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I appreciate your question.The best way to figure out implant size is by measuring your chest wall.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 and restorative breast surgery.best of luck!Dr Schwartz
You may find it hard to locate a surgeon that will fulfill your wishes. This doesn't mean that size is wrong for you, it just means you have to keep looking for the right surgeon. The best wayto determine the size that fits your personal perception of the perfect breastis to try on sizers. This way you can see how they fit on you, how they add toyour current volume, and whether they fit your frame. Although the surgeon canguide you, only you will be able to tell what is the right size. Try on sizers. HP implants, which are a more modern shape than moderate profileimplants, fit most women better. They have a more appropriate base diameter forthe average women's chest. Mentor HP profile saline implants have basediameters that range from 8.8 cm (very narrow) to 13.8 cm (moderately wide). The majority of women in my practice have base diameters in the 11 to 13cm range. The HP implants fit them well. The moderate implants havemuch wider base diameters for the same volume (often in the 14 to 15.6 cmrange). These implants are too wide for most women that I treat. Sowhen the base diameter is measured and correlated with the diameter of theimplant, it is most often necessary to use HP implants to achieve the volumethe patient is requesting. At the volume selected, my patient's basediameters are too small for moderate profile implants. Measuring a diameter andthen telling the patient what volume they can have (in high, moderate ormoderate plus implants) in my mind is backwards. The patients should beallowed to choose the volume. Then the surgeon carefully considers thebase diameter, projection, profile, manufacturer, and fill material that willachieve the patients goals of size as well as qualitative look (natural,intermediate, or bold upper pole fullness or projection), all the while takinginto consideration the patient's anatomic features that will affect theoutcome. HP implants can be made to look very natural or very augmented,depending on where in the range the implants are filled to achieve a particularvolume. At the low end of the fill range, HP implants do not have the upperpole fullness that most people associate with the fake look. On the other hand,a fake over-augmented look can be created with a moderate profile implant if itis overfilled (a common practice for surgeons that commonly use moderateprofile implants). In addition, too wide an implant will put the volume pastthe anterior axillary fold (side boob), which in my opinion, looks more fakethan upper pole fullness. So there are many factors that need to beconsidered. The experience of the surgeon and the degree to which theyexplain the options to you is of utmost importance. Obviously all of mypatients look at photographs and we evaluate the look they are desiring ingreat detail. For me, high profile implants are the first choice. Irarely find an indication to use moderate or moderate plus implants. This doesnot make me a better surgeon, or a worse surgeon. Look at the outcomesand judge for yourself. Beware of surgeons that openly criticize anothercolleague's approach or their practice. It is unprofessional at best. The outcomes should stand on their own. The subtlety in the final outcomeis not achieved by which profile implant is used, it is determined by the skillin the creation of the pocket, the choice of volume, and where in the range theimplant is filled. If you try sizers on and like the 700, that is the rightchoice. Don't let the doctor tell you what would look good on you. They cannot tell what you perceive to be the best size.
It is hard to determine the size of implants without examining you and measuring the size and shape of your chest. There are also different profile of implants that can be considered. I recommend my patients to bring in a photograph of what they like and that makes it easier to determine the size and style of the implant that is used in surgery.
Thank you for your question. You need to be seen in person by a board certified plastic surgeon who will perform a physical evaluation of your anatomy. Please be sure to clearly communicate your surgical goals with him or her. It is very difficult to predict cup size before surgery but you should be able to "try on" implant sizes to see what you like best.All the best,Dr. ResultsMiami, FL
Don't dwell on the 'number', but rather look at what the 'look' is--that is a more realistic goal and will better achieve the result you are looking for. Best.
