What should I consider before getting breast implants?

I’m 34 years old, relatively petite (5’ 3” 115 lbs) with small B cups. I’m happy with the perkiness and overall shape of my boobs, and I like the way my nipples look so I don’t want to mess with them at all. I just want my boobs to be bigger, maybe even as big as D cups. Based on what I shared about myself, what types of things should I be considering before getting breast implants? 


F, 35, Tennessee

Cup sizes are not standard across bra makers, and implant sizing is NOT based on height, weight, BMI, or capsize.  This is something you will need to do IN PERSON with an experienced surgeon to determine what works well for you, and to get advice about if what you like is possible and what to expect with regards to results.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.  www.plasticsurgery.com 

Thanks for the question. Photos and a video consultation are the best way to counsel patients on breast implant options. Here are the questions we usually ask:

  1. What target size are you looking for
  2. What cup size/chest measurement are you today (most common bras you buy)?
  3. Do you like the position of your breasts and specifically do the nipple point down, are they below the crease of your breast, or do you have little to no overhang? (this determines whether a lift is appropriate)
  4. Are you thinking saline vs. silicone? Advantages of silicone: softer feel, often slightly more natural look; Saline: sometimes firmer feel, if it leaks it is only water but the implant does deflate whereas cohesive gel silicone implants stay together well. Either way if there is evidence of a leaking implant, saline or silicone, we recommend replacement
  5. Incision placement: under the fold or around nipple (most common 2 approaches) vs. underarm (more specialized and some concerns when trying to place a silicone implant through a small incision from farther away). Belly button approach is not commonly performed by most plastic surgeons and is not really a technique available for silicone implants. Advantages of inframammary (fold): faster surgery, scar often hidden in the crease, easier to get in implants of all sizes and styles, possibly lower risk of capsular contracture due to less risk of exposure to bacterial biofilm during implant placement; periareolar (nipple border incision): nice scar, hard to see at border, can combine with a perilift if the patient just needs the nipple moved about 1-2 cm up but may have slightly increased risk of exposure to biofilm during implant placement; axillary approach - avoids a scar on breast at all but is hard to get in a large silicone implant and many surgeons have less training in this apporach.

Consider the timing of when you want surgery, who will help you through the recovery, and what kind of budget you can afford or whether you'll need to finance some or all of the fees. Costs for straightforward breast augmentation often run between $5000 and $6000 depending on silicone vs saline. Lifts can add 1-2k to the price. 

More info can be found here: http://www.timsayedmd.com/breast-plastic-surgery-newport-beach/breast-augmentation/

Happy to schedule a video consultation with you if you are interested!

-- Dr. Sayed

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Dr. Tim Sayed has 5 Breast augmentation (Saline breast implants), Breast lift, Extended abdominoplasty before & afters:

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