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The implant sizes that are possible for your breasts does depend on the width of your breast. We have implants with different projections: the more projected/pointy implants have a narrow base so that a larger volume can fit behind the breast. That is why you have a range of possibilities. To get an idea of how the size will look on you, we can use 3D imaging software, which is not available in all plastic surgery offices, or you can try on implant sizers to get an idea. You can also purchase Natrelle implant sizers directly from the manufacturer, Allergan.
When you're in your spot, it is a tough call. You may find it helpful to look at before and after photos of patients with a similar breast shape after augmentation with and without a lift. Once you see what you can reasonably expect, you can make a more informed decision.
It is normal for the skin of the breast to give over time and stretch, with or without implants, leading to a hanging breast or ptosis. Many women need a breast lift to tighten the skin. Your plastic surgeon would be able to examine you to determine how best to address your ptosis and assymetry.
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