My BWD is 12cm (two doctors measured me at 12 and another doctor measured me at 11.5) My surgeon has recommended I go with either 335 (11.5 Diameter) - 345 (11.75 Diameter) high profile silicone. I know the difference is minuscule but I am wondering what would happen if I went with the 11.5 diameter implant if my BWD is 12cm. Will they look weird / too tubular / not wide enough? I have very broad shoulders Thanks!
Answer: Breast implant diameter should be less than external breast diameter The measured diameter is external, and you have to allow for some "padding" over the implant so it has to be less. Exceeding that means dissecting a pocket that extends outside of the breast where it will be more visible and less well supported.
Helpful 3 people found this helpful
Answer: Breast implant diameter should be less than external breast diameter The measured diameter is external, and you have to allow for some "padding" over the implant so it has to be less. Exceeding that means dissecting a pocket that extends outside of the breast where it will be more visible and less well supported.
Helpful 3 people found this helpful
Answer: Breast implant diameter compared to BWD Thank you for your question. It is not uncommon for different surgeons to have slightly varying estimates of BWD, because breasts don't have well-defined boundaries. For this reason BWD is not an exact measurement. If a surgeon has a focussed practice on breast augmentation, they will develop a system for sizing implants that works well in their hands and achieves good outcomes. I agree that difference between 335 and 345cc implants is very subtle and would not be expected to make a big impact on the final result. However, the surgeon(s) who have done an in-person assessment will be able to give you a better idea of the final look you may achieve.
Helpful
Answer: Breast implant diameter compared to BWD Thank you for your question. It is not uncommon for different surgeons to have slightly varying estimates of BWD, because breasts don't have well-defined boundaries. For this reason BWD is not an exact measurement. If a surgeon has a focussed practice on breast augmentation, they will develop a system for sizing implants that works well in their hands and achieves good outcomes. I agree that difference between 335 and 345cc implants is very subtle and would not be expected to make a big impact on the final result. However, the surgeon(s) who have done an in-person assessment will be able to give you a better idea of the final look you may achieve.
Helpful
January 28, 2020
Answer: What happens if your breast implant diameter is smaller than your BWD? Thank you for sharing your question. Best to have the implants fit within 0.5-1cm in diameter to appropriately fill out the breast skin envelope. Going too narrow can create a "rock in a sock" appearance. A slightly smaller implant than BWD will afford more soft tissue coverage and a more natural result. Hope this helps.
Helpful 2 people found this helpful
January 28, 2020
Answer: What happens if your breast implant diameter is smaller than your BWD? Thank you for sharing your question. Best to have the implants fit within 0.5-1cm in diameter to appropriately fill out the breast skin envelope. Going too narrow can create a "rock in a sock" appearance. A slightly smaller implant than BWD will afford more soft tissue coverage and a more natural result. Hope this helps.
Helpful 2 people found this helpful
January 25, 2020
Answer: Base width and reality So, the term base width has been used so often and it has driven many breast augmentations to be bad breast augmentations, because the implant pocket (space for the implant) has been over-dissected to make room for an implant which is too large. Also, the base width simply cannot be measured that accurately by you standing in front of a doctor, or Vectra machine. The measurement is a rough, very rough, approximation.So why does it matter and how do you use it or even find it? When the dissection is done, an experienced surgeon will be able to see the exact base width by going from one anatomic margin (lateral sternal border) to the other (lateral attachment of the breast to the serratus anterior muscle).So how is this used? It's really not that complicated. Most state of the implants will use a projection which is a little higher, so with a little more narrow base implant width per volume. We call this 'high profile' or 'moderately high profile'. Stay away from medium profile and ultra-high profile. I bring several sizes to the operating room and try and use the exact one the patient and I decided on. It may be necessary however, to use an implant which is either slightly smaller or larger, so there is no 'wrinkling' when the implant is placed.This is a little simplified but definitely not a cut and paste answer!Hope this helps.Bottom line, if you're choosing an implant based on base width, you're on the wrong track. Go with doctor experience.
Helpful 2 people found this helpful
January 25, 2020
Answer: Base width and reality So, the term base width has been used so often and it has driven many breast augmentations to be bad breast augmentations, because the implant pocket (space for the implant) has been over-dissected to make room for an implant which is too large. Also, the base width simply cannot be measured that accurately by you standing in front of a doctor, or Vectra machine. The measurement is a rough, very rough, approximation.So why does it matter and how do you use it or even find it? When the dissection is done, an experienced surgeon will be able to see the exact base width by going from one anatomic margin (lateral sternal border) to the other (lateral attachment of the breast to the serratus anterior muscle).So how is this used? It's really not that complicated. Most state of the implants will use a projection which is a little higher, so with a little more narrow base implant width per volume. We call this 'high profile' or 'moderately high profile'. Stay away from medium profile and ultra-high profile. I bring several sizes to the operating room and try and use the exact one the patient and I decided on. It may be necessary however, to use an implant which is either slightly smaller or larger, so there is no 'wrinkling' when the implant is placed.This is a little simplified but definitely not a cut and paste answer!Hope this helps.Bottom line, if you're choosing an implant based on base width, you're on the wrong track. Go with doctor experience.
Helpful 2 people found this helpful
January 24, 2020
Answer: BWD is not the most important measurement Everybody talks about BWD like its the only measurement, but it is not, nor is it the 'most important'. What is your nipple to fold distance on stretch? If it's 6 or 7, those implants will either leave you with a low nipple position or a double bubble, depending on what the surgeon does in the operating room. If its 8 or more you'll be fine. If your surgeons didn't measure, you need to go to one who does.
Helpful
January 24, 2020
Answer: BWD is not the most important measurement Everybody talks about BWD like its the only measurement, but it is not, nor is it the 'most important'. What is your nipple to fold distance on stretch? If it's 6 or 7, those implants will either leave you with a low nipple position or a double bubble, depending on what the surgeon does in the operating room. If its 8 or more you'll be fine. If your surgeons didn't measure, you need to go to one who does.
Helpful
