing of an implant depends on your chest width and on your desired fullness outcome. I typically size by placing the actual implant size in a bra with my patients so they can get an idea of outcome. Some surgeons use computer imaging. Both techniques are great at helping patients understand their outcomes. For a 12.5 cm dimension - if you want a full implant - you can probably go larger than 275cc. I would recommend you circle back to your plastic surgeon to size and be assured you are getting the best implant to fulfill your goals, including nice cleavage distance and upper pole fullness.
Best of luck to 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

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

How big to go depends on your goals. If natural and elegant with some upper pole fullness are your goals, then implants in that size range will likely get you there, as long as they are sized appropriately based on your base width and breast dimensions (you don't provide the brand and profile of the suggested implants). Regarding the space in between your breasts, there is a limit to how close breast implants can get medially, which depends on the gap between your pectoralis muscles. To improve cleavage past that point, fat grafting can be added to a breast augmentation. If you're asking if it's possible to go larger than 275cc based on a base width of 12.5cm, the answer is yes it is absolutely possible to go larger (though it may not look so natural!).

Dear katoc10,
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

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. You may wish to "try on" several of the implants so that you can have a better visual representation as to what they would look like, but based on your narrative I would likely recommend a larger overall implant

That size would look good on you. Your breasts naturally sit somewhat low on your chest and you will not look exactly like your wish photo.

I do not usually comment on other surgeons procedures as there are so many opinions and variations that are acceptable.
Your photos are not adequate. A full nude frontal and two side views aid in accurate assessments.
That being said, I would love to see a wish pic so we are on the same page as to size and shape desired. If eel you're a great candidate for transaxillary (armpit) submuscular (UTM) silicone breast augmentation. The size is important (you may get any size you desire), but the shape is crucial to meet your desired upper pole fullness and projection.
Your bony sternum and wide cleavage must be addressed.
Best wishes.
Dr. Taranow