Dr. Haiavy on the Importance of Choosing the Right Breast Size

New You breast size imageIf you’re considering breast augmentation surgery, breast size is one of the most important decisions you’ll make. One of the top reasons women go back for a second augmentation is that they want to go larger than they did with the first surgery, according to New You, a magazine of the American Academy of Cosmetic Surgery.

Picking the right size includes taking into account your body type, frame and height, rather than just picking a cup size.

Dr. Jacob Haiavy, Cosmetic Surgeon and a diplomate of American Board of Cosmetic Surgery in Rancho Cucamonga, Calif., explains:

“Cup size is almost arbitrary when you’re talking about implants. Sizes aren’t consistent between bra manufacturers — there’s no universal size measurement — so it’s important to educate patients on how to choose the right size for them based on volume and fullness.”

Before a surgeon suggests an implant size, he or she should take all your measurements, including the circumference and width of your breasts, shoulders and hips.

“I look at the shoulders, chest, height and weight to dictate what type and size of implant I’ll put in. It’s what will fit a person’s body,” says Dr. Haiavy. “For instance, if the patient’s breast base width is smaller than the size of the implant diameter, I advise going down a size to avoid looking disproportionate. Reversely, with a patient who has a wider base, I’ll recommend going bigger as an option.”

Dr. Haiavy also recommends not letting outside influences — such as a partner or friend — choose your size.

“If I feel a patient is trying to please a husband or boyfriend by going up to a size she’s not comfortable with, I reiterate that the final decision is hers,” says Dr. Haiavy. “I also emphasize all the problems associated with bigger implants, including sagging and back pain, and that eventually you may need another surgery for a breast lift. If she’s still being swayed to go bigger than she wants to by her partner, then she’s not the right patient for the surgery.”