380 Filled to 400 (12.5width) OR 450 Filled for 475 (13 Width)?

asked 1 year ago by EAFB in Puyallyp WA
Latest answer by Tom J. Pousti, MD
Question viewed 494 times
Tags: 130-149 lbs, 5 ft 0 in to 5 ft 3 in, saline implants, implant size, options, round, smooth

I am stuck! Im getting Breast Aug in about 2 weeks! My doctor says that I have 2 choices: 380 filled to 400 OR 450 filled to 475! I am 5'2 and 140 lbs. I have a breast base of 12.5 on the left and 13 on the right. My nipple to base fold is 5 on the left and 6 on the right. My goal is to be a very large C or VERY small D. I need to make the decision soon but keep going back an forth. SO the 400 or 475? Keeping in mind that I dont want to be in the D's. I'm going with a smooth, round saline. HELP!

11 answers to 380 Filled to 400 (12.5width) OR 450 Filled for 475 (13 Width)?

You Have to Decide, Finally

A major purpose of consultation is to help you sort through options and advise you how to best meet your goals. This concept should be contributing to your choice of surgeon, rather than resorting to the opinions of Internet sources, though expert, who have not listened to your ideas and examined you. In breast augmentation, there is not a uniformity nor precision that can accurately predict a specific woman's post-op 1/2-cup size.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Breast implant sizing

Much of the final “look” achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

MEasurements and the best implant selection

It is very easy to be confused by this measuring system. Cup sizes are only used as estimates for clothing. Although the measuring technique for determining cup size is precise, the results of these measurements are not. Let me give you an example; weight is a very accurate measurement. However two patients that weigh 120 lbs are not likely to look alike. The same is true with two patients that have C cup breasts. This is why physicians tend to use volume (cubic centimeters or cc) as a... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Choosing the Right Implant for You

Hi there- I could not possibly agree more than I do with Dr. Peter Johnson below-- the only reason I can think of for an experienced surgeon asking you to commit to an implant before surgery is so that after surgery if you are less than pleased he can say you chose the implant.... It is important to understand that a critical variable in determining how any particular implant will look in any individual patient is the elasticity (the stretchiness) and thickness of the tissues that wil more

Armando Soto, MD
Orlando Plastic Surgeon

Breast implant size choices

In addition to the issue of knowing what size breast you are starting with, we also don't know the profile of the implants. I also find it quite unusual to have breasts that are close to the same size and having different widths. Further, I can't think of a reason to be told you can only have one of two sizes of implants. The correct answer is to double check the width of the breasts upright with arms down. The implant width should be 3/4 to 1 cm less than this width.... more

Scott L. Replogle, MD
Denver Plastic Surgeon

What is your breast size now?

EAFB, One thing missing in all of your fancy measurements is your current breast size. It is essential to know the present volume of your breasts before commenting on what size implant you would need to get to a large C or small D. Also, I don't quite understand why you only have two choices. You should have many choices within a range of implant volumes and styles. Perhaps, a second opinion might help your decision. Good luck! see video

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Your surgeon should decide the implant for the look you want

It seems the surgeon you have selected is asking you, with no experience, how a particular implant will look and perform. After looking at breast augmentation questions on this site concerning implant styles, position, shape concerns, predicted cup size, not to mention complications or misadventures, breast augmentation is not a 'simple' procedure. If your surgeon understands the look you want, why should the burden be on you to select an implant? What if your guess is wrong?... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

380 Filled to 400 (12.5width) OR 450 Filled for 475 (13 Width)

Again NO PHOTOS!!! Very hard to give accurate advise. My guess from your excellent posting is to go inbetween 400 to 450. Like 425 range HP's as my choice. But if really DO NOT want a D-cup than stay in the 400 cc range.

Darryl J. Blinski, MD
Miami Plastic Surgeon

How to pick breast implants.

1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake is to go too big. 5) I... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Sometimes you need to make the decision at the time of surgery.

Whilke it is nice to make a definitive choice, sometimes it is necessary to go into surgery with 2 options. It sounds to me like you are using high profile implants. You have opted for saline instead of silicone. The larger you go with saline the greater the risk of rippling. The implants sound like they are Allergan implants. The usual fill is 30 cc above the recommended minimum fill and they should be filled that way to decrease the risk of rippling. ... more