Is there a certain weight range optimal for Breast Augmentation?

Question

I'm 23 years old, 5'4", and ~180lbs, and in terms of weight I’ve always been a pretty consistent size. I’ve seen different answers to my question throughout my research, and wanted to see what the general consensus was here on RealSelf. I also suspect my breasts are tuberous to some degree, but can’t be sure as I haven't actually seen a doctor for it. Breast augmentation is something I’ve wanted for years and I'm now seriously looking into getting it done, so would my weight be an issue?

Daniel Barrett, MD · Answer

Dear micheeelle,
generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Finny George, MD · Answer

Hi, thank you for sharing your question. Your weight is not an issue for breast augmentation. Your current BMI is not a contraindication. I hope this helps.

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. Photographs or an in-person examination are necessary in order to make an assessment. Every person is different, irrespective of their weight. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Gary M. Horndeski, MD · Answer

At 5'4 and 180 lbs, your BMI is 30 which is not a contra-indication for surgery. Unfortunately, you have not provided photographs or told us your bra size. You may be a candidate for breast augmentation but also may be a candidate for a breast lift. More information is needed to give an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It would be difficult to give you good answer without photos and in person evaluation. In general, patient of any weight and size may have breast augmentation with implants. However, those with larger and droopy breasts may need additional procedure like breast reduction/lift done in the same time before placement of implants. In person consultation with a board certified plastic surgeon, expert in breast surgery, is recommended. Good luck.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. 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. 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

Todd C. Rau, MD · Answer

My recommendation as a Plastic Surgeon is for patients to have a Body Mass Index or BMI of less than 35 for most cosmetic procedures. BMI is a calculation of the patient's weight and height. The risk of complications go up with BMI that are higher, particularly above 35 and the patient's aesthetic results are often more noted if they are in the normal range. Thus, you would be a good candidate for breast augmentation looking at your height, weight, and age. With regards to your tuberous breast, you would need to see a Plastic Surgeon to determine the appropriate treatment for it.

Derek Fletcher, MD · Answer

There is not an optimal body weight per se. High BMI may increase the risk of complications after surgery. Having a stable weight is important. Significant weight gain or loss often effects breast size and these changes can be positive or negative depending on the person.

Connie Hiers, MD, FACS · Answer

Ideally, you should be at your ideal weight, which you are not. However, if you are healthy, your weight should not be a problem for elective surgery.  I do recommend loosing down to a more healthy weight to avoid future health problems like hypertension and diabetes.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Without photos, I cannot comment on breast shape. However, your height and weight data reveal a BMI of 30.89. BMI (body mass index equals weight in kg / square of height in meters) is one criterion to determine the anticipated results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. In our practice we recommend a BMI of less than 30. 
We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs. 
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

Is there a certain weight range optimal for Breast Augmentation?

Answers (10)

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