I am 5'6, 125lbs, 34B wanting to be a full C Cup after a breast augmentation, and I have a 12 cm. breast diameter. The only high profile implants that has a 12.0 cm. breast diameter is a 425cc. I feel that this implant size is too big. Can I go with a 375cc which fits a breast diameter of 11.7 cm. or can I go with a 400cc that fits a breast diameter of 11.9? My platic surgeon's nurse said the 375 or 400 would be too narrow and that I should go with a 425-475cc, but I really want a 375cc-400cc. What size cc should I go with? What size is too narrow or too wide?
What Breast Implant Size is Too Wide or Too Narrow? 5'6, 125lbs, 34B wanting a full C Cup
Doctor Answers (15)
Proper sizing of implants in primary breast augmentation
Fitting a breast implant to you rather than fitting you to a breast implant is kind of like fitting your foot to a shoe. The dimensions of your foot have to fit the shoe if it's going to fit and look right. If you choose the shoe size first and then try to make it work you may have a problem.
Implants are pillow volume but they fit properly if the base width fits within the internal width of the breast. The vertical height is the same in round implants and will generally automatically fit if the pocket for the implant is handled properly. It's the forward projection that you can choose and the tissues will accommodate within implants currently available from Allergan and Mentor that are scaled for their width.
If your breast width is 12 cm then, allowing for tissue thickness, the width of the implant should be around 11.3 cm. In a medium profile saline implant of Allergan or Mentor this would be about 250 cc's and will not only fit and look good but increase your breast size by about 1 and 1/2 cup sizes relative to what you started with and to your chest circumference which doesn't change.
Mentor does not have a high profile saline implant scaled to the same width as in the medium profiles so your next choice up is the Mentor Moderate Plus which falls between a medium and a high profile. This would be a volume of about 300 cc's and would make you look more than a cup and 1/2 bigger but less than two cup sizes bigger.
The Allergan (Natrelle) high profile saline implant that fits would be a 320 or 350 cc base volume implant and would make you look about two cup sizes larger.
I recommend the patient choose whether they want a saline or gel-filled implant and whether they want a low, medium, moderate plus (saline), or high profile (the names are different in gel-filled smooth, round implants) which will increase their apparent breast size by a cup to two cup sizes. The volume of the implant is determined by the width of the breast and the patient's choice of profile. Size increase cannot be measured exactly and breasts that are unusually wide or narrow will be exceptions.
Choosing the right breast implant size
I'm glad to hear that your surgeon is using your chest wall measurements (base width) to consider a range of implants just right for you. Volume alone is not the best way to predict your final post augmentation size. I consider two factors when selecting implants for my patients:
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 implant that is suited for your body frame. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for.
This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.
In your case, there is not much difference between a 375cc and 400 cc High profile implant. If you look at the dimensions of each of those implants, they are mere millimeters off. I would try sizers to help you make your decision.
Choosing the implant size.
In addition to my colleagues comments, It seems as if you are focusing on the high profile implants only. If you consider the moderate plus implants, you can achieve a 12 cm fill with a lower volume implant, if that is your preference. Before sheduling surgery, you should feel comfortable with your choice of implant size.
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Choosing styles of breast implants
As Dr. Aldea has said, you will have the fewest complications if you use smaller rather than larger implants. Unless you definitely want the "look" of a high profile implant, you could certainly use a moderate (most natural) or moderate plus (slightly fuller in the upper pole than natural) and easily use the full 12 cm width without looking too big. Unless you use the best width for your body, you will run the risk of having too much space in the middle.
Breast implant sizing
Patient anatomy is a guide to choosing an implant shape and volume. If you have a breast diameter of 12 cms, than you have many choices. Go with the volume you want and align the implant type with your dimensions.
Don't get bogged down in breast implant dimensions
I'm a little concerned that you are getting too bogged down in technicalities and numbers, rather than volume and form. I've read several of the answers above, and I have a little different perspective.
My postoperative results are usually aimed toward a natural appearance that shows off your body form rather than the implants themselves. I tend to use implants that are a little narrower than your breast diameter, and I offer my patients a range of implants based on volume rather than exact measurements.
I find it most important to use sizers in brassieres, with your clothes draped over to approximate the look you are looking for. This is much more important than millimeters of width. The implant itself will lie in various positions and orientations in the pocket that your plastic surgeon makes, depending on multiple conditions including your position- upright, lying down, etc...a few millimeters either way is unimportant when the implants are in place.
What is most important is the volume that is added to your breast, and that you are happy with your expectations.
Many options available for breast implant size selection
Time, weight and gravity are not on your side. Remember that the larger the implant and the weaker the surrounding support tissues the more problems you can expect over the years. A slightly more narrow implant will not make any difference with your final outcome but using a larger sized implant than desired will. Shape and base diameter are much more important than absolute implant volume. You are wise to educate yourself on the many options and use some common sense when selecting your best option.
Choosing a breast implant size
You will be fine with the 375 cc. It's only 3 mm smaller than your base width, and I've found it's better to be a little narrower than wider with implants. Also, Allergan's Natrelle line of implants run narrower overall than Mentor's implants, so you might consider a Natrelle implant. It would likely allow you to have a 339 cc or 371 cc implant and still be within a good range for your base width.
Breast Augmentation and Implant Sizing
What you really need to show your plastic surgeon is what look you are going for. From there on your plastic surgeon should be the one to look over the implant sizing and decide what implant works for the look you are trying to achieve.
I would start with doing the rice test, which I have posted on the journal part of my website, http://www.feplasticsurgery.com/journal/orange-county-breast-augmentation-sizing/66/. This will help determine the volume and how big you want to be. After that you surgeon can help you with the implants and give you an idea of what kind of look the moderate will give you, what the moderate plus and what the high profile will give you.
Choosing the right implant size
Hi Danielle1986 - 25-50cc makes very little difference in the size of the implants. If you're looking for projection, you may want to go with the slightly larger implants as many women wish they were bigger after undergoing an augmentation. If you're in doubt, you can fill plasic bags with varying cc's of water and place the bags in your bra to get an idea of the size that you want. Good luck!
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.