What’s the best implant size for a 12.5cm chest? (Photo)

Hello,
Thank you for the question and the photo.
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions of your chest wall. I also utilize Vectra 3D planning to further help with implant selection.
Based on your photos, 320-340cc range size implant will likely give you a nice fuller cleavage that you desire.
I would seek an in-person evaluation by the board-certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Unless your friend measured you, how could she suggest what is right for you. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Good morning,
I think the sizes are right on and the difference between 11.75 and 12.5 is minimal- However from the photo it does look like you have two different sized breasts, and perhaps 20-25cc more in the smaller breast would be a good idea. I find that about 1/3 of patients do need two different sizes.

Dear Irvingcharlotte,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is clear that you have done your homework. Congratulations for your thorough and thoughtful preparation for your breast augmentation. As you know, an examination in person would be required to properly evaluate you and make specific recommendations. That said, an 11.75 cm implant may indeed be a proper size for a breast with a BWD of 12.5 cm. Please be aware that there can be differences in measurement based on the technique used and the person measuring. You also appear to have some breast asymmetry, which is in fact very common and not unusual, but it may require two slightly different size implants.

Rather than you taking on the onus of selecting your implant, please leave that final decision to your plastic surgeon. What you should do is provide photos of women's breasts you wish to strive for and your plastic surgeon will determine which specific implant is most likely to achieve your desired final outcome. Best of luck to you.

Based on your photos and measurements, anything from 275 cc's to 350 cc's should do well. I am not a fan of the Motiva implants, but prefer smooth round gel implants for less long term risks.

Hello, and thanks for your question. Please see my attached video on determining breast implant size. The best thing to do would be to see a surgeon in person so that they can have a better look and give their opinion. Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Hello and thanks for your questions. During my practice, I always start to surgery with different implants options available. Consultation and measurements gives the most accurate idea about the procedure details but It is nearly impossible to decide the best implant option without seeing the inside breast tissue. I always want to use the biggest implants as possible. Surgeon has to decide the best option during the surgery.

Hi and welcome to our forum!
The difference between 11.75 cm and 12.5 cm is only 7.5 mm. One can choose slightly smaller than the base width of the breast without compromising cleavage. Choosing wider risks "lateral boob".
The difference between 310 cc and 340 cc is only 30 cc, less than a shot-glass (a shot-glass contains 44 cc of liquid).
You may be "looking too much into it".
Best wishes...