SIZE HELP! 5'1, 95 pounds, 32A/AA, 11.5 BWD to 325cc HP silicone unders? (Photo)

Question

I am 5'1, 95 pounds, petite, basically no breast tissue of my own, 32A/AA, 11.5 BWD and I am getting 325cc HP silicone unders. Is this a good choice for me? Any estimates for final cup size?? Don't want to be too large! (Wish pic is below)

Jed H. Horowitz, MD, FACS · Answer

Breast implant size relative to cup sizeThis size implant will likely make you a 32DD or so  but that may be fine for you.in general :   36 a to c    375 ccc                      34 a to c   325                       32 a to c   250 cc The profile allows the larger volume to have a smaller diameter and fit on your chest better

Ali Sajjadian, MD, FACS · Answer

Thanks for your question and photo.Here are my suggestions:1. I would put most of the focus on finding a good board certified plastic surgeon with whom you feel comfortable.2. Cup sizes are not standardized. I would recommend using the pictures to guide you as to what you want your final result to look like. Based on that we suggest different sizes.3. You can also have sizing in the office which will give you additional ideas and information about the best size for you.4. During the surgery we use sizers and while your are upright come up with the best solution that can give you your desired look.Hope this was helpful.Dr Sajjadian

Jerome Edelstein, MD · Answer

I use a technique known as Dimensional Breast Augmentation. This involves taking a variety of measurements of your pre-surgery body, such as your height, breast width, weight, etc. Then, we discuss your goals and with this information, a suitable implant size is selected. Find out if your surgeon does this for you.

Asif Pirani, MD, FRCS(C) · Answer

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!

Ronald J. Edelson, MD · Answer

325 cc  implants sound appropriate for your age and goals. And the implants should be placed under the muscle as well.  Good luck!

Lars Enevoldsen, MD · Answer

Thank you for your question.  The answer to your question is best determined by having a consultation with an experienced surgeon certified by the American Board of Plastic Surgery.  If you can find a surgeon who uses the Mentor sizing system as well as a 3-D imaging system such as Vectra or Axis 3 then you will have an easier time seeing what different sizes look like on you. In patients with very little or no breast tissue of their own, a shaped implant may be the best way to achieve the look you want.  Whatever you decide to go with, it is my opinion that the implant should not exceed your breast anatomy in terms of height, width and size.  In other words the implant should fit your breast and not the other way around.  If your tissues are too tight and and your measurements too small for the size you want, you are better off with a smaller implant that gives you an attractive breast than a large implant that has been forced under your breast in order to make you happy but will just give you problems over the long term.

Paul Gill, MD · Answer

I am guessing that you will be in a full C/small D range.  In terms of sizing, It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Steven Wallach, MD · Answer

Choosing the right implant for you really depends upon your overall anatomy. An exam in person is essential. Best of luck.

Gerard Lambe, MBChB · Answer

I agree with the others that you really need to discuss your goals with a Board certified surgeon The same implant can look very different on different people. Make sure you see some of your PS results and reviews. Best wishes

Tom J. Pousti, MD · Answer

Thank you for the question and picture. Unfortunately, online consultants will not be able to provide you with specific enough advice to be truly helpful.  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 are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  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" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
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 (after the use of temporary sizers assessed with you in the upright position).
I hope this (and the attached link, devoted to breast surgery for petite patients) helps.

SIZE HELP! 5'1, 95 pounds, 32A/AA, 11.5 BWD to 325cc HP silicone unders? (Photo)

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