Choosing the right size can be difficult but we like to really engage the patient and make sure that they're very much a part of that choice because that's probably the number one reason for dissatisfaction postoperatively. In our practice first we're going to make sure that we answer a lot of their questions about the different types of breast augmentation and the different types of implants and then we're actually going to do so measurements. Those measurements are really going to help us define their chest wall and what implants are going to fit them best. Afterwards what I love to do is then have the patients try on implants for their breast diameters and their breast parameters and then let them guide me in terms of finding what is that right shape, what is that right volume for them. Bigger is definitely not necessarily better. With big you have lots of problems with bottoming out, rippling, problems with skin thinning, and visibility of the implant. And some of our patients come to us wanting to be bigger and I have to educate them what is safe and what is good and then if they do choose to still go that way then I sometimes have to decline because I want to do what's natural, what's beautiful, but also safe for them in the long run. Bottoming out is when the implant is going to fall below the position of the breast and you're going to recognize it as exceptionally high nipples or exceptionally long bottom portions of the breast.

Breast Implant Sizing Is A Patient/Doctor Collaboration

Dr. Laura Bennett explains how bigger isn't always better when it comes to breast augmentation and what it means when a woman "bottoms out."