Im 20 Yrs Old and I Want Breast Augmentation?

Question

im 20 yrs old and i am an A i have been thinking about getting boobs since it does look like it will ever happen naturally. i want to go up to a size C but i dont know if it will look silly on me because im a very small girl about 110 pounds also should i go with silicon or saline?

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a breast augmentation. Any women desiring breast augmentation surgery is a candidate as long as there are no health problems present which would preclude her from having surgery. If the desired goal is to enhance or restore size and shape or to improve asymmetry, breast augmentation is a viable option. Breast augmentation can improve a body image, self-esteem, self-concept, and quality of life.Ideal Candidates for Breast AugmentationDesire larger, shapelier breasts.Moderate degree of breast sag and smaller breasts, whose problem can be solved by enlargement.One breast that is noticeably smaller or is positioned differently than the other (asymmetry).Uneven chest wall or rib cage.Women requiring breast reconstruction following a mastectomy.Restore breast volume or shape following pregnancy, breast feeding and/or weight loss.

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question. Breast augmentation is a procedure 
often sought by women to increase 
size, add upper pole fullness and projection along with improve shape 
and symmetry of her breasts.  Women who have the breast augmentation 
done report increased self-confidence, self-esteem, and more comfortable
 with her body. In fact, it has been the most popular procedure in 
plastic surgery in the US for the past few years.  Many surgeons use 18 
years of age as the standard for when to offer the breast augmentation 
procedure to women.  Maturity and the ability to make an educated 
decision for yourself of whether this procedure is the right one for you
 as well as factors regarding implant choice, size, incision placement, 
position of the implant, other adjunct procedures, etc are major 
factors.  Having the maturity to understand all of the risks and 
benefits of the surgical procedure is also mandatory - thus, most are 
readily able to comprehend this at that age.  23 years of age is the FDA
 guideline for utilization of silicone implants.  Good 
communication between you and your surgeon of 
your expectations is warranted - choosing your surgeon wisely is the 
first step.   Consult with a board certified plastic surgeon well-versed
 in this procedure.  Research your surgeon's education, training, as 
well as ability to perform this procedure.  See postoperative 
photographs and most importantly choose the one who you feel most 
comfortable with and competent to meet your expectations.  Discussion of
 your wishes and having an honest and open 
dialog of your procedure is mandatory (e.g, implant type, incision, 
placement, lift, etc).  I have found that photographs brought by the 
patient is helpful to get a visualization of the appearance you wish for
 in terms of size, shape, fullness, etc.  In addition, your surgeon's 
pre and postoperative photographs should demonstrate a realistic goal 
for you.  Once this has been accomplished, allow your surgeon to utilize
 his/her best medical judgment during the procedure to finesse the best 
possible result for you after preoperative biodimensional planning and 
fitting the right implant for your breast width. Hope that this helps!  Best wishes for a wonderful result!

Jed H. Horowitz, MD, FACS · Answer

aalthough i prefer silicone,  i recommend saline TUBA insertion for my young patients.

	a 32 c would only require about 225-250 cc

Sam Speron, MD, FACS · Answer

Hi!

	Thank you for your question,

	I would recommend you discuss your options in full detail with your
	board certified plastic surgeon as to what size implant would work
	best aesthetically and anatomically for your body dimensions. There
	are many pros and cons for both silicone and saline. However, silicone
	implants tend to be more popular as they give a more natural look.
	Once again, I would discuss that with your plastic surgeon.

	Good luck.

	Dr. Sam Speron

Edwin C. Pound, III, MD · Answer

Most of my patients tend to want to go to a full C/small D size. Certainly the size implant that I would use on someone who is six feet tall would be much larger than the size that I would use on someone who is five feet tall in order to achieve that cup size. There are pros and cons to saline versus silicone gel implants just as there are with subglandular versus submuscular placement of the implants. This is something that your doctor should go over with you during your consultation.

David Shafer, MD, FACS · Answer

I would suggest setting up a consultation with a board certified plastic surgeon to review your options.  Without seeing pictures or seeing you in person, it is impossible to give you specific advice.  However, in most cases, going from an A cup to a C cup is possible with breast augmentation.  The question is where to go with Saline for your age or waiting for Silicone implants.  

	 

	Good Luck.

Matthew Schulman, MD · Answer

You will need to see a board certified plastic surgeon to see if you are a candidate for breast augmentation. Regarding the implant choice, Silicone implants are not FDA-approved in a 20 year old, therefore saline is your only option right now. Any doctor that offers silicone for you is either not aware of current FDA guidelines or doesn't care about the guidelines. They should be avoided because they may also be ignoring other guidelines designed for safety of patients.

Steven M. Camp, MD · Answer

Great question and happy to discuss further with you. A detailed consultation with a board certified
plastic surgeon is important to establish your postoperative goals and
determine what implant size and type would be best for you. In my practice I
like to review different photos of my patients to establish what shape and
volume they seem to like most. It is also very important to perform a detailed
exam to evaluate the thickness of your breast tissue, skin tone and the
dimensions of your chest. I like to have my patients try on sizers to get a
feel for what they may look like and also appreciate how heavy the implants
might feel. It is also useful to incorporate some additional 3-D imaging to get
a sense for the subtle change between different implant types.

The advice I give to my patients focuses on 3 key
elements.

1. Select a board certified plastic surgeon that
you can communicate with comfortably to establish your desired look.

2. Establish that your plastic surgeon has your
best interest in mind and make sure that they can explain your procedure to you
in a way that makes sense and makes you comfortable.  I want my patients to walk out of my consults
and feel like they “get it” with respect to their surgical plan.  I want to make sure that my patients can
understand what a specific implant may deliver in regard to their results.  This is common when we are trying to
determine the size a patient desires, and also whether or not to select a
shaped highly cohesive implant compared to a round silicone gel or saline
implant.

3. Make sure that you understand what to expect in
terms of your recovery and postoperative instructions.  In my practice I give my patients additional
instructions and tools to help them recover. 
In addition, I follow all of my patients closely after surgery and visit
with them at 1 week and 3 weeks after surgery to make sure they are healing as
expected.

Cheers and Best Wishes!!! Steven Camp MD  #HappyCamperMD

Paul Gill, MD · Answer

The FDA will only approve saline implants in patients younger than 22 years old.  In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

	Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
	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.
	I wish you a safe recovery and fantastic result.
	Dr. Gill

Norman Bakshandeh Day, MD, FACS · Answer

You are not the only twenty year old who has had breast augmentation or is thinking of having the procedure. Your physical and mental maturity is appropriate to proceed with the surgery. Implant choice and sizing is critical. See a plastic surgeon with experience.

Im 20 Yrs Old and I Want Breast Augmentation?

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