I am a 30 yr. old mom with 3 breast fed kids. I am 5'7" and 125 lbs. Breast circumference is 13cm. Slight sag, but nipples are still above the fold. I am looking for a more natural C cup look. I was told by one Dr. that Mid Profile 334-371cc would give me shape, fill, and still look natural. The other Dr. thinks that High Profile 401-440cc would look best. BOTH Dr.'s want to do a Dual Plane. I am choosing Silicone. I personally don't like the High Profile look so I'm quite confused.
Which Breast Size Will Suit me Best?
Doctor Answers (5)
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Choosing an Implant Size
Given the amount of sagging that you have after breast feeding your children is mild, you are fortunate to be able to get fuller shaped breasts with implants alone and able to avoid having a breast lift. Because you want natural looking breasts, you are likely to get a great result. It appears that two separate plastic surgeons have given you very similar opinions with slight differences in terms of the profile and size of the implant.
Some plastic surgeons' recommendations are based on measurements (such as base diameter), the doctor's judgment and experience, the soft tissue characteristics of your skin (stretchy versus firm), and your tastes.
There is no right or wrong answer in this - you should discuss your concerns and wishes with both surgeons and choose the one that inspires the most confidence based on a review of his or her portfolio of patient before and after pictures.
Good luck with your Mommy Make Over.
High profile vs. Mid profile.
It is most important that the implant chosen is appropriate to the anatomy of your breast. Surgeons try to choose an implant that has the same width as the breast, and in your case it looks like both surgeons did that. I find that letting the patient try the implants on is helpful.
Within the limits of breast width, using a high profile implant will allow for a larger size. If you don't like the high profile implant for whatever reason, it looks like you have made your decision.
What size implant?
The implant must be matched to your breast and body. Measurements of the breast dimensions help guide thoughtful surgeons in directing you and choosing an appropriate size implant. I try to avoid discussing cup size, it is arbitrary and too subjective. I have every patient of mine bring in photographs as examples of their desired result. This visual, plus measurements, are what I use to help the patient select implant size.
Based on the information you provided, your range could be 350 to 400cc. However, examing the breast, including shape, tissue characteristics will narrow that final size down.
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Breast implant sizing
It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
Picking the implant size for you.
I consider two factors when selecting implants for my patients:
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.
This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.