What Is A Good Implant Size and Profile For Asian Breast Augmentation?

Q: Dr. Eppley, my Asian wife and I found your article entitled ‘Asian Breast Augmentation’ very informative and helpful.  Obviously choosing the right implant size depends on many factors that are unique to each woman. But we were both curious to know what implant propfile you used in that particular case as we both thought the results were excellent and very natural looking.

A:  Thank you for your kind comments. Choosing the correct implant size and profile to get any woman’s desired breast look is as much art as it is science. There is no precise scientific or measurement method that can assure any patient as to how it will look afterwards. But there are some general guidelines. The first is to choose an implant’s size  in which the base width of the implant does not exceed the woman’s natural breast base width. Many Asian women tend to be smaller in size with more narrow breast widths. This is very compatible with the general smaller breast size enlargements that most Asian women desire. Breast implant sizes of 300cc to 350cc are very common in this patient population. Smaller perkier breasts are a desired look and for this reason I will almost always a high profile implant, keeping the implant’s width more narrow with greater upper pole fullness. Incision location is also an important consideration due to potential hyperpigmentation from scars. Therefore, I use a transaxillary approach for saline implants and a small (3.5cm) inframmary fold incision aided by the use of a Funnel insertion device for silicone gel implants.   

Dr. Barry Eppley

Indianapolis, Indiana