Neither! Choose a size right for your existing breast size and amount of coverage so that your breasts look good and a size you like. Normally, you would choose a size that creates balance, but that only works up to a point - with a big difference between shoulders and hips I wouldn't try to match either. Matching your shoulders will exaggerate your large upper body and matching your hips will make your breasts too small.

Published on Jul 11, 2012

This is a very personal thing, and you know what you want. You just need to communicate that to your plastic surgeon. We have a unique imaging system that shows the patient on their own bodies how the different shapes and sizes from the different manufacturers will look. These visuals are fairly accurately. You might benefit from finding a board-certified plastic surgeon who has this technology at their disposal.

Published on Jul 11, 2012

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation revision surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile and will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "C or D cup" means different things to different people and, therefore, prove unhelpful.

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this helps.

Published on Jul 11, 2012

I think that the important question to ask yourself is whether or not you feel that having already had a breast augmentation, the increased volume has accentuated the size difference between your upper and lower body. I offer my patients 3D Vectra Imaging as well as physical sizing to help patients determine what size range they would like to be in. Doing so allows my patients the ability to see what they would look like in a variety of different implant sizes and how the breast augmentation, or implant exchange in your case specifically, will influence their body proportions. Without a physical exam, it is difficult for me to say whether or not your implants should be scaled up to match the broadness of your upper body or not. I would discuss the different sizing options that your operating surgeon offers with their office to ensure that you have the best idea of what you can expect going into this surgery. Additionally, for many patients who wish for better body dimensions, an autologous fat transfer procedure to the hips and buttocks is something to consider if you would like to decrease your shoulder to hips ratio and may be worth discussing with your operating surgeon. I hope this helps and best of luck!

Published on Jul 11, 2012

Implants are sized to the breasts, not to the shoulders, the butt, or the hips.

Think about it this way: if someone is very skinny and short, do they necessarily wear small shoes? If they are tall and overweight, do they necessarily wear big shoes?

Of course not. Shoes are sized to the feet, just as breast implants are sized to the breasts. When you violate the borders of your breast with an implant too big for your breasts, you will get distortion, visibility, palpability, rippling, etc. Don't do that to yourself. Put in the size that fits and you will be happy with the result.

Published on Jul 11, 2012

Choosing the right sized and shaped breast implant is based first on the anatomy of your breast and chest wall, not your body type. Please see a surgeon familiar with bio-dimensional measurements to give you the best advice. As for proportion, if you are already broad shouldered, you'll look even more disproportionate with larger implants.

Published on Jul 11, 2012

Usually a balance between your shoulders, your waist and your buttocks is what is taken into consideration. If your buttocks are small, sometimes it is a good idea to get smaller implants. Implant size is largely a matter of personal preference. At your consultation with a board-certified plastic surgeon, you should be able to try on multiple sizer implants to allow you to select the size that is perfect for the overall desired look you are trying to achieve. Also, there are ways to contour fat to give you a more shapely, womanly figure, should you desire that.

Published on Jul 11, 2012