Choosing the correct size
Measurements for correct implant sizing
- chest circumference under the armpit
- chest circumference under the breast
- bust size at the nipple
- width of the hips
How to choose breast implants
- Keep bust size smaller than hip size; a larger bust makes the patient look top-heavy and likely to fall over in a strong wind.
- I tell patients not to cheat themselves out of the surgery by choosing a breast implant that is too small or that won’t let them see a difference in breast size.
- Choosing an implant size that is too large will make the patient look fat.
- Patients who have a wide chest and broad shoulders will need larger implants, narrow-chested patients smaller ones.
- Patients with thin skin and less fat need smaller implants, and silicone implants may be preferable.
- Patients who have little difference between their hip and chest widths may need “high-profile implants.”
- Tall patients need larger implants.
- Short patients need smaller implants.
- Stay away from “contoured implants”; they are nothing but trouble.
- I point out the differences in breast size and shape between breasts before the surgery; breast augmentation will make breasts larger but won’t change the innate shape of the breasts; saline implants may be necessary for differential fill volumes between breasts if there are large differences between the breasts’ sizes.
Once the patient has tried out the implants and chosen a size, I tell them to go home and fill zip-lock bags with rice (water gets too messy) of a volume similar to the implants they like and try the same exercise at home with different clothes. Your look in a bikini will be different than in a big sweater.
Of course, when the patient comes back to set up surgery, we do it all over again. 95% of the time we choose the correct breast implant at the first consultation!
For a more mathematical methodology, look at this previous post: