Is 475cc to Big for Me?
Doctor Answers 4
How big is too big?
Thank you for your post and photo. It does seem like one breast is bigger than the other. The most important decider of the implant size is breast width. You want to make sure you have the width to fill the entire breast without leaving a gap in between. While projection is subjective, width is not, and should be the main deciding factor.
Pablo Prichard, MD
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Best Breast Implant Size/ Profile for Me (Revisionary Surgery)?
Thank you for the question.
Unfortunately, online consultants are not in a position to provide you with precise enough advice. I would certainly not base any decisions you make on specific advice received online. The best (general) online advice I can give to ladies who are considering revisionary 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 "too big" 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 link) help.
Volume alone will not produce the projection you desire
Unfortunately, you have not told us your cup size. If you are a 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are a 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. To go from a 300 to a 475 will increase you 1 or 2 cup sizes depending on your bra size. However, the major issue with your breasts is not size but they are bottoming out and larger implants will bottom out even more. You are an excellent candidate for a new technique called Implant Exchange with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to exchange your implants with smaller ones, reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant. Small silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Volume alone will not give you the projection you desire.
Gary Horndeski, M.D.
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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.