Currently 5'3", 65kg. I don’t want to exceed 32d. What implant should I choose? (Photo)

Question

I’m looking to get a breast lift and implant, I am really really struggling to choose which moderate implant and cc I should choose. I’m currently 5,3 65kg. I am extremely active I do weightlifting and horse riding so needs to be comfortable with my activities. I don’t want to exceed bra size 32d Can you advise which implant would suit me please - I’m really struggling to choose.

Daniel Barrett, MD · Answer

Dear Independent601912,

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

Leila Kasrai, MD, FRCSC · Answer

Your surgeon would be able to recommend a size range for you that would not exceed 32D. During your consultation, you can ask to try on sizers. Please bring a bra in the size you’d like to be so you can see what size would be best for you.

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 breast implants. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Gary M. Horndeski, MD · Answer

You would benefit more from a breast lift than implants. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Harry T. Haramis, MD, FACS · Answer

You have to feel comfortable with your plastic surgeon when selecting implant size for your goals.

Depends upon your body and breast measurements during consultation, We use intra op sizers also to simulate the lift augmentation to confirm implants discussed.

Typically this will be in 350-400cc range, we usually use high profile for better fit. Again,  exam and consultation with your/a plastic surgeon is recommended to discuss your options and expectations until you feel comfortable.

Donovan Rosas, MD · Answer

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). 
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Camille Cash, MD · Answer

Implant selection is best done in person with an experienced board certified plastic surgeon.  During a consultation measurements will be taken of your breasts (This is different than bra sizing) and you will discuss your goals for surgery.  Your surgeon will consider all information and recommend a range of implants for you to consider.  Many surgeons have sample implants available that you can "try on" to get an idea of how you may look after surgery.  I've included a video that I hope you find helpful.

Mats Hagstrom, MD (license on probation) · Answer

Each plastic surgeon will have their own way of guiding patients through the implant selection process.
Some plastic surgeons will ask the patients to make the final decision. Other plastic surgeons will make the decision based on input from the patient.
Some providers do this better than others.
Implant selection is really important.
A significant number of patients regret not having gone bigger After they’ve recovered.
It’s also true that anytime excessively large implants are used the chance of undesirable side effects, complications and need for revision surgery will always go up.
The bigger the implant the more likely the patient is to need another operation.
Provider selection is in the end, the most important variable.
Probably more important than what implants you choose.
In the hands of the right provider you’ll be guided correctly inappropriately through the decision-making process.
Some plastic surgeons give patients implants to put in their bra in order to help them decide.
Putting an implant in front of the breast makes it look bigger than it does if the implant is behind the breast or pectoralis muscle.
Personally, I work with before, and after pictures of previous patients who had similar body characteristics.
These can be my results or results of other providers.
I ask the patient to bring in examples of results they think are ideal.
I typically bring those pictures with me to surgery and use the mass reference.
 During surgery, I use temporary implant sizes to determine what size and shape implant will give the desired outcome.
This requires having an inventory of implants accessible during surgery.
It’s worked well for me in the past.
I typically recommend patients interview several plastic surgeons before selecting a provider.
There’s no correct number of consult needed to find the right provider.
Working with the right plastic surgeon is in the end the most important variable.
Your surgeon should be helping you.
Best,
Mats Hagstrom MD

Currently 5'3", 65kg. I don’t want to exceed 32d. What implant should I choose? (Photo)

Answers (8)

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