Why do same size implants look bigger on some women than other women?

Thank you for your question and using RealSelf. The same size implant will look larger in a smaller person than a large person. Also, keep in mind that the final breast size is your present breast size plus the implants. Some women already have a fair amount of breast tissue, and they will look larger than someone with very little breast tissue even using the same size implants.My suggestion to you is to find a plastic surgeon certified by the American Board of Plastic Surgery, and have him place "sizers" on you in a bra with no padding. Plastic surgeons should have a supply of these. Also with the various sized "sizers" check yourself with and without a T-shirt. This should give you an excellent idea of your final appearance. Another and additional option is to use Crisalix. You can send in photos of yourself, try different implant sizes and see 3-D photo demonstrations of your appearance from all angles following a breast augmentation with the various sizes.Be sure to discuss your expectations with your plastic surgeon and he/she will make every effort to use a size that will meet your goals.Best of luck to you.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

Thanks for your question - this is a very common one asked by my patients as well.  A given breast implant type and size can provide a very different result depending on a person's physical characteristics like their overall body frame, breast size and shape.  Sometimes it is difficult to get a sense of a person's body type based on a photo.  However, looking at before and after photos can be useful when done in consultation with a plastic surgeon who can show you photos of people with similar proportions as you.