How large of an implant should I get for a natural athletic look with not a lot of side projection? (photos)

Question

Hi! I’m 34, no kids, 5’7” 145lbs. I’ve recently had my 425cc implants deflated because I’m debating on removing my implants and just getting a lift. However, I’m not sure I can achieve the look I’m going for without a small implant. I would like more of a natural athletic breast with fullness from the front but not a lot of projection on the side. I do enjoy working out so the 425cc implant just didn’t work for me. Thank you for your recommendations!

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent pictures. You should pick a moderate plus profile implant that is a 1-2 cm less than your breast width.  This will allow you to maintain fullness without too much projection, good luck.

Sam Speron, MD, FACS · Answer

Hello and thank you for your question!  Looking at the photos that you've provided a smaller impact with moderate projection paired with a lift may be your best option!  This will give you that natural full look!  An examination and fitting would have to been done to find out what best fits you.

I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in breast surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

A breast lift only will leave your breasts very small, almost flat. You should get an implant.. I would probably go between 300 and 325 cc.

Daniel Barrett, MD · Answer

Dear Neato1722,
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

Connie Hiers, MD, FACS · Answer

If 425 cc's was too large, consider 250-300 cc implants which should give you up to 2 cups increase as opposed to 3 with 425 cc's.  I would suggest going back to your surgeon and trying on a range of sizes from 200-300 cc's.

Aleksandr Shteynberg, MD · Answer

Hello Neato1722. 
Smaller implants with moderate projection and likely a circumareolar or a lollipop lift will probably allow the result you are looking for. Breast lift would prevent smaller implants from bottoming out immediately and improve upper pole fullness. 
Best. 
A. Shteynberg, M.D. F.A.C.S.Diplomate, American Board of Plastic SurgeryNew York, NY.

How large of an implant should I get for a natural athletic look with not a lot of side projection? (photos)

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