A Patient Guide to Breast Augmentation
Lesson TWO:
Size vs Look
One size does not fit all
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It’s natural to start by asking “what size implant should I get?” — it’s the question almost everyone has at first. But there’s a better place to begin: defining the look you’re hoping for. Once you know that, your surgeon can combine it with your own anatomy and choose the implant that brings your goal to life.
Why
Why a number isn't where to start
The number is the output, not the input
Two implants can hold the exact same cc's and look nothing alike — more projection makes one narrower and more forward, less makes it wider and softer. So the cc count is really the result of choosing the right width and projection for your frame and your goal, not the place we begin.
The same implant looks different on every body
Your own tissue and frame do half the work, so the identical implant gives two different results in two different patients. That's why a specific cc that looked perfect on someone else — or on social media — is unlikely to recreate the same look on you.
The bottom line. The most useful thing you can bring to your consultation isn't a number — it's the look you're going for. We measure your frame, match it to that goal, and choose the implant most likely to get you there.
How we decide
How is the final size usually chosen?
Consultation:
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we will take measurements, take notes on your individual anatomy and how it may influence your results, and then discuss your goals.
Plan a range
We narrow to a small range of sizes and profiles likely to reach the desired look
Final decision made in OR
Based on the goals discussed, different implants can be used as "intraoperative sizers" as needed to ensure they correctly fit and give the patient the best chance to reach their goals.
A few tools can help along the way — here's an honest look at what each one can and can't do.
In-office sizers — “trying on” a size
We place sizers in a bra we provide so you can see a general range on your body. It's a useful starting point, but only a rough guide: the sizer sits outside your tissue, so it can't show your true result — and asymmetry or a need for a lift lowers its accuracy.
3D simulation software
Some patients find it helpful for picturing a change. We have a lot of experience with these systems, and we'll be honest: even the best ones are often inaccurate. They can be misleading about what a given size and shape will actually do, and they don't fully account for your own anatomy and how it changes the way an implant looks. We use them with that caution rather than leaning on them.
Intraoperative sizers — where the accuracy comes from
These are exact, temporary duplicates of the implants. During surgery we place them, sit you upright, and confirm the shape and size look exactly like the goal before choosing your final implant. It's valuable in every case, and especially in more complex ones — asymmetry, or a borderline lift decision.
The look still comes first. No tool replaces deciding the look you want and discussing it in detail with an experienced surgeon. Once we know that, these tools — above all the intraoperative sizers — help us achieve the best results.
Next Lesson
Keep it going
Explore More Breast Augmentation topics
Why "cc's" don't equal a cup size — and why your look matters more than a number.
How projection and width change the same volume's shape on your frame.
"Gummy bear" and beyond — how firm vs. soft gels feel and hold shape.
Search through before and after images organized by Category of what general "look" each patient has
To schedule an appointment to discuss achieving your breast goals, please click here to contact us, click the below link to schedule online, or call us at (469) 899-8758.
What financing options exist for treatments at Walker Plastic Surgery?
Walker Plastic Surgery has partnered with Care Credit to help our patients finance the costs of their procedures. The CareCredit card is North America’s leading patient payment program. The CareCredit card is easy to use, includes no hidden costs, and can be applied towards both surgical costs and follow-up appointments.
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Through their website, you can access tools like the payment calculator and even find out if you qualify for a CareCredit card by starting a commitment free, instant application.