Under the muscle implants should be larger than the sizers

David Reath, MD answers: Do you lose 50 cc's with behind the muscle silicone implant placement?

I am getting silicone breast implants on Friday and am really scared of going too big. I am currently a "B"; I want to be a "C". I have chosen 350cc in hopes they will look like the 300-325 implant I tried at my doctor's office.


David B. Reath, MD
7 months ago

One of the most uncertain things for women undergoing brest augmentation is to know what they will look like with a certain volume implants.  And, as a surgeon, it can be difficult to understand what a women wants when she say she wants to be a full C cup of a small D cup.

The use of sizers during the pre-operative consulations has made this very much more straight forward.  We will put our patients in a bra and then place different size implants in the bra to both let the patient know what they will look like with a certain size implants, and to let us know what the patient wants to look like.  We will frequently do this several times with different tops.

But that's not the end of the story.  There is not an exact one to one relationship between the sizer a woman wants and the implants we will use at the time of surgery.  Gerneally speaking I will use an implant 50 cc larger than the sizer that is chosen if the implant is going under the muscle. If a very large implant is being used we may go up even a bit more in the size (60 cc's or so). 

This has worked quite well for us.  While there are always people who wish they were a little larger or a little smaller, this has really helped make the implant size selection more accurate.

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