Minimum implant cc based on chest width?

Question

In my early 40s, 135 pounds and about 5’7. I went to see a surgeon and was told that the minimum implant size I would need given my broad chest (14 cm) would have to be 360 cc with a moderate classic profile. I was hoping to go a lot smaller but was told that I risk the implant being too narrow and looking unnatural. Is my only option going large?

Daniel Barrett, MD · Answer

Dear wpm,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Unfortunately, it is very difficult to give you good advise without at least a set of photos. Size and profile are subject to lenghtly discussion between patient and surgeon in our practice. In person second opinion consultation or a teleconference is recommended. Good luck.

Ronald J. Edelson, MD · Answer

I don’t select size based on breast width but rather in the patient’s goals and desires. I’m sure you could go smaller if you wanted and still get a perfectly nice result

Ted Eisenberg, DO, FACOS, FAACS · Answer

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. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Randal Haworth, MD, FACS · Answer

The decision on implant size should not be solely based on the width of your chest but should also consider your body shape, breast tissue, and aesthetic goals. While a broad chest can limit the implant size, there are still a variety of options that can provide a natural-looking outcome.

It is possible to choose a smaller implant size, but it may require a high-profile implant or a custom implant shape to achieve the desired results without compromising the proportionality and symmetry of the breasts. A skilled and experienced plastic surgeon should be able to provide you with different implant options and work with you to find the best size and shape that meets your goals while still looking natural.

It's essential to have an open and honest conversation with your surgeon about your preferences and concerns. Ultimately, the decision on implant size should be based on a collaborative effort between you and your surgeon, taking into consideration your body type, breast tissue, and the results you hope to achieve.

I hope this helps,
best of luck !

Camille Cash, MD · Answer

I encourage you to visit a few board certified plastic surgeons near you for consultations.  In addition to your breast width, your surgical goals must be considered.  You can go with a smaller implant that has a lower profile if needed.  I've included a video on implant selection that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

No, you can still go with a smaller implant, but may need a lower profile for a best fit. I would suggest getting another opinion.

Alireza Najafian, MD · Answer

Your breast width is the main factor in choosing implant size. Your surgeon is right, going smaller than breast width does not give you the best result and also has the risk of implant rotation if the pocket is larger. Your other option is to chose a low profile that gives you the same width but smaller projection. However that may not give you enough augmentation you’re hoping for. Overall, medium profile 360-365 cc implant is a reasonable size for your breast width and not considered a large size.

Minimum implant cc based on chest width?

Answers (8)

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