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Breast Implant Size Selection: Finding the Right Fit for Your Body

DrSalemy.com Breast Implant Sizes

Many women are turning to breast augmentation to enhance appearance and increase the size of their breasts.  But contrary to popular belief, choosing breast implant sizes isn’t simply a matter of choosing a bra cup size.  Rather it involves a variety of factors, all of which can significantly influence the outcome of breast augmentation surgery.  Understanding the factors involved can help patients achieve the overall look they desire.

Implant Sizes: CCs vs. Cup Sizes

While defining breast implants in terms of bra cup sizes seems reasonable, there is so much variance in bra brands and manufacturers that using bra cup size as a measurement standard has been found unreliable.  Instead, breast implant sizes are typically measured in cubic centimeters (cc), with options ranging from as low as 100cc to over 800cc.

The relationship between cc volume and cup size isn’t linear, but as a general guide, a 150-200cc increase usually results in a one-cup size increase. However, this depends on factors like body frame, existing breast tissue, and chest wall width.  For instance, a smaller-framed individual with a narrow chest might see a larger difference with a 200cc implant than a person with a wider chest.

Saline vs. Silicone Implants: Material Matters

Implants come in two main types: saline and silicone. Both materials offer unique advantages, and their composition impacts the feel and appearance of the augmented breast.

• Saline implants are filled with sterile saltwater. Surgeons insert these implants into the breast empty and then fill them once in place. This option offers flexibility in adjusting volume during surgery and tends to create a firmer feel.

• Silicone implants, filled with a gel that mimics natural breast tissue, are pre-filled before insertion. They are favored for their more natural texture, feel, and appearance, though they require slightly larger incisions for placement.

The material can affect how an implant’s volume translates to visible size and shape.

The Importance of Body Proportions

Choosing an implant size is not just about going bigger; it’s about harmonizing the new breast size with your overall body proportions. A key metric is the patient’s chest width or base diameter. Larger implants might not look aesthetically pleasing if they don’t complement the width of your chest.

Surgeons often use a breast base width measurement to determine an appropriate implant size that fits your frame. This helps avoid issues such as overly wide or narrow implants that can appear unnatural.

Projection: Low, Moderate, or High-Profile Implants

Breast implants also come in different profiles, which describe how much the implant projects from the chest. The profile of an implant is crucial in determining the final appearance, as it influences the fullness of the breast and how it balances with the patient’s overall physique.

• Low-profile implants: These implants have the least projection and tend to look more natural, especially for patients seeking subtle enhancement.

• Moderate-profile implants: These provide a middle ground between noticeable fullness without too much projection. This is a popular choice for patients desiring a natural, yet enhanced, look.

• High-profile implants: These offer the most projection and can be ideal for patients with a narrow chest or those desiring a more prominent, rounded appearance.

Choosing the right projection helps to maintain body balance while ensuring the desired breast shape and size are achieved.

DrSalemy.com Breast Implant Size Selection

Implant Placement: Subglandular vs. Submuscular

Implants can be placed either above the chest muscle (subglandular) or underneath the muscle (submuscular). Placement affects not only the appearance but also the feel of the breast post-surgery.

• Subglandular placement: Implants are placed directly under the breast tissue but above the chest muscle. This method allows for a quicker recovery and may be more suitable for patients with sufficient natural breast tissue to cover the implant.

• Submuscular placement: Implants are placed beneath the chest muscle. This placement provides a more natural look for patients with less natural tissue.

Your surgeon will help decide the best placement option based on your body structure and goals.

Customizing for the Individual: Your Surgeon’s Role

The final implant size and placement should always be chosen based on individual anatomy, lifestyle, and goals. Plastic Surgeons play a pivotal role in this decision-making process, as their experience can help guide patients to a result that balances their aesthetic desires with their body’s natural proportions.

Every patient’s journey is unique, and consulting with a board-certified plastic surgeon is essential for achieving positive results.  You can find a qualified, board-certified plastic surgeon here.

Breast Implant Size: A Personalized Approach

Breast augmentation isn’t a one-size-fits-all procedure. Factors like implant size, material, projection, placement, and body proportions all play a role in determining the final outcome. By understanding these elements and working closely with a qualified surgeon, patients can make informed decisions that lead to satisfying and aesthetically pleasing results.

Dr. Shahram Salemy Close Up

Shahram Salemy, MD, FACS

Dr. Salemy is an award-winning, ASPS Board-Certified Plastic Surgeon and member of the American Society of Aesthetic Plastic Surgeons (ASAPS) practicing in Seattle, WA. As Clinical Associate Professor at the University of Washington's School of Medicine, Department of Surgery, Division of Plastic Surgery and President of The Northwest Society of Plastic Surgeons, Dr. Shahram Salemy strives to advance the field and practice of plastic surgery for both his patients and his university students. Learn more about Dr. Shahram Salemy and his esteemed background.
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