Your Questions

Q: Dr. Eppley, I am interested in breast augmentation and need help in breast implant sizing. I am very small in size I am not looking for something huge. I am 4’11 and weigh 100 pounds. I am a 32C Cup. What cup size would you recommend?

A: When it comes to breast implant sizing there is no question that you are small in frame but what constitutes an adequate size that is not too big depends on numerous factors…not the least of which is your perception of ‘huge’ or what looks right. Obviously you do have some breast volume given that you wear a C cup bra. Having some breast volume also plays a role in how an implant will look in size compared to someone who is flat chested. Given someone with more loose breast skin compared to tighter skin in a woman with little to no breast volume also makes a difference in how the size of the implant affects the overlying look of the breast. I would really need to see some pictures of your breasts currently and some pictures of what you think is a good size or even too big on someone else before I can really offer any meaningful input. The most assured way to choose the right breast implant size is to use volumetric sizers which is done in the office. In my experience, this is the most reliable method to give women the breast size they want with implants.

Dr. Barry Eppley

Indianapolis, Indiana

Q: I am interested in getting breast augmentation. At 25 years of age with one child I have a height of 5’ 3” and a weight of 137 lbs. What size breast implants do you think I need? I have attached a picture of my breasts to help you decide.

A: In looking at your breasts, your most important decision about breast augmentation is not what size implant should be used. You have a moderate degree of breast sagging, meaning the position of your nipples is at or below your lower breast fold. Contrary to the perception of many, breast implants will not have a breast lifting effect. You are in need of some type of a lift if you are going to get breast implants. With implants alone your sagging breasts will be pushed lower, a look that I doubt you will find as an improvement. All breast lifts result in some scarring, a definite cosmetic liability. Whether larger and more uplifted breasts are worth the scars as a trade-off is what you need to think about first and foremost.

Dr. Barry Eppley

Indianapolis, Indiana