I'm 5'3, 115 lbs, and 34B. What implant/size would you recommend? (photos)

Question

I'm currently size 34b I want to look full and big but 'not' fake. I'm confused whether silicone or saline. Do saline have a lot of slouching and rupture percentage? Whats the rupture percentage with silicone? What profile should I go with? I want to look as natural as possible but still with pretty full breast. I want quite of projection but not exaggerated projection I'd also like side boob too (just because it makes me look curvier.

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question and photos. In general, implant size does not correlate with bra cup size.  The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements.  Thus, cup size is never a reliable indicator for your breast size.  I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance.  It is difficult to answer your question without an examination, but give your photos...an implant to fit your breast width, likely 350-500cc would be a good choice. Sizers may help as well as discussion with your attic surgeon. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step.  Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc).  I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc.  In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you.  Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. Hope me that this helps!  Best wishes for a wonderful result!

Ronald J. Edelson, MD · Answer

I actually prefer saline implants, smooth surface, under the muscle.  In most people they feel comparable to silicone and there are much fewer problems and concerns over the long term. In particular, the us a much lower incidence of capsular contracture requiring reoperation.  The deflation rate with saline is quite low, and the implants are warranted for life against deflation.  Saline implants done right are much more trouble free.

Kenneth Hughes, MD · Answer

The first step would be trying on sizers in the office and then determining what will fit your chest wall width.  At that time, incision placement and the type of implant as well as profile can be determined.Kenneth Hughes, MDLos Angeles, CA

Jaime Campos Leon, MD · Answer

Thank you for the pictures.I recommend a 475-400 high profile implant. This only takes about 1 hour to do, a very popular and affordable procedure using the best implants.Dr. Campos

Michael Law, MD · Answer

In my opinion, many of the "after" images look too large and unnatural. If you look at my before and after gallery, it will be clear that I'm not the plastic surgeon for a woman who is looking for the kind of result you desire.  No plastic surgeon is the right match for every patient. Look at before and afters to find a plastic surgeon who shares your aesthetic sensibilities. There   are many reasons not to go too big. But, I'm not going to try to change your mind. What I would recommend is that rather than just looking at after images that appeal to you, that you look at before images that look like you do now, with afters that look like what you have in mind. Ask to see some of the after photos three months, six months and one year after surgery and inquire about complications.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Base on your photographs, you are starting at a great place and should have a very nice outcome with breast augmentation surgery. In regards to specific size/profile of breast implant, despite good intentions, online consultants will not be able to provide you with  meaningful specific advice.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.  
2.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup" or "exaggerated projection" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.  The use of computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.
I hope this, and the attached link, helps.

I'm 5'3, 115 lbs, and 34B. What implant/size would you recommend? (photos)

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