Size recommendation? I'm 36, 5'2" and 115 lbs. (photo)

Question

I'm an active women (weightlifting) I went from a C to A when I had my second son. I need to know what size and type of implant is better for me. Thank you!

Jerome Edelstein, MD · Answer

Talk to your surgeon to see if they do dimensional planning, which considers a variety of your pre-surgery measurements and your goals to determine the best size.. As a result, more information about your body would be required to determine the best size for you.

Asif Pirani, MD, FRCS(C) · Answer

This is always a difficult decision for some. In my opinion, the best thing to do is have a thorough sizing session. I provide my patients with a range of about 3-4 implants that are appropriate for their specific measurements. I then have them try these implants on in a special sizing bra. With this process, my patients have been able to choose their own implants. I have found this to be the best method for implant sizing. Be sure to see a board certified PS in your area. They should be willing to spend the time with you doing this. Best of luck!

Gary M. Horndeski, MD · Answer

Unfortunately, you have not told us your bra size just your
cup size.  If you are 32 or 34 each 100
cc’s of implant corresponds to 1 cup size change.  If you are 36 or 38 each 200 cc’s of implant
corresponds to 1 cup size change.  From
this, you can compute the volume required to achieve your desired goal.  However, since you have had pregnancies, you have
a loose skin envelope and ptotic breasts. 
It is possible that the implant will get you the size you want but the
skin tone will still be poor.  I
recommend a new technique called Breast Augmentation with Mini Ultimate Breast
LiftTM.  Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage.  Through the same
incision, implants can be placed. 
Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant.  Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision.  Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.  Since you do weight lifting, I recommend the
smallest implant possible so they do not displace during muscle contracture. Best Wishes,Gary Horndeski, M.D.

Kenneth Hughes, MD · Answer

As a gross approximation, 150 cc to 200 cc is one cup size in most women.  Sizers in the office will give you a better idea of what you may want.Find a plastic surgeon who performs hundreds of these surgeries each 
year, has great reviews, and has great before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Antoine A. Hallak, MD, FACS · Answer

It can be very confusing when three different
surgeons give you three different opinions.  Unfortunately, it's quite
common because plastic surgery is just as much a form of art as it is a form of
science.

particularly when placed under the muscle, but
because we size with actual implants, to me it is the best teaching tool.

It is not uncommon in my own practice for
patient to bring a friend or family member and a variety of different blouses
and spend a good deal of time looking at the implants well before surgery.

So here's some basic thinking that may be of
help As a general rule when my patients size their implants I like them to look
at themselves with the actual implants in place in a testing bra. 
This is not a perfect teaching tool because implants can lose some projection to
you:

When you look at implants on your frame don't
just think about the size of the breast, but think about how it balances with
the width of your shoulders as well as your hips.  If an implant as to
wide it will make you look top heavy, if an implant is too narrow it will look
like a torpedo. In my own practice I try to focus on this relationship, and to
me the width of the implant is almost more important than the volume itself.

Once you find the width of the implant that
gives a nice overall balance with the hips then you can change the cup size by
going high, moderate or low profile.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. Size determination really involves several components the first component is physical examination with the measurements. That's going to be the best determination for your size. Second determine it would be your desired outcome. Visit several board-certified plastic surgeons. Good luck.Earl Stephenson Jr, MD,DDS, FACS

M. Scott Haydon, MD · Answer

Thanks for your pic and ? Looking at your photo, I think you are a good candidate for augmentation. Your base width and tissue characteristics are important in deciding which implant size is ideal for you.  Hopefully you can find a Board Certified Plastic Surgeon who is an ASAPS member to guide you in this decision. Check out the Smart Beauty Guide.

Wendell Perry, MD · Answer

Choosing implant size something you will have to do with office with your doctor. By trying various implants sizes get a visual idea of what each size will look like so your doctor will know what you want. At that point your doctor will have to go over the advantages and disadvantages of that implant size.You have a narrow chest wall so a high-profile implant which is a narrow implant might be something you want to consider. If the diameter of the implant is the same or slightly smaller diameter of your chest wall you have a more natural appearing argumentation. The other thing to consider is the implants always the bigger when you try them in the office and they will look after surgery so always ere on a little bit bigger implant so they won't be too small after surgery.

Richard Bloom, MBBS (Hons), FRACS · Answer

Hi there,Its impossible to tell just from you photos which size and style implant would be best for you. There are many factors which need to be considered when deciding which approach and implant will serve you best.Once you have been fully assessed, then there are some very helpful tools such as VECTRA, which we use in our practice to help with the final decision.My recommendation is that you find a qualified plastic surgeon in your area and go and have a consultation and get properly assessed and explain to your surgeon the look you are trying to achieve.All the bestRichard

Frederick G. Weniger, MD, FACS, MBA · Answer

You need to have a consult and have measurements taken, then try on sizers.  There should be a range of possibilities that could fit you- you just need to do some "shopping" and see what look you like.  The doctor can then make sure that your choice will work with your measurements.

Size recommendation? I'm 36, 5'2" and 115 lbs. (photo)

Answers (13)

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