Long Island Plastic Surgeons

How Do I Know Which CC's Will Look Ok On My Body? (photo)

I am 5'7 1/2 and weigh 180 pounds. I currently wear a 36B and recently went to a consultation. I tried on 375cc's and thought it may be too big. My doctor said no, and encouraged me to go bigger. I'm unsure what will look good? I ultimately want to be a D but I don't want it to look too extreme. But I also don't want to go through with getting 375 or 400cc's and it turn out to be too small. What do you recommend? Help! I have attached my pic along with two pictures I would like to look like.

A: Which implant size to pick??

Implant size is probably the greatest concern of patients seeking breast augmentation. Different surgeons have different philosophies as to selecting the proper size. I have been fairly vocal on this forum about this topic.

Selecting the proper size is one of the most important decisions you will make not in terms of being disappointed you went too small but in going too large and creating damage to your tissues and increasing the chance that you will need corrective surgery, increased downtime, increased pain and loss of sensation and other problems.

IMHO (I love that term), "trying on an implant" by putting it on top of your breast in a bra makes as much sense as trying on a pair of pants by placing it on top of your thighs. This practice takes absolutely no information about your breast tissue into consideration. If your breasts had the ability to stretch infinitely without sustaining damage, then that practice would work.

There are some who say that you cannot know the proper size implant ahead of time, but the fact is that you can. Using methods that take into consideration the base width of the breast, the tissue compliance (stretchiness) and tissue thickness, you can make a very accurate prediction of the implant required. I have been doing this for 8 years and rarely make a change in the operating room from my preop selection. I also get requests to change implant size far less that 1% of the time so the system clearly works. Using sizers in the operating room is not necessary in routine cases, however, I will state that they are very useful when the breasts are of differieng volumes and the use of two different implants is required.

As for placing the implant above the muscle, I havent done that on a primary augmentation in over ten years, as the dual plane technique as described by Tebbetts works wonders on a breast with some glandular ptosis (drooping) as seen in your photos. That is an entirely different discussion.

You need to see a surgeon well versed and experienced in this operation who can best guide you on what the proper implant size based upon yoru tissues is, and can also review with you the possible issues that may occur should you choose to use a different size. That knowledge only comes with lots of experience.

I Just Had Got a Tummy Tuck Yesterday, I'm Very Sore but Today I'm Starving. What Can I Eat?

What should I eat and being that I got a tummy tuck can I eat whatever I want???

A: Eating after tummy tuck surgery Eat and drink conservatively to avoid nausea from the anesthesia. Start with clear liquids, such as soup, or bread. Stay away from dairy products, greasy or fried foods, etc. for a few days. Just basic common sense. Also, eat moderately before taking the pain medication so it won't nauseate you.

Thoughts About Having Cosmetic Surgery (Face Lift) at a Residency Program?

Thoughts About Having Cosmetic Surgery (Face Lift) at a Residency Program?

A: Facelift in a residency program We all got our start as plastic surgeons performing procedures in the clinic. That said, the programs are no longer giving it away for free and you have to weigh the reduced costs against having an inexperienced surgeon, although under supervision. I see many patients who have gone this route and are then disturbed or surprised when the doctor who has operated on them is no longer accessible--because he or she has moved away to go into private practice.