Petite, 37, 4 kids, wants boobs. What size would be good for me? (Photos)

Thanks for your question! A high profile could be an option for you, but you may need more cc's than you would with a moderate to get the correct width. I would suggest asking your plastic surgeon, getting their recommendations and trying on implants. Good luck!

Thank you for your question. High-profile implants can work well on a wider chest, but the key is to choose the correct base width and projection that match your anatomy and goals. Based on your details, the appropriate volume will be 275–325cc, which brings you from A-cup to a C or small D, depending on tissue coverage. Moderate Plus or High Profile can both work. A high profile gives more projection but has a narrower base, while a moderate plus is often better for wider chests, providing better cleavage and side fullness. However, ask your surgeon to measure the width of your breast base and compare it to the width of the implant. If you prefer projection and upper pole fullness, a high-profile 300cc might work, but only if it matches your chest width. If not, a moderate plus 300–325cc will look fuller and more balanced on a wide chest.

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan.
With regards to your specific question, breast width sets the limits of what can be accommodated. There is a HP device which will fit and be of greater volume and projection relative to a lower profile device of the same width.
As always, discuss your concerns with a board certified plastic surgeon.

I would recommend an augmentation-mastopexy. I do not believe that you are a good candidate for implant alone due to soft tissue laxity/stretch and nipple-to-fold distance.

Dear Sarina Jacqueline,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It’s unusual that a lift was not recommended, as your nipples are located below your breast fold. Without a lift, your implants would sit low on your chest and you will most likely lack fullness in the upper portion of your breasts.

Size recommendations are typically made by your surgeon, as a number of measurements are needed to determine what range would achieve your desired results. For this reason, please ask your surgeon about what they recommend. With that in mind, you can then try on sizers as your surgeon’s office to see which would be your most preferred. Sizers are implants you can fit into your bra to see how you may look with your predicted results.

Thank you for your inquiry!! Goal size is a personal decision. Come in and try on some different size to see what you like and what fits you! We would love to meet with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Selecting the best implant size is a complex issue with many factors entering into the decision. You will never be able to pick the perfect implant by looking at photos and reading on social media. Plastic surgeons have years of training and often years of experience making these decisions. If you are unsure, continue to discuss this will your plastic surgeon. He or she will be able to guide you through the process and find the best size for you.

You have good symmetry with what we call Pseudoptosis. This means you have an elongated distance from you nipple to fold with most of you breast tissue below the level of the nipple. In cases like this filling you up with an implant that is too big for your frame leads to a poor long term result. A great shape with scars IMHO is better then a poor shape and size with no scars. We do our best as plastic surgeons to make yours scars as fine as possible. Good Luck!

Your biggest problem is not volume but position. Your breasts are much too low on the chest wall. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.