I am 19 years old, 5'2", about 125 lbs and currently i am a 32B. I am wanting to go to DD or maybe even DDD. I know i will be getting saline implants because the laws against silicone at my age. I have a few consultations set up within the next few weeks. 1, is going to DD or DDD possible for me? 2, approximately how many cc's will that take. 3, if you say, "no, not possible" and my surgeon says it is, what complications do you believe may arise? Thank you!
5'2", 19 Y/o, 125 Lbs, Currently 32B Wanting to Be DD/DDD?
Doctor Answers (15)
Implant Size to move from B to DD cup
The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body. Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.
Currently 32B - wanting to be DD/DDD?
Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.
Hope me that this helps! Best wishes for a wonderful result!
Implant Selection Process
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
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The proper sizing is determined by your breast width. Oversizing will lead to stretching and thinning of the breast.
32 B to 32 DD/DDD
I would say that a D would be reasonable. Above that, the implant will be too large for your chest wall, and you will have marked tissue thinning over time. In addition, your breasts will droop faster. Also, such large breasts put you at greater risk for back, neck, and shoulder pain.
Breast Augmentation with Mini Ultimate Breast Lift for asymmetry and widely spaced breasts
At size 32 each 100 cc of implant will correspond to 1 cup size change. To achieve a 32 DD will require 300 cc implants or 400 cc implants to achieve a DDD. I always recommend implants placed retro-pectoral for best long term stability. However, you have another problem that is apparent in your photograph. Your breasts are asymmetrical and too far apart. You would benefit from a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape your breast, elevate them higher on the chest wall, move them medial to increase your cleavage and at the same time an implant can be placed. This will correct the asymmetry of your areolas and your widely spaced breasts. You are an excellent candidate for this new technique.
Gary Horndeski, M.D.
Implant size selection to acheive your goals
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. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
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. If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
Hope this helps.
Large implants in a smaller frame
I HIGHLY advise against these very large implants in a fairly small frame. The main problem, long term, is stretching of the tissues which will then sag and cause all kinds of problems. Plus with such large implants you will look RIDICULOUS.
Talmage Raine MD FACS
First, it is impossible to tell you what would be the right size for you without an exam. I would like to point out the breast asymmetry to start.
Currently 32B Wanting to Be DD/DDD
If you look enough you will probably find a surgeon who will try to do what you want. You may attain a DD or DDD size, but you may also attain a bizarre appearance. As a guideline, we try to use implants not wider than the patient's natural breast width. I would guess that yours is about 11 cm. The widest implant that will fit that profile is about 400 cc, and would probably not get you to the size you seem to want.
There are no fixed definitions of cup size, but many surgeons estimate that it takes about 200-250 cc of implant for each cup size of enlargement.
There is a modest amount of asymmetry in the photo you attached. That difference will likely be magnified with very large implants.
If you are in the United States, you would not qualify for silicone implants, for which the minimum age is 22. Saline implants making up 75% of the final breast volume feel quite unnatural, and any ripples that may form may detract from appearance.
The biggest risk of implants that large in breasts your size is extrusion, stretching the tissue so much that they are deprived of blood supply leading to tissue thinning and loss, followed by loss of the implant. Not likely, but not rare either.
Make sure that you listen and hear the advice you get from your surgical consultants. If you get differing advice, pay attention to the advice you get from the experienced ones.
Thanks, best wishes.
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.