How Do I Choose The Right Implant Size?

I will be getting a vertical lift. I am a saggy 34/36 C. My PS said 375- 425 cc silicone mentor mod +. I tried the 375 and that was the smallest I liked. Would 425cc under the muscle look like the 375 sizer did or more like the 400? (trying to decide on 400 or 425 ?) The implant will be under muscle so it will visually look smaller than the same cc sizer...right?

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Choosing the right implant size

I agree with the other surgeons' responses to your question. The difference of 25 cc's is about the equivalence of 2 tablespoons or one shot glass of fluid. It is not something to stress over. If you are worried that you are going too small, my suggestion would be to choose the slightly larger size for peace of mind. In my practice, I don't have the patient select the exact size of implant. I have our patients size with the implants and provide me... more

Breast implant size

Listen to your Plastic Surgeon's advice! If you think the bigger implant is better; you may make the breasts "fall" much faster due to the weight of the "too large" implant. Communication with your surgeon, who you trust, is imperative.

Choosing the right size implant

First, don't get crazy about 25cc! My guess is that you couldn't tell the difference. Have faith in your plastic surgeon. If you did your homework and like the way your consultation went, trust your surgeon's judgement. That being said - this is what I recommend: Go to a breast implant website - like implantinfo.com. Search the surgeon before and afters. Here's the secret for success - First search by height and weight. Second - find someone who has... more

Implant size

This is most certainly an FAQ. Trying on implants in the office really helps. Make sure you take a good look with a full length mirror to see how the implants look with the rest of your body. Proportion is very, very important. Also, make sure your surgeon is taking your breast diameter into consideration. It is important that the implants "fit". It is true that implants under the muscle won't project as much as an implant stuffed in your bra... more

How to Choose the Right Implant Size

Every surgeon has a slightly different method of recommending a particular implant for a patient, but in general I like to start with the patient's goals, starting anatomy including size and shape. I think photos can be helpful as well but in the end it comes down to really letting your surgeon know what you want and then allowing him to make a recommendation to you. In your case, it's hard to know if 25 or 50 cc will make a significant difference without a consultation,... more

Choosing the implant

Choosing the right implant is a multifactorial decision. It is based upon the patient's anatomy, their desires, and my recommendations. I often use sizers with patients to get an idea of what they are envisioning, and then go from there.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Question on implant size

Questions about specific implant sizes are very common in this forum particularly with regard to 1 or 2 different specific sizes. Personally, I do not leave it up to my patients to make a specific size determination - that is my job. To them, it is a number that does not translate directly into a look. It is extremely important for the plastic surgeon and the patient to be on the same page regarding the desired appearance and this can be accomplished in a variety of ways. However, as I... more

If you are already a C cup, 400 cc breast implants are too big.

1) This is the most common type of question on RealSelf. 2) It is the surgeon