If my Breast Diameter is 11.5 and Rib Cage Measurements is 31 and Form Top of Chest to Nipple 21 Cm? (photo)

Choosing too-high profile implants based on an erroneous breast base diameter measurement will leave you with high, round, unnatural-appearing ("Baywatch" coconuts) breasts with a wide cleavage.

425cc implants should add just under 2 full cup sizes to your present breast volume (using the volume guideline of about 250cc per cup size), and using the widest profile implants that will fit your breast anatomy will give you the nicest cleavage and a more natural look (that you can "amp up" with the right clothing or bra choices if you like the high round look).

But very few women really want high round hard breasts when nude or when hugging a friend or loved one! Croquet balls in your vest pocket is definitedly NOT a natural feel!

Talk with your doctor, provide goal photos, and try on implants in a bra before deciding. Also, your surgeon has done this before, so trust experience and judgement--that is a good part of what you are paying for, not just a "technician" who does what you have decided on your own. Stay in town long enough for your surgeon to deal with any post-op issues, or be prepared to return for follow-up visits or the rare revisionary surgery if needed. Best wishes! Dr. Tholen

Thank you for the question.
 As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.
The best online advice I can give to ladies who are considering breast augmentation surgery 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're 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. I have found that the use of words such as “natural”  or “D or DD” 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.



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.


I hope this (and the attached link) help.

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Dr. Gill