How to determine the right size for breast augmentation

What are the main things I should be considering when determining the right size for my breast augmentation? I’m currently a 34B and don’t want to go too big. Are there are tips or specific criteria I need to think about?

missamy

F, 30, Massachusetts

You should meet with a plastic surgeon in person.  At that consultation you should discuss with him/her your desired size as well as your concern about being too big.  When I do a consult in my office I start by asking the patient what her current bra size is and what is the desired bra size, keeping in mind that there is no standard cup size.   There is also an exam done and then you will have the opportunity to try on different sizers to help us determine the size that would be best for you.  I would be happy to meet with you in person to discuss this further.  You can visit my website at www.wellesleycosmeticsurgery.com to see before and after pictures and learn more about my practice.    

Dr. Arthur Shektman has 4 Breast augmentation, Breast lift before & afters:

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Consultation in the office is the best approach, using sizers and simulation software to help narrow your search for style and size. I would not focus on an "exact" cup size as bras vary. It is mostly about how you want to look in clothes, in bathing suits, and disrobed. We use Crisalix software to help perform simulations that can really educate patients well and "test out" how different implants by the various manufacturers, saline vs. silicone, different profiles, volumes, etc. might look based on your real photos or a 3D scan of your body for the simulation. Bringing in photos of looks that you like can also be helpful.

Most board-certified plastic surgeons use an approach that includes measurements, prior before and after photos, physical exam to assess your body frame, breast symmetry, nipple position, overhang, and native volume to put together a recommendation. The simulation tools are helpful and I think they can teach the patient visually in a way other methods may not. Putting sizers into a tight top and bra and checking the look in the mirror is a very common approach as well. We like to combine these methods to narrow it down. Also, I use an electronic medical record teaching tool with diagrams to help explain the procedure, incisions, location of the implants, etc. I actually helped develop this product so I am very experienced with it and I find it indispensable in my practice.

Our Crisalix page is at www.crisalix.com/timsayedmd and you can learn more at http://www.timsayedmd.com/virtual-consultation/ as well.

Happy to help! Like many plastic surgeons we offer out-of-town patients the opportunity for a video consultation to start the evaluation process.

Hope this helps.

-- Dr. Sayed

Learn more:

http://www.timsayedmd.com

Email: info@timsayedmd.com

Call: 1-858-24SAYED (1-858-247-2933)

Follow us on Twitter and Instagram: @timsayedmd

 

 

Dr. Tim Sayed has 9 Breast Augmentation before & afters:

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Determining the right implant size is one of the most important choices you will make during the breast augmentation surgery process. Implant sizes range from 120 to 960cc, with most patients opting for implants sized between 300-400cc. In addition to volume, you also need to take into consideration both height and diameter, which affect the implant profile and breast shape.

Your plastic surgeon will consult with you carefully before surgery to determine the right implant size for you, taking into consideration a range of factors, such as your body type, future pregnancy plans, and the level of activity that you engage in. Women with lean builds and small breasts generally suit smaller implants. The natural breast tissue may not provide adequate coverage over the implant which can cause issues such as rippling. Furthermore, very large implants look unnatural on smaller women. Most surgeons try to achieve a balance between an increase in breast size and a natural look.

If you are planning on having children in near future, this will also impact on your implant size choice. During pregnancy, breasts can increase by several cup sizes and then become smaller after breastfeeding. This possible fluctuation in breast size may influence how much you want to augment your breasts. Many surgeons advise their patients to delay breast augmentation surgery until after they have finished having children. Finally, if you are extremely active, you may find a more modest increase better suits your lifestyle. A significant increase in breast size may create some issues with back pain or have an impact on your athletic performance.

Dr. Kimberly Henry has 4 Breast augmentation before & afters:

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This is perhaps the most common concern for the patient seeking augmentation. The older approaches to sizing have included placing sizers such as actual implants in a sports bra and assessing the appearance. Other sizing systems have included more shaped inserts which were a bit more accurate. Other options have been Ziplock baggies with water or rice to add volume.

By far and away the best and most accurate option is the use of the Vectra XT imaging system. This allows a very accurate visualization of your appearance with not only volume but also with profile and style of implants. We have seen a very close correlation in most patients between the imaging done and the final outcome- truly the very best option.

Dr. Ludwig Allegra has 5 Breast augmentation (Silicone breast implants) before & afters:

Breast augmentation (Silicone breast implants) before image performed by Dr. Ludwig AllegraBreast augmentation (Silicone breast implants) after image performed by Dr. Ludwig AllegraBreast augmentation (Saline breast implants) before image performed by Dr. Ludwig AllegraBreast augmentation (Saline breast implants) after image performed by Dr. Ludwig AllegraBreast augmentation (Silicone breast implants), Breast lift before image performed by Dr. Ludwig AllegraBreast augmentation (Silicone breast implants), Breast lift after image performed by Dr. Ludwig AllegraBreast augmentation (Silicone breast implants), Breast lift before image performed by Dr. Ludwig AllegraBreast augmentation (Silicone breast implants), Breast lift after image performed by Dr. Ludwig Allegra

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Selecting the right breast implant size is a very important decision. The implant profile and size that you choose will strongly affect your recovery, your life after surgery, and the aesthetics of your new breasts. The breast implant size must be a good fit with existing breast tissue and body type. Implants that are too big will look both unnatural on a smaller frame and may force the tissue to stretch to a size and shape beyond its limits, causing issues such as breast tissue atrophy, overstretched skin, and possible deformities. Larger implants may be needed for taller patients with wider chests.

