I want upper pole fullness after breastfeeding - How to figure out the best size? (photos)

You don’t need a very large implant to achieve what you want. No more than 350 cc. An implant too large will stretch the skin out too much

Hi, thank you for sharing your question. If you are debating the ideal implant size for your combined lift/augment procedure, consider consulting with someone who has a Vectra imaging system. It will simulate the look you choose and then you can decide.

Hi Loving3181419,
It'd be best to meet with a board certified plastic surgeon to discuss your goals.
For my patients, I'd start with a conversation about your goals, including any "wish pics". During the physical exam, we'd discuss any right to left differences, and also do standardized measurements--these can help determine whether a lift would be appropriate for you. In addition, real time "try on sizing" can add volume to help determine what your goal volume addition would be.
For most patients, your base width (determined on physical exam) and your goal volume will narrow the world of implants down to four or five that make sense for your frame. In my practice, we could virtually try those on using Vectra imaging, and then review some photos of my own patients with similar body types.
I'd suggest meeting with your plastic surgeon to start the discussion, and be honest about your goals!
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Thank you for submitting your question and providing photos. Choosing the right implant will have to with your current breast size/anatomy and your desires aesthetic goals. It is always harder for patients to imagine what size implant they would like since the lift itself will change the shape and potentially volume of the breast. At our clinic we have Vectra 3D imaging system that is able to give a simulation of what your breasts can look like after a lift and with different implants. We also use a sizing system so that patients can actual feel what the added volume can look/feel like in a bra. It's important to consult with a board certified Plastic Surgeon who will ensure that the implant does not go beyond your ideal breast implant measurements. Hope this was helpful.

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.

There are a lot of factors to consider when it comes to desired implant sizes. An examination and fitting would have to been done to find out what best fits you.

I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in breast surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

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, 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

It is really difficult to answer your question as there is a lot that goes into sizing our patients. We perform measurements, evaluate the skin envelope elasticity, look at photos, look at what the patient came up with the rice test, look at diagrams and finally use the Allergan sizing system to size the patient in the office. We obviously listen and discuss exactly what the patient wants and doesn’t want so that we can deliver the expected results.
Your best path to determine what size would work and how big you can be would be to seek out a board certified plastic surgeon to discuss your options. Make certain the surgeon you choose has great deal of experience in breast implant surgeries.

Hope that helps.

Dear Loving318419,
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

During your consultation, you will be measured and can try on the range of sizes that best fits your frame and tissue. Naturally, your breasts sit somewhat low on your chest, so you will never have really high perky teenager breasts.