How important is breast width diameter and staying under or right at it with the implant I choose? (Photo)

Dear Esmith4,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The breast width diameter (BWD) is a measurement across the breast cavity that indicates the maximum width that an implant will fit in. Any implant with a width that is equal or less than your BWD measurement, which in your case is 11.5 cm, will fit proportionally into the breast. The current size of implant being recommended to you (325cc, 11.4 cm) is a great choice according to your BWD measurement. Choosing an implant that exceeds the width of your BWD measurement will increase the risk of developing cosmetic complications. Overall, choosing an implant with a width of 11.5 cm or less would be the safest and most proportional option for your frame.

For Breast implants, we offer both saline and silicone breast implants depending on each unique patient case and their individual aesthetic goals. He is a master at his craft, and blends surgeons skill and years of experience to create gorgeous results.