What would be best implant size for my breast width? Don't want them far apart, I have nice cleavage & want it to stay! (Photo)

t 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.

I don't think that an implant that has a smaller base width than your natural breast will make your result any less desirable.  You're right - you do have nice, natural cleavage.  An implant of a moderate size will simply enhance that cleavage and give you a lovely result.  Good luck!

Thank you for your picture and questions. Without an in-person exam, it is hard to give you specific advice. That being said, if your BW is 15 cm and you are choosing a 12.9 cm width implant, that should be well within acceptable. The implant is not going to "space out" your breasts. Your breast dimensions are not defined by the implant, only enhanced. I think you are going to have an excellent result with what you have chosen.Best of luck!

Your implant choice is reasonable - by not violating the width of your breast footprint, your augmentation result should be relatively 'natural' looking. High profile implants will place more implant volume and projection on a smaller implant diameter.

As others have replied, the breast base width measurement is only a starting point. This is not like getting fitted for shoes. Even the measurement of the base width will have some variability from surgeon to surgeon. Your existing breast base width does not appear to be 15 cm wide so this may represent what your surgeons believes is the best final base width after surgery. Your anatomy is very favorable for achieving a naturally looking cleavage space and fullness with a variety of implant volumes and projections. High profile implants of the volume you are considering will likely achieve a round and less than natural looking final appearance. Often the combination of traditional sizing combined with 3D imaging simulation can help you to understand what to expect. Best regards,Dr. Mosher