5'6, 135lb, 13.5 BD - 400cc-500c Mentor Implants for a D Cup?

My breast Diameter is 13.5 Ihave a very large ribcage.I have minimal sagging.I didnt breast feed,but did get engorged.I told my doc I wanted to look natural/unknoticable, so he reccommended 400cc.At the time I didnt know the different implants available(ie high profile/moderate)Now Im trying to decide if I want more than 400cc. Should I stick with 400cc because the Doc reccomended it? Or can I go to a 475(13.3diameter)& be safe?Do I have to stay below 13.5 Diameter?

Doctor Answers (3)

Breast Augmentation Implant Choices

+2

You may want to visit with you plastic surgeon and try on different sizes of implants.  You can place the implants in your bra to get a rough idea of how you may look.  Bring in some pictures of breasts that you like so your plastic surgeon can get an idea of the look that you're going for.


Baltimore Plastic Surgeon
5.0 out of 5 stars 67 reviews

5'6, 135lb, 13.5 BD - 400cc-500c Mentor Implants for a D Cup?

+1

Thank you for the question.
  As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.
 The best online advice I can give to ladies who are considering breast augmentation surgery is:


1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.


2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
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 or D cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.


3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.





I hope this, and the attached, helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 681 reviews

Implant Size Selection

+1

It is very difficult to predict what cup size you will be after your procedure.  Cup sizes are not standardized.  So a D cup in one designer could be a C cup or B cup in another designer.   This is the approach I use to help guide my patients with their implant size selection:

I consider two factors when selecting implants for my patients:

1.Dimensional planning
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.
Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 113 reviews

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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.