Choosing the Right Breast Implant for You
Quatela Center for Plastic Surgery

Portrait of young model in bra

Breast augmentation surgery is a very personal and unique process for each woman.  Choosing breast implants can be exciting, but can also be overwhelming due to the many options available.  At the Quatela Center, we strive to create the best possible environment for patients to try on implants, as well as options to re-size if they are unsure after their initial appointment.  Our clinic nurses and Patient Consultant have extensive experience in breast implant sizing and will assist you and answer any questions you may have.

One choice that patients need to make when it comes to breast implants is the type of implant.  Would you like silicone, saline, or form stable (gummy bear)?  Do you know the difference?


  • Chosen by over 90% of our patients
  • A silicone shell filled with silicone gel
  • Can be placed above or below the muscle
  • Allergan implants offer over 200 size and shape options for a fully-customizable result
  • More of a natural feeling implant


  • A silicone shell filled with saline, a salt water solution
  • Almost always placed in the sub-muscular space
  • One disadvantage is that the difference in feel between the implant and the surrounding breast tissue is often noticeable, which can result in a rippling feeling
  • It weighs slightly more than silicone

Gummy Bear:

  • A soft, solid implant
  • Form stable which means it is a true tear drop shape
  • A larger incision is needed to insert the implant

Aside from the implant filling, many patients are not aware that breast implant sizing and style is unique and prescriptive to each patient.  Just as your doctor will prescribe medicine that is specific to your condition after conducting a physical exam and having a conversation with you, Dr. Koenig will prescribe a type of implant that is customized to you based on your body and personal preferences.  Did you know that the following factors play a role in implant size?

  • Each side of the chest: Each side is measured to determine the diameter of the implant that we need to start with. This ensures that the surface area of each side of the chest is filled proportionately.
  • Amount of existing breast tissue and anatomy of the chest: The current tissue is assessed to determine how it will be filled and by how much, skin elasticity is evaluated as well as the current shape of the breast and nipple position.
  • Each individual patient’s goal: Patient preferences on the look and feel of the breasts are factored in which gives us an idea of what style to prescribe.
  • A patient’s height and weight: These factors are also considered to ensure naturalness and proper proportion of the implant to the patient’s body.

Sizing is not done by cup because cup size is not a standard measure and can vary depending on bra manufacturer.  Cup size can give you a general range of what you’d like to achieve with breast augmentation, but the actual size of the implant is measured in cc’s, or cubic centimeters, which is a measurement of the volume of the fluid fill of the implants.  Implants are not a one size fits all, and any one size can look completely different on different women.

Before your consultation and sizing appointment, a great way to decide what general size you may be looking for is to look at our before and after photos.  With a wide range of body types and sizes, our large photo gallery is a helpful tool to see others with similar body types and their results.  This may give you more of an idea going into your appointment about what result you are looking to achieve.

In the end, breast augmentation surgery and the implants used are as individualized as the patients themselves.  You will know exactly what implant you will have inserted preoperatively.  Thankfully it’s not a one-size-fits-all situation and each patient can find the perfect fit for her.  Working closely with Dr. Koenig and the team at the Quatela Center will ensure that you make the best possible choice for yourself when it comes to breast implants.

Considering breast augmentation surgery?  If you have any questions about the procedure or would like to schedule a consultation appointment with Dr. Koenig, call (585) 244-1000 to speak to a Patient Consultant.

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