What are your size recommendations for me? Petite, 5’3, 115lbs 12 BWD

Hi, thank you for sharing your question. While the choice of breast implants is a very personal one, you are a great candidate for breast augmentation and I think 310cc would be a good, natural result for you. Discuss sizing in detail with your plastic surgeon in detail. I hope this helps.

Thank you for the question. The choice of implants is a complicated process that requires in in-person assessment, in order to ensure safety while also meeting your goals. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

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. 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

Ms. Meghan, this is a question that we are asked frequently during our consultations. There is no 'correct' answer as each person has individual preferences and an overall comfort level for their body. That having been said, the ideal breast size is compatible with the general body structure of the person. From your photos, you are very fit but have a low starting volume. The issue is 'volume' and how to balance the shape and projection. As a general rule, it takes about 175-200 cc per cup size increase. So, a 300 cc implant would be expected to give you a one and a half cup increase. It may be that that is not enough. You have a diameter of 12 cm. So that fits with the Allergan 310, but have you tried other sizes? Such as the Mentor Mod Plus Xtra, which is also in the 12 cm range but with slightly more volume? The 325 cc has a diameter of 11.9 cm, while the 350 cc has a diameter of 12.3. I think you will benefit from the increased volume based on your starting point. But I also know that breast size is very personal. If you are still working on determining the size, I would ask you to try some of the newer sizes. 'Test drive' as many implants as you can. I believe that you will be very happy with whatever size you choose. Respectfully, Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery

If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine the size required to achieve your desired goal. In your photographs, you can see your nipple-areola complex is laterally displaced and you have very poor cleavage. 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, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Good afternoon,
I think the best size for you based on your photos, goal photos and stats would be in the 325-375cc range, Mod Plus or High Profile, to be determined by measurements of your chest!

Dear Meghan0808,
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. Best wishes!

Your surgeon who has measured you will be the best one to tell you the range of sizes that best fits your frame. You still may have some gap because of your anatomy, especially with the implants placed behind the muscle. Just based on your photos, I would not recommend going larger than 310 cc's for you.