Implant size

Steven Wallach, MD answers: How much cc is needed to achieve full C breasts?

I am 31 years old, 5'4 & 145 pounds. I have had 1 singleton pregnancy and twins; I breast fed all three. I wear a 36B, however, the B cup is not filled out in the top part of the bra--it's a little loose. I am getting smooth, round, moderate plus profile silicone implants. I would like to be a full C, but I don't want to look fat or too big. I have been told 370, 450, & 500 by 3 different docs. Based on my pictures, what cc would you recommend?


Steven Wallach, MD
15 days ago

This is all discussed in consultation and after a thorough exam. Measurement are taken and sizes are determined at that time. I send patients home with an approximate volume that they should try out at home.  If they want more or less they tell me. If it is within reason, then we go forward.

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A: Very large breast implants are a bad idea.

George J. Beraka, MD
15 days ago

Hi!

1)  I think you will be very unhappy with 450 cc's or 500 cc's.  You will look buxom and fake.  Very large breast implants stretch your tissues and age badly.  This is not good judgement.

2)  370 cc's is at the upper end of what you may need. You have a fair amount of your own breast volume, and you don't want to be larger than a full C.  

3)  Here's the important point :  I think it is a mistake to select final size in advance because, no matter how good an eye I may think I have, it  is just an educated guess.  We put disposable implant SIZERS in your breasts DURING surgery, before the permanent implants are opened.  This way we can see exactly how a particular size looks in your body, and there is no guess work.  A sizer costs only  $45, and it is discarded at the end of your operation.

4)  This approach requires having a large inventory of different implants available in the operating room, and many busy plastic surgeons have this.

5)  Your left breast is a little larger and saggier.  This asymmetry should be addressed.

6)  You may find the breast augmentation page on our web site useful.

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