BA in 4 Days & Nervous About Size. Is There a Big Difference Between 500 & 590 Silicone Under the Muscle? Doctor Answers, Tips
Breast Implants: Q&A
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BA in 4 Days & Nervous About Size. Is There a Big Difference Between 500 & 590 Silicone Under the Muscle?

I am having implants with a lift in 4 days! I am 5'10" and 145 lbs. I had two consultations and one doctor suggested 590cc which sounded huge. However when I had a second opinion with a doctor who is well known for his conservative approach he suggested 500 cc to balance out my body. When I tried in the spacers with my clothes on, the 600cc looked like I normally look in a push up bra. I don't want to need a push up after my BA. Do you think the result can be accurately predicted by the spacers?

10 Doctor Answers | Asked by WifeandMom
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Sizers and Accuracy in Breast Augmentation

Sizing someone for breast implants can be somewhat inaccurate, because the implants are blunted to a degree if they are placed under the muscle. I tell patients to add about 50 cc to whatever size they select. Also, remember that the profile of the implant and the chest wall width as well as volume will all need to be reconciled.
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Best Breast Implant Size/Profile for Me?

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... more
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Implant size selection to acheive your goals

There are many factors that go into 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... more

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+1

Breast implant size

Both sizes you mention are pretty large, so if you are undecided between the two, I recommend the 500 . Believe me, it's plenty!
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Breast augmentation

The "baggy test" or using spacers gives a rought estimate for the volume that may be suited for you. To be more accurate, you would need an exam.
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Breast Implant volume anxiety

At 5'10" and 145 pounds an implant in the range of 500 to 600 may be very appropriate or it may be too large. There are many factors to consider when selecting an implant for breast augmentation. Unfortunately all the patient usually looks at is volume. This is actually the last thing that I look at. It is imperative that the implant to be used has been properly sized in regards to base diameter and projection as well as your individual anatomy. Vectra 3 D... more
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Choosing Implant Size

Many patients find the process of deciding their implant size to be exciting, but also somewhat anxiety provoking. This is normal. Trying on implant sizers in a bra is a good starting point. From there either a 3D imaging system (when appropriate), or using measurements will help refine the implant choice. In our experience, when women have a lift, the breast appears smaller after surgery even though only a little skin is removed. The true volume of the breast does not appreciably... more
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Estimating implant size

Trying on spacers over your clothes is simply a way to figure out how big you would like to be, but not accurate in determining exact implant size. In other words, it helps to show your surgeon how large you would like to be, but the 600 cc spacer does not mean you need a 600 cc implant. Think about it- you are putting a spacer on top of your breast, while the implant is often placed under the muscle, and obviously would not offer the same shape as sitting on top of your breast. There are... more
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Breast Augmentation Size

The choice of an appropriate size is a critical component of any breast augmentation. I utilize both computer imaging and sizers to indicate the range of potential results. There is not anything that with total accuracy predicts the final result.There are a number of reasons for this and they pertain to both the implant type and size in addition to the patients preoperative anatomy.
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Breast Implant sizes

It sounds like you have doubts regarding your breast surgery. You need to have all your questions answered by your surgeon, and feel comfortable with him before taking this surgery journey with him. It would be wise to discuss the surgery again with your surgeon prior to your surgery even if that means rescheduling the procedure.
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Comments (1)

WifeandMom 21 Dec 2012
Thank you all for your feedback. I went today for my surgery but was still not comfortable with the size after reading all of your expert comments. Instead I rescheduled for January 18th & plan to have 455cc. I'm hoping it will take me from a moderate B to a D. Any thoughts or feedback would be great. Again, I am 5'10" & 141 lbs (stress from this topic made me drop some pounds).

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