Undecided... range 375-415cc silicone? I'm 5'2", 120lbs, currently 34B. (photo)

I think that your volume range is fine. For my petite patients, I would suggest a high profile or extra high profile silicone implant. This will fit your natural breast width better, since these implants are narrower with the same volume. You want to avoid an implant that is wider than your breast. Good luck!

Trust in your surgeon. The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Dear Patient:  thanks for your question and your photo.  After reading what your desires and goals are for your end resultsI would advise you to go with a 375 cc if you dont want to look top heavy! Hope this helps!

The difference between 375 and 415 cc is 40cc, less than three tablespoons, and essentially immaterial.  What makes the difference in your result is dimensions of the implant more than volume.  Surgical placement of the implant, whether or not it stays where it's placed, whether or not you develop contracture, rippling, animation, and/or maintain nipple sensation are much more germane to the quality of your outcome than the difference between 375 and 415cc.  My recommendation: Try on sizes, choose the one you like.  Nobody else can make that decision for you.

Thank you for your question and photographs.  Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing an ASPS board certified plastic surgeon, they are in the best position to ensure that the implants the two of your decide upon are the right ones to meet your expectations.  It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like.  Best wishes!

Dear Helloitsme1904,Determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

And if so, what size sizer did you like the most in your unlined bra and white t-shirt?  It will show you if you're bordering on top heavy so you should be trying it or if your surgeon has the 3D camera, should be able to show you what each would do for your simulated appearance.  I like simple and its worked well for me and my patients but I always add 10% to the sizer volume to achieve that look in real life.  So if you like the 350 cc sizer, your implant would be 385 or 390 cc's.  So visualize what you will look like and go for it.

The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. or the type of implant. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit at a preoperative visit will help you and your surgeon choose the optimal implant.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Good morning and thank you for your question. It sounds like you have been careful in your preoperative considerations and have narrowed your implant choices down well. Provided your plastic surgeon has guided you to choose implants with appropriate dimensions for your measurements and soft tissue envelope, the difference between a 375 and 415 should not be dramatic. I'm sure you are going to be very happy with either. Best of luck!