24, 5'1", 34A, 100lbs. 350 cc too small/too big? Want full D (Photo)

Hello,Thank you for your questions and photos. It appears that you are starting from a good place and you will probably gain a lot more clarity from seeing a board certified Plastic Surgeon in person. I would examine and measure you carefully, then recommend implant type/size based on your aesthetic goals and your dimensions. This ensures a result which is proportionate with your frame and natural looking, no matter the size. You are correct in that Implants look different on different people and if you are petite, your ideal implant choices will likely be a smaller range. My patients find it helpful to try on implants in a form fitting t-shirt in the office to get a 3D feel for the volume they like.The next step is to book your appointment,All the best

The ideal size of a breast augmentation is patient dependant.  It is subjective like art.  With that said all surgeons have a preference as well.  I prefer a beautiful, fuller but natural looking result.  Other surgeons love the large fake look.  In order to make sure that your surgeon gives you what you want, you have to make sure they know what you want.  I do a number of things to try and best match my patient's goals and to the implant and the final cosmetic result.  At the end of the day you have to trust that your surgeon is going to customize your breast augmentation taking into consideration your breast and body size and goals.  The more information, through words, photos and measurement that your surgeon has, the better they can match the results you want.  An added step I do is bring several trial sizers to the operation and trial different breast implants to see which is the perfect choice.  Several may be good.  But good is not the goal.  Perfect is!  The extra step is worth it.Dr Rodger ShorttOakville Plastic SurgeonDirector of Cosmetic Surgery Training Program &Assistant Clinical Professor,McMaster University

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 “D” 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 link below.#BA#BreastAugmentation#implantsize

Good News- you don't need to decide on your own!  At your consultation, you will have the opportunity to be properly measured, and get advice from a surgeon who has seen results from 100s/1000s of operations.  Your surgeon will likely provide a range of sizes to choose from, and it is at that stage that you can best deliberate over 350 cc vs 360 cc.Good Luck!

I appreciate your question.

The size of implant best for you is dictated by your
chest wall measurements. Once we determine that we can choose the profile
based on what you want or need to achieve.  If you are seeking a natural look,
then the diameter of the implant should be equal to or, more ideally, smaller
than the width of your breast. The breast width is a measurement of how wide
your breast is at the base, which should be measured at the level of the
nipple. Choosing an implant that is smaller in diameter than your breast width
will avoid the "side breast" fullness that is often associated with a
more artificial appearance. Other than that, you should choose the
implant based on volume, not on the dimensions of the implant. You should
choose a board certified plastic surgeon that you trust to help guide you in
this decision.

Silicone will give you a fullness at the
top (upper pole fullness).

Silicone implants come pre-filled with a
silicone gel and are the softest implant available. They feel more natural,
which makes them a good option for women with less natural breast tissue; but
they require a larger incision. It may be more difficult to realize if this
type of implant has ruptured, so it is important to monitor them with annual
follow-up visits. Additionally, because this implant contains a more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are a very attractive option for individuals seeking a
natural-looking, aesthetic primary breast augmentation. Additionally, these
implants are an especially excellent option for patients undergoing restorative
or corrective breast surgery because they provide more stability, shape, and
reduced incidence of capsular contracture. Compared to other types of silicone
gel implants, the silicone in the cohesive gel implant is more cross-linked;
therefore, should the implant shell “rupture,” it maintains its shape and
silicone does not leak.

During your breast augmentation
consultation, you should feel the different types of implants available, and
try on various implant sizers in front of a mirror to help you to get an idea
of how you will look following the surgery. You should also bring pictures of
the look you would like to achieve, as well as a favorite top to wear when
trying on implant sizers.



The best way to assess and give true
advice would be an in-person exam.

Please see a board-certified plastic
surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

Choosing the right size implant depends on any number of factors all of which require an in person exam. My best advise would be for you to find a board certified plastic surgeon in your area (link below) and schedule a consultation so that you can be assessed in person. Having said that, with your small frame, I would be more inclined toward the 350cc. Best of luck, Dr. Nazarian

Implant size selection is the most common question for breast
augmentation patients.  In terms of picking the right implants to
achieve your goals,
generally speaking, I consider two factors when selecting implants for
my patients:













1. Dimensional planning
and 2. Gel Implant Sizing system

















Dimensional planning – The measurements of your chest wall are taken.
Also, the breast dimensions including the height, width, and current
dimensions of each breast form the basis of dimensional planning. Based
on these measurements, the implant size is recommended. This will give
you a unique breast implant that is suited for your body frame. However,
there are some limitations of what size we can recommend. For instance,
some implants may just be too big for a narrow chest wall.  Hence a
physical exam is really needed to give you any meaningful advice.  

















Gel Implant Sizing system – During the preliminary breast implant
consultation, you will be provided with an option to “try on” a variety
of implant shapes and sizes. You can also visualize the possible
outcomes of your surgery which helps you to get that perfect size to
give you the shape that you longed for. This way your preferences are
known and you can then pick a range of implants that will “fit” just
right to give a soft natural  fuller look. Hope this helps.

















Dr. Basu

Houston, TX

Breast Implant Size is a combination of subjective and objective criteria.There is not a direct correlation between the cc's of a breast implant and the corresponding cup size, as cup size is an inexact measurement that varies considerably among companies and even within the same company. Online consultants will not be able to guide you as well as surgeons who perform in person consultation.The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.

Certainly, you'd be using a moderate Plus or high profile implant.  You just don't want to use an implant that is wider than your breast.  Good luck!

Thank you for your question.  I would focus less on the final bra cup size since each bra manufacturer sizes their bras differently.  I tell my patients to aim for a desired appearance rather than cup size.  Some surgeons have sizing systems in their office to help patients visualize what different size implants would look like, other surgeons have 3D imaging systems.  Despite very good planning on the part of the patient and surgeon, some patients are still disappointed after surgery with some wishing they had gone larger and others wishing they had gone smaller.  That being said, most patients are happy with their result if they are the same page as their surgeon based on the preoperative planning/discussions.  Implant choice depends on the width of your breasts and your desired volume.  High profile or ultra high profile implants will provide the most volume for a certain breast width.  Hope this helps.