Plastic Surgery

Hindsight: Bigger, small or same size

Hindsight: Bigger, small or same size

Breast augmentation is a topic that has gained a lot of popularity in recent years, and there are several reasons why women choose to undergo this cosmetic surgery. Whether it is to enhance their body image, restore lost breast volume after breastfeeding, or to correct a congenital defect, breast augmentation has become a common procedure to achieve aesthetic goals.

However, for those considering this procedure, choosing the right size can be a daunting task. Often, women may be unsure of whether to opt for bigger, smaller, or the same size implants. In this article, we will explore the pros and cons of each option so that you can make an informed decision about the right size for you.

Bigger Implants

Many women opt for bigger breast implants to achieve a more desirable body shape, increase self-confidence, and improve their sexual appeal. Bigger implants can help women feel more feminine and attractive, especially if they have smaller breasts or have lost volume after pregnancy or weight loss.


  • Bigger implants can enhance the curves of the body, creating a more hourglass figure.
  • They can boost self-esteem and confidence.
  • Larger breasts can give the illusion of a smaller waistline.
  • They can help fill out sagging or drooping breasts.


  • Larger implants can increase the chances of complications such as implant rupture or capsular contracture.
  • They can cause back, neck and shoulder pain, making it uncomfortable to exercise, sleep, or perform daily activities.
  • They can look unnatural if the size is not proportional to the body frame.
  • They may not be suitable for women with a small body frame as it can cause health risks.

Smaller Implants

While bigger implants are popular, some women prefer a more understated look and opt for smaller implants. Smaller implants can maintain a natural look, and some women choose them for a more subtle enhancement or to restore volume lost due to breastfeeding or aging.


  • Smaller implants can enhance the breasts without drawing too much attention to them.
  • They can maintain a more natural look and feel.
  • They can be more comfortable and less likely to cause back or neck pain.
  • They may require less invasive surgery.


  • Smaller implants will not dramatically change the appearance of your breasts.
  • They may not be suitable for those looking for a significant enhancement.
  • Women with more significant breast asymmetry may have better results with larger implants.

Same Size Implants

For some women, maintaining the same breast size while correcting a defect or improving the breast shape may be the goal of breast augmentation.


  • Implants can fill out the breast to correct any asymmetries.
  • They can help restore volume lost due to aging or weight fluctuations.
  • There is no dramatic change in breast size, making the results look more natural.
  • They can maintain a more proportional body shape.


  • There is no significant enhancement to the breast size or shape.
  • Women looking for a more noticeable change may not be satisfied with the results.
  • Women with significant sagging or drooping breasts may require a lift in addition to implants.
  • Same size implants may not be suitable for women who wish to achieve a more dramatic hourglass figure.

Choosing the Right Size

Choosing the right breast implant size is an important consideration when undergoing breast augmentation. It’s essential to consider your goals for the procedure, your body type, and your lifestyle. Here are some tips to help you choose the right size:

  1. Consider your body type: Women with a small frame may find that larger implants look unnatural or cause discomfort, while women with a larger body frame may need bigger implants to achieve the desired effect.
  2. Try on different sizes: One of the best ways to determine the ideal implant size is to try on padded bras or implants during a consultation with your surgeon. This can give you an idea of how different sizes look and feel.
  3. Keep your lifestyle in mind: Women who lead an active lifestyle may find that larger implants cause discomfort or hinder their ability to exercise, so it’s essential to consider your daily activities when choosing implant size.
  4. Communicate with your surgeon: Your surgeon can help guide you in choosing the right size implant based on your body type, goals, and lifestyle. They can also provide you with before-and-after photos to help you visualize the results.
  5. Be realistic: While breast augmentation can enhance your appearance, it’s important to have realistic expectations for the procedure. Choosing the right size can help you achieve a natural-looking result that complements your body shape.

Risks and Complications

All surgeries carry some level of risk, and breast augmentation is no exception. While it’s generally considered a safe procedure, there are some risks and complications to be aware of, such as:

  • Infection: Any surgical procedure carries a risk of infection. Your surgeon will provide you with antibiotics to reduce this risk.
  • Capsular contracture: This condition occurs when scar tissue forms around the implant, causing it to become hard and misshapen. Further surgery may be required to correct the issue.
  • Implant rupture: Implants can rupture, causing the saline or silicone material to leak, which can lead to pain, swelling, or hardening of the breast. Surgery is required to remove and replace the implant.
  • Changes in nipple sensation: Rarely, surgery can cause changes in nipple sensation or loss of sensation in the breasts.
  • Pain and discomfort: You may experience pain and discomfort following surgery, which can last for several days.
  • Breastfeeding difficulties: Breast augmentation can affect the ability to breastfeed in some cases, although most women do not experience any issues.