During preoperative consultations, your surgeon will most likely suggest a range of possible implant sizes, shapes, and textures based on your aesthetic needs and aspirations. In order to convey your goals to your plastic surgeon as accurately as possible, you may wish to select photos from magazines or the Internet that match the look you are hoping to achieve.

Some surgeons may also provide you with before and after photos of previous patients with comparable body types and implants of different sizes so you can see what is possible and realistic. In my practice, the appropriate size is determined by putting implants in a bra until the patient is satisfied with the volume on her chest. Assuming it is realistic for her frame, I can then choose the best-shaped implant for that volume.

Both silicone gel and saline implants are measured in cubic centimeters (ccs) which is based on volume. Bra cup size is not an accurate or useful way to communicate your aims as cup size is not standardized across bra manufacturers. Your plastic surgeon is likely to have some implant sizers on hand that you can examine or place inside your bra to see how the implant appears, although the effect will be somewhat different when the implant is inserted during surgery. Some plastic surgeons also have 3D software, such as Vectra and Illusio, in their offices that can provide a digital image of how you would look with different implant sizes.

In addition to volume, you will also need to consider:

  • The material of your implant: saline, gummy bear, or silicone.
  • The projection of your implants: low profile, moderate profile, or high profile.
  • The implant shape: teardrop or round.
  • The surface of your implants: textured, which move less, or smooth, which are more mobile within the breast pocket.

Make sure you do your research and converse thoroughly with a board-certified plastic surgeon who can thoroughly walk you through all the possible options before you settle on a decision. In some cases, the appropriate size for you may include more than one option.

Dr. Frederic Corbin has 1 Breast augmentation before & after:

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Hi.  Great question!  Your best bet is to visit a plastic surgeon who can take measurements and let you try on sizers.  He/she can help you pick an appropriate size that fits your body AND gives you the volume you desire.  Best of luck!

Dr. Jonathan Heistein has 17 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan HeisteinBreast Augmentation before image performed by Dr. Jonathan HeisteinBreast Augmentation after image performed by Dr. Jonathan Heistein

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The best way to determine implant size is to visit a plastic surgeon to have IN PERSON consultation and measurements, try out implant sizers, and determine what you like, then asking the surgeon whether that implant might fit your body shape and anatomic dimensions.  It is NOT done based on your height, weight, or cup size.

Dr. Reza Momeni has 12 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza MomeniBreast Augmentation before image performed by Dr. Reza MomeniBreast Augmentation after image performed by Dr. Reza Momeni

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I suggest you take in a photo or two of the "look" you like. You PS will take multiple measurements of your chest width etc and will recommend implants based on what fits you best as well as which look you desire- something more natural, something more implanted but not too large?

Besides the obvious consideration of size the how you want you breast shape, you will want to discuss how much skin tissue you have and lifestyle consideration like if you are a runner (Weight of implants) or if you lift weights (animation deformity)

Best regards,

Jack Peterson md

http://www.drjackpeterson.com 

Dr. Jack Peterson has 15 Breast Augmentation before & afters:

Breast Augmentation before image performed by Dr. Jack PetersonBreast Augmentation after image performed by Dr. Jack PetersonBreast Augmentation before image performed by Dr. Jack PetersonBreast Augmentation after image performed by Dr. Jack PetersonBreast Augmentation before image performed by Dr. Jack PetersonBreast Augmentation after image performed by Dr. Jack PetersonBreast Augmentation before image performed by Dr. Jack PetersonBreast Augmentation after image performed by Dr. Jack Peterson

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I agree with Dr. Momeni.  You should visit a plastic surgeon and review with him your size desires.  That is the only way to actually know.  Everyone has an idea that certain sizes are too large or too small given a persons height and weight but actually trying the implants is the best option.

Dr. Richard Hodnett has 1 Breast augmentation before & after:

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Hi missamy

First you need to know yourself.  Determine what you don't like about your breasts now and what you would like to correct.  You need to think about size, shape, symmetry.  What type of look do you want to achieve.  What does it mean "too big"?

Once you get a good lock on your goals, visit with a plastic surgeon who will spend time with you, examine you and will then work with you to see what options are available to help you reach your goals safely.

sek

Dr. Scott Kasden has 1 Breast Augmentation before & after:

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