Choosing the Right Breast Implant Size
Every woman is unique, and even with similar parameters to other patients, it's important to understand that the shape of the ribs, chest, the presence of tissues, and body proportions vary for each individual. Selecting the right size and shape of the implant, predicting how the breasts will look after the swelling completely subsides, and the breasts "settle" can only be done by a plastic surgeon, based on their own experience, aesthetic taste, and precise measurements.
To demonstrate how individual the process of selecting implants is, I decided to conduct a survey on social media among subscribers. I asked them to guess which implant a woman has based on her photo and parameters: height - 170 cm, weight - 60 kg, underbust girth - 74 cm. To make it easier to guess, I provided multiple-choice options:
- 350 anatomical
- 395 anatomical
- 400 round
- 280 anatomical
- 320 anatomical
- 265 anatomical
- 425 anatomical
Correct Answer: The woman in the photo has a 265cc teardrop (anatomical) implant. And... 99% of the subscribers answered incorrectly. Let's figure out why. This case of breast augmentation, at first glance, seems simple but with an important feature. The shape of the patient's ribs protrudes significantly in the upper pole, plus there is a lot of glandular tissue in the upper pole. When selecting an implant, the doctor must anticipate how all these volumes will combine, overlapping each other.
For example, with a concave breast and a large lower pole, a round implant-400 gave the same result, and with normal ribs and uniform but small glandular tissue, it would be a teardrop-350. In the case of normal ribs and moderate glandular tissue, an implant-315-320 would give the same result.
For the patient in the photo, I only needed to lift the lower pole because the ribs are high at the top. Therefore, I chose a low-profile teardrop implant. Undoubtedly, the most modern computer prediction system recently acquired by me for work provides an approximate visualization of the desired result. However, it is not capable of considering all the nuances of anatomy to give a 100% accurate forecast. Only the doctor's experience, thousands of operated patients, and an internal sense of proportion can guarantee the most beautiful and attractive breasts.
Here's another example of implant selection

Photo on the left - 320 anatomical polyurethane
Photo on the right - 425 anatomical polyurethane
Although, at first glance, it may seem the opposite.
The visual difference is due to different proportions: height, width, and shape of the chest, the initial size of the breast.
Author: Valentyn Zykov

