The decision of which breast implant isn’t just about going up in bra sizes. The right breast implant should enhance fullness and proportion, complement your overall figure, and create the feel and movement style you prefer. At Plastic Surgery of Michigan, Dr. Andrew Lofman focuses on breast augmentation planning that fits your anatomy, preferences, and long-term comfort
Understanding Your Implant Choices From the Start
What breast implant options are available?
Breast implants come in different materials and design features, and each option influences how your breasts look and feel after breast augmentation. Dr. Lofman will help you compare options based on your chest width, skin quality, and the amount of change you want. Implant selection usually starts with the material, then expands into details such as size and shape.
Breast implant options you may review include:
- Silicone or saline implants based on feel, preference, and goals
- Different implant sizes to match your frame and desired fullness
- Implant shapes chosen to match the contour you want to see
- Placement options planned around your tissue and lifestyle
- Incision locations such as the breast fold, areola border, or underarm in select cases
Narrowing options to those that fit your body type can make implant selection less overwhelming and build confidence in your choice.
How Size, Material, and Placement Change the Final Look
How does the breast implant choice affect the final result?
Breast implant material, placement, and how your tissue supports the implant all affect projection, cleavage, and how natural the result looks on your frame. Dr. Lofman plans breast augmentation around shape and proportion first, then selects an implant size that supports your overall plan without overpowering your anatomy.
Key factors that influence how your result looks include:
- Your chest width and breast base, which guide how wide an implant should be
- Skin elasticity, which affects how much the implant will “show” through the tissue
- Tissue thickness, which impacts edge visibility and softness
- Placement above or below the muscle, which can change upper-pole fullness and transition
- Implant material, since many patients feel silicone offers a softer, more natural feel, while saline is filled after insertion
Surgical technique matters here, too. Dr. Lofman often uses a no-touch Keller Funnel approach for implant insertion, which can support smaller incisions and a more controlled, sterile placement process.
Building a Size-and-Shape Plan That Fits Your Body Type
How do you decide the right implant size and shape?
The right implant is the one that suits your body, not the one that sounds best in a number. During your consultation, Dr. Lofman will evaluate your current breast size and shape, the quality of your breast tissue and skin, and the direction you want for your breast size and shape. Many patients also bring reference photos of realistic results to help clarify their goals.
Your implant decision is usually guided by:
- Your current breast shape, asymmetry, and how much upper fullness you want
- Your desired size and how you want your breasts to sit on your chest
- Lifestyle factors like exercise habits and how you want bras and tops to fit
- Hands-on sizing using physical sizers and, when appropriate, 3D imaging
- Whether a lift should be paired with implants when sagging and volume loss occur together
This is where “body type” becomes practical. Dr. Lofman uses measurements and real-world fit goals to choose an implant that looks balanced from the front and side, not just larger.
Planning for Changes or Revisions Later On
Can the breast implant size and shape be changed after the first procedure?
Implant size and shape can be changed, but it is typically treated as a revision plan rather than a quick swap. Your body changes over time, and preferences can shift as you live with your results. Many patients eventually choose replacement or revision based on factors like aging, pregnancy, weight changes, implant wear, or a desire for a different look.
Reasons patients consider changing implants later include:
- Wanting a different size after living with the original result
- Adjusting shape or fullness to better match body changes
- Addressing issues like implant malposition or capsular contracture
- Pairing an implant exchange with a breast lift for better position and support
- Updating implants as part of long-term maintenance and personal preference
If you are unsure between two sizes, it helps to plan for longevity. A well-chosen implant should feel comfortable and proportionate now and still fit your lifestyle years from today.
Schedule a consultation for breast implant sizing and shape planning with Dr. Lofman today
Dr. Lofman brings careful planning, measurement-driven implant selection, and refined technique to breast augmentation in Oakland County. Ready to explore which implant size and shape fit your body type best? Schedule a consultation with Dr. Lofman today.
