The Size Of Your Breast Implant And Choosing Your Incision Site

Size of your breast implant

Choosing the size of your breast implant probably is the most important decision you’ll make regarding your breast augmentation.

Some women with small breasts (such as A-cups), who have always dreamed of having larger breasts, may have thought of having breast implants that would deliver D-cups. Such a large change may – or may not – work, depending on factors such as the circumference of the torso as well as overall body size and proportion.

Dr. Smith will guide you in choosing an implant size that best fits your body shape and size. Still, the ultimate decision is yours given there are no other medical concerns, and you may choose whatever size you wish.

Breast implants are measured in cubic centimeters (cc). The higher the number, the bigger the implant. Most implants can hold up to 400ccs of either silicone or saline. Every 150ccs to 200ccs equals about an increase in breast size of 1 to 1.5 cups.

  • Interesting Facts About Breast Implant Sizes Nationwide
  • Women in California, Texas, Nevada, and Florida tend to want implants ranging in size from 300cc to 425cc.
  • Women who live in the Midwest and Northeast average around 250cc to 350cc.
  • Implants are even smaller in Asia and Europe, with the average implant running between 200cc to 300cc.

It also has been Dr. Smith’s experience that women tend to choose a smaller breast implant size than they ultimately would have liked. This is much more common than women finding they chose an implant that turned out to be too large.

Because choosing the size of your implant is very important, you may want to bring your spouse or partner with you to help (although we urge you to never be “encouraged” into having a larger or smaller breast implant than with which you feel comfortable).


Choosing Your Implant Incision Site

As you and Dr. Smith discuss your breast augmentation, the two of you will decide where to place the incision that will allow him to insert the breast implant.

  • You have three different incision locations to choose from:
  • Your armpit (axillary incision)
  • The crease under your breast (inframammary incision)
  • Just inside the dark/colored part of your areola (periareolar incision)

Each incision location has its advantages and disadvantages.

  • Pros And Cons Of The Armpit (Axillary) Incision:
  • You will have no scar on your breasts.*
  • The scar in your armpit often blends into your skin’s natural crease and is hard to see.*
  • Dr. Smith will use an endoscopy, providing him with full visibility and the precise control during the surgery and placing the implant.
  • This location may not be available to women who have mild sagging or tuberous breasts.
  • You will have a longer scar (from 2 to 2.5 inches).*
  • You have a minimal risk of numbness of your underarm and upper arm skin.*
  • Pros And Cons Of The Under-Breast (Inframammary) Incision:
  • Works well for mildly sagging or tuberous breasts.*
  • Dr. Smith will have direct visibility as he creates the implant pocket and positions the implant.
  • You will have a scar on the underside of your breast, although it could be hidden if you have deep folds.*
  • If you don’t have deep folds, or if you have small and tight breasts, it could be hard to hide the scar; the scar could be visible when you lie on your back.*
  • Pros And Cons Of The Areola (Periareolar) Incision:
  • Works well if you have mildly sagging or tuberous breasts.*
  • Provides Dr. Smith with great visibility for creating the implant pocket and positioning the implant.
  • The scar often is visible because the areola is a focal point of the breast.*
  • The implant is exposed to bacteria in the breast tissue, thus increasing the risk of capsular contracture.
  • Provides the greatest risk of problems with breastfeeding.*
  • Dr. Smith will have to cut the sensory nerves around your areolas.

Dr. Smith will discuss the advantages and disadvantages of each incision location with you and will make sure the incision is as small as possible so that as the scar fades, it will become almost invisible for most patients. Appointments can be made by calling (702) 838-2455, or by emailing us. For patients who live a long distance from Las Vegas, online consultations are available.