It’s essential to discuss these risks and any concerns with your surgeon before undergoing breast augmentation.


The recovery period after breast augmentation can vary depending on the individual and the extent of the procedure. Here are some general guidelines for recovery:

  • Rest: It’s essential to rest for a few days following surgery, avoiding any strenuous activity or heavy lifting.
  • Pain management: Your surgeon will provide you with pain medication to manage any discomfort following surgery.
  • Compression garments: Your surgeon may recommend wearing a compression garment to help reduce swelling and support the breasts.
  • Follow-up appointments: You will need to attend follow-up appointments with your surgeon to monitor your recovery and ensure there are no complications.
  • Exercise and physical activity: You should avoid strenuous exercise and physical activity for at least 4-6 weeks following surgery.
  • Scars: The scars from breast augmentation typically fade over time, but it’s essential to keep them protected from the sun to prevent them from darkening.

It’s important to follow your surgeon’s instructions and guidelines for recovery to ensure a smooth and successful healing process.


The cost of breast augmentation can vary depending on the surgeon, the extent of the procedure, and the location. It’s important to consider the following factors when estimating the cost of breast augmentation:

  • Surgeon’s fees: This is typically the most significant cost associated with breast augmentation. The surgeon’s experience and expertise can influence the cost.
  • Anesthesia fees: Anesthesia is required during breast augmentation, and the cost can vary depending on the type of anesthesia used.
  • Facility fees: The cost of using the operating room or hospital where the surgery is performed.
  • Implant fees: The cost of the implant is typically included in the total cost of breast augmentation, but higher-quality implants can influence the overall cost.
  • Pre- and post-operative care: This includes consultations before the surgery, follow-up appointments after the surgery, and any medication or supplies required during the recovery period.

The average cost of breast augmentation in the United States ranges from $5,000 to $10,000, but it’s important to discuss the specific costs with your surgeon to ensure you’re aware of all fees associated with the procedure.


Breast augmentation is a cosmetic surgery that can enhance the appearance of the breasts, restore lost volume, and correct congenital defects. Choosing the right size for you is an essential consideration, and it’s important to consider your goals, body type, and lifestyle. Whether you opt for bigger, smaller, or the same size implants, it’s important to have realistic expectations for the procedure and understand the potential risks and complications. With proper research, communication with your surgeon, and adherence to the recovery process, breast augmentation can provide a safe and effective way to enhance your appearance and boost your self-confidence.

Additional Resources

If you’re considering breast augmentation, there are several resources available to help you prepare for the procedure and choose the right surgeon:

  1. American Society of Plastic Surgeons: The ASPS is a professional organization that provides information on cosmetic surgery and can help connect you with qualified surgeons in your area.
  2. RealSelf: This online forum offers reviews and patient feedback on surgeons and procedures, as well as before-and-after photos.
  3. Consultations: Most surgeons offer consultations to discuss the procedure, answer questions, and provide recommendations based on your goals and body type.
  4. Friends and family: If you know someone who has undergone breast augmentation, they can offer personal insight into the procedure and recommend surgeons.

By utilizing these resources and taking time to research and consider your options, you can make an informed decision about breast augmentation and achieve the desired results.


  • American Society of Plastic Surgeons. (2021). Breast Augmentation. Retrieved from
  • RealSelf. (2021). Breast Augmentation. Retrieved from
  • Mayo Clinic. (2021). Breast Augmentation. Retrieved from
  • American Society of Plastic Surgeons. (2021). Breast Augmentation: Risks and Safety. Retrieved from
  • American Society of Plastic Surgeons. (2021). Breast Augmentation: Recovery. Retrieved from
  • American Society of Plastic Surgeons. (2021). Breast Augmentation: Cost. Retrieved from

This page is not advice and is intended to be informational only. Consult your physician before undertaking any surgical procedures.

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