Even though implant size usually is best determined by measurement of the breasts, patients who are actively involved in the decision about implant size may be more likely to be satisfied with the results of surgery. How can breast augmentation patients explore their options for implant size before undergoing surgery? Here's some advice from the American Society for Aesthetic Plastic Surgery (ASAPS):

Be frank and open in discussing size so that there is clear communication, from the beginning, between you and your plastic surgeon.

Select several photographs from magazines illustrating ideal proportions, and show these to your plastic surgeon as a way to begin the communication process. The examples should be of individuals with a similar body type to yours.

Don't define your desired breast size only in terms of bra-cup size. Cup size can vary significantly among bra styles and manufacturers.

Plastic surgeons sometimes have implants in the office that are used for patients to "try on" different sizes by stuffing them inside their bra. Do the same thing at home, using plastic bags filled with oatmeal, and see how various sizes look in different types of clothing.

Maintain realistic objectives and don't assume that bigger is always better. Implants that are too large not only will upset the aesthetic balance of your figure, they also may be more prone to sagging and ultimately give you a "matronly" look. The best approach is to select implants that will look like a natural part of your body.

"When choosing implant size, patients should be aware that large implants, compared with smaller sizes, have a greater potential for certain types of complications, both in the short-term and long-term," says Dr. Fodor. "Patients who select the smallest implant that will give them a well-proportioned and natural-appearing body contour are making the best possible choice."

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