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Breast Augmentation Advice for Size and Placement

I'm booked for breast augmentation next week, but I'm still unsure what size I want. I'm 5'11" and a 36B currently. I'd like to be a D cup, but not the fake look. The surgeon said 325cc round silicone implants over the muscle. Should I opt for slightly bigger? My friend who is only 5'5" got 380cc and they don't look that big. Also, she got hers put under the muscle and was told that's how they look the most natural. Is this true?

Asked 34 months ago by meals in England
Sort 6 expert answers by:
+2

Tough to know without an exam or a photo

Picking the right implant for each patient requires good communication between the surgeon and the patient, and a thorough discussion of the advantages and disadvantages of several options, including: type of implant (saline or silicone) profile of implant (denotes the shape of the implant and how much projection it has) size of implant implant pocket (subglandular (in front of the muscle) or subpectoral (behind the muscle) Every woman has different goals, different anatomy, and as... more
Shahram Salemy, MD
Seattle Plastic Surgeon
+1

Breast implant size and placement advice

Yes breast implants placed under the muscle tend to look more natural (see my realself articles). However there are consequences. See video below. IF you are set on a D cup breast I would go with a larger implant.. Try sizers on. see video
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

You will need a bigger implant

I have many patients in the 5'11" to 6' plus range and on this frame, a 325 implant will give you a full B or small C result. Most of these patients need an implant in the 400-450 range to get a reasonable size for their heights and frames. The base diameter of the implant should match the base width behind your breast and this dictates the volume that is best for you.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Meals on wheels

Meals, Things are apparently done differently in England. Actually, there is some practice variation here in the states as well. Most plastic surgeons in the U.S. use a technique known as biodimensional planning, in which measurements are taken of your breasts and chest and coupled with your height, weight and personal goals to give a narrow range of implant sizes. I will have 3 (an extra one, just in case) of each of the implants in that range available for the surgery. During the... more
Kenneth R. Francis, MD
Manhattan Plastic Surgeon
+1

In my experience at least 375-400 cc is required to produce a D cup in a Victoria Secret

Bra sizes vary by manufacturer. For most average women with B cup breasts I have found that 350 cc implants usually crreate a C cup and 400 cc is required for a D cup using the Victoria Secret Bra cup sizes. I am also talking about round low profile or moderate profile gel implants. I have not found that submuscular versis subglandular implant location makes much difference with regard to final size.
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

You are not ready for breast augmentation....

You are clearly unprepared for your surgery if you do not know the exact plan and your surgery is next week. No surgeon on a forum is able to tell you what size implant and where to have it placed without examining you. A 350cc implant looks very different on a lady who weighs 100lbs at 5 feet tall versus a 6 foot tall lady who ways 180lbs. You need to see your doctor and have a long discussion explaining your goals and asking your questions. Why are you going above the muscle vs... more
Evan Sorokin, MD
Cherry Hill Plastic Surgeon
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