Petite Asian Tiny Frame - 10.2 Breast Width Diameter - How Big is Too Big (photo)?

Given your base width diameter at 10 - 10.2, and using the Allergan Naturelle chart for dimensions of implants at various fill volumes, and assuming one does not want to put an implant in with a greater base width diameter than the existing breast, then this eliminates both style 10 and style 15.  That is to say, that both moderate and moderate plus implants between 190-200 cc of fill volume, have base width diameters larger than your existing breasts.  Therefore, the only logical choice at the fill volume you have determined would be the high profile implants. 

High profile breast implants placed in the partially subpectoral space give a very natural appearance.  You will obviously need a larger implant on the left.  200 cc = 1 cup, therefore 200 ccs added to a 32AA should become a very small B. 

All that being said, when you are at your sizing consultation, place implants in a bra, wear a snug T-shirt, and see what you like.  Remember, implants under the muscle are about 15% smaller than they are at your sizing consultation. 

To test for size, bring a bra in your preferred size to your next consultation and try on implant sizers (they should have them in your desired volumes). This will give you a better idea of how your body will look after surgery. Then, if you think that the size your surgeon recommended is too big, you can always request something smaller. However, just a note: in my experience, rarely do patients regret having gone too big. They usually regret having gone too small, even for the majority of my Asian patients.

With a bra size of 32 AA, each 100 cc's of implant will correspond to 1 cup size increase.  If you desire a 200 cc implant that will correspond to 2 cup sizes bigger so you go from a 32 AA to a 32 C.  However, your photograph shows asymmetry (right breast is larger than the left) and you will need 2 different size implants.  It may be difficult to place that size implant under the muscle (which I recommend) in your petite frame.  I also recommend silicone gel implants for thin people because they feel and look more natural.  In the retro-pectoral position, the profile of the implant is insignificant beacuse the muscle compresses it.  You photograph shows a discoloration below the areola on both sides.  I am not sure what the source of this is but it may have to be addressed as well.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question and the photos. 200 mL does not sound like an unreasonable size choice.  High profile round does not give a natural look but form-stable anatomical gel might.

Getting sized for breast implants is much more involved than it seems at first thought. It requires a full consultation with detailed questions to see exactly what your goals are, short and long term. It also requires precise measurements of your current breast dimensions, the dimensions of your chest wall, as well as preoperative photography, standard or 3D imaging.

To see what the best options are for you, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

Dear petit lilah,
You indeed have a small frame and while natural is very vague, you would generally look great and natural with a B cup. This is a discussion you should have again with your surgeon. In my practice after an exam I would likely offer you the TUBA procedure where saline implants are placed under the muscle through a hidden navel incision. In your case 225-50cc moderate profile implants. Best of luck.