Would implants make them look worse? (Photo)

Question

I am 29, 5’1, 103 lbs. I want to have a breast augmentation because I look deflated. I don’t care so much about having large breasts, I just want lift and more fullness on the top. Due to the shape, will it look bad to do implants? I spoke with a surgeon, however, he only does virtual consultations prior to paying and booking surgery (at which time, you get to try on sizers, get measured, etc.). I would like to have a better idea of what they’d look like before I commit.

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Gianfranco Frojo, MD · Answer

Selecting an implant if a very complicated process that you should perform with the plastic surgeon that you wish to have perform your surgery. I would highly recommend finding a highly trained aesthetic plastic surgeon (preferably 6 years of dedicated plastic surgery residency and 1 year of aesthetic fellowship). Best of luck!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding a breast augmentation and for including photos. Those are extremely helpful!

From the photos you shared, you are a great candidate for a breast augmentation.

You can choose an implant that will fill your breasts back out and not make you too large.

Hope this helps!

Caner Kacmaz, MD · Answer

Thank you for your pictures. You are a great candidate for breast implant surgery. Breast implants are available in a wide range of shapes, sizes, textures, and profiles. This procedure will not only increase the volume of your breasts, but it will also correct the asymmetry, enhance the overall contour of your breasts, and most importantly improve your self-esteem.  Take your time and explain your expectations in detail during your consultation so your surgeon can give you the results you are happy with. Best wishes.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent pictures, I believe you are an excellent candidate for breast augmentation and can have an excellent result, best of luck.

Daniel Barrett, MD · Answer

Dear Sincere704175,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jonathan Heistein, MD · Answer

You are a good candidate for breast augmentation.  I think it can accomplish your goals as long as you choose the correct size implant.  At an in-person consultation, your PS can show you the different implants, help you decide which style and size would work for your particular situation, and help you feel comfortable with the outcome.  This is the preferred route for you to learn about your options so you can make an informed decision BEFORE you decide to proceed to surgery.  Best of luck!

Zoran Potparic, MD · Answer

You seem to be a very good candidate for breast augmentation with implants. It does not look that lift is necessary but that can be decided on the basis of in person consultation and discussion about your goals. Good luck.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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 then get to choose what looks right for them. 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Connie Hiers, MD, FACS · Answer

Just based on your photos, you will also need a lift. During the consultation, you can try on and see what sizes you actually like. Your surgeon who has measured you will guide you to the best range of sizes that fits your frame and tissue.

Would implants make them look worse? (Photo)

Answers (12)

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