What Size is Best for Me at 6ft, 190lbs?

            It’s always difficult making
decisions about breast size, breast sag, and cleavage without performing a
physical exam or seeing pre-operative pictures. 
It’s also important to understand the patients underlying anatomy and
personal preference for size and shape of their new breasts.

            Even when tremendous care is taken
pre-operatively to determine breast size, the final decision needs to be made
in the operating room by the surgeon.  At
this point, an assessment can be made by evaluating how the patients’ breast
tissue interacts with the breast implant. 
Occasionally, obtaining a specific size doesn’t allow the surgeon to
meet the patients other aesthetic goals. 
For this reason, locking into a specific size isn’t always a good
idea.  Results are often better when the
surgeon has the ability to make adjustments in the operating room.

            In your case, I think it’s important
to thoroughly discuss your aesthetic goals with your surgeon.  Make sure he has the latitude to do what’s
best for you in the operating room so he can meet your aesthetic goals.  It’s important to have an approximate idea of
the breast size that you’re considering, but don’t become married to an
absolute number.

Hi, taller patients and large frame patients usually can get away with larger size implants compared to average size patients, but without actual physical examination and measurements, it is impossible to say which implant size or shape will achieve your goal.

I recommend that you consult with one or more board certified plastic surgeons to be exmined and to learn more about your options and also to look at some before and after pictures which will help you make a combined decision with your surgeon .

You have posed some great questions and I have to make certain assumptions to give you the answers.  With reference to CLEAVAGE, your cleavage is directly related to where your pectoralis muscle inserts on your breast bone (sternum).  If your implants are on top of the muscle, you can go past this point towards the midline.  If you are underneath this muscle, you are totally limited by the insertion of the muscle into the bone.  (A picture would be helpful.)  

 

The width of the breast implant will increase your CLEAVAGE to some extent no matter what size implant you put in.  The projection of the implant will also LIFT your breasts.  LIFT and CLEAVAGE are certainly very important in breast augmentations, but your Board Certified Plastic Surgeon must consider long term softness of breasts, natural appearance of post surgical breasts, and of course, your desires.  

 

If you are a C cup already and you are thinking about an augmentation, then you will definitely go into the D category.  These letters, A, B, C and D have less and less value since there is no standardization in the bra community and the bra industry.  The final size of your breasts is a combination of what you have now plus what you put in.  Several pre-operative systems, including placing implants in bras, programs that show various size implants added to a 3D picture taking of you all help you understand what size might be right for you.  

 

It is your responsibility to educate your Board Certified Plastic Surgeon as to your wishes, and it is your plastic surgeon's responsibility to translate your wishes into the perfect size and shape for your body and for your desires.