What Size of Silicone Gel Implants is Best for a Petite Woman?

Hi, I want to get Silicone gel implants. I went to see a doctor in Miami. I am a 36B and have doubts if a D size would be too big for me.

I am 135 lbs, 5'2". Please advise. In my short appointment with Dr. O, he didn't really tell me what size of implant would be best for me so I'm still left with doubts.

Doctor Answers 11


There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.
Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.
I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.
By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.
I hope this helps. Good luck!

Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Dimensional breast augmetnation

I use a technique called dimensional breast augmentation which involves taking in a number of factors and measurements, so each patient is unique.  

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

The best size for you.

I consider two factors when selecting implants for my patients:

1.Dimensional planning
2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.

Lastly, please make sure your surgeon is board certified by the American Board of Plastic Surgery.  The proper credentials and certification matters.
Hope this helps.

Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Best Breast Implant Size for Petite Woman?

Thank you for the question.
If I were seeing you in consultation, I would ask that you communicate your goals as clearly as possible.  Therefore, I would ask that you bring in “goal pictures” of what you would like to achieve. It is also helpful to view pictures of breasts that you feel are too small or too big… Viewing goal pictures without clothing are most helpful.
I have found that the use of words such as “natural” or "huge and fake” 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.

After direct examination and a full communication of  your goals, it is likely that your plastic surgeon will be able to provide you with some guidelines as to what size/profile/ type of breast implants  will most likely help achieve your goals.
Once you feel you have communicated your goals clearly,   I suggest that you 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.  In my practice, this decision is usually made during surgery.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Silicone implants

It is difficult to tell you what size implant will achieve the cup size you want.  An  exam and discussion are critical.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

What Size of Silicone Gel Implants is Best for a Petite Woman?

This would likely require a mininmum of a 400 cc implant and silicone would most likely give you the best results. However, this is a highly simpllistic cursory statement and you would be better served by getting additional opinions or trying sizers.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Silicone gel breast implants and sizing

The issue of silicone gel implants is largely unimportant regarding sizing. Properly done saline filled implants can look just like silicone gel implants.

Bra cup sizes are a very imprecise way of measuring breast size, but in general, A, B, and C cup size breasts relative to the chest around (which doesn't change in an augmentation) are the normal range and D cup size by definition will be out of proportion.

The degree of naturalness of the result is as important as size for looking proportional.

In my opinion, the only way to fit a breast implant and have it look natural and with at least a subjective knowledge of the size increase is to match a round implant to the width of the breast and choose a forward profile that will increase the breast size (unless the breast is unusually wide or narrow) by 1, 1 1/2, or 2 cup sizes from what the breast looked like to begin.

Pictures, computer imaging, and stuffing bras is not helpful in my experience. Fitting a breast implant and having it look right is more like fitting a dress for you with a dressmaker.

Scott L. Replogle, MD
Boulder Plastic Surgeon
4.0 out of 5 stars 1 review

Breast Augmentation

Dear Claudiar

The size of implant is dependent on what you want, the physician bias and the amount of tissue and skin laxity of your chest wall. There is a range of size that will look "natural" vs augmented..... and this is the range which you and your physician will work within for you to be happy and have an excellent experience and result.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 118 reviews

Silicone Implant Sizing

Only you in partnership with your plastic surgeon can determine the appropriate size implant for you. Most plastic surgeons will offer you a sizing session, during which you can become confortable with a size for your situation. It is also important to find an implant which "fits your breast", meaning that the base of the implant is no larger than the limits of your breast.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

What is the right implant size to use

There is no one way to pitch the proper implant for a given patient. It begins with an interview and discussion about your goals for surgery. After examination of your breasts to take measurements, asses the degree of laxity if there is any, and only then have you actually size with implants. By this I mean placing implants in a sports bra to allow you to see in a full length mirror approximately what to expect. I would not do it any other way because what you see in the mirror is a little larger than you will be post-op. I would recommend you return to your chosen plastic surgeon and ask about sizing. Best of luck to you.

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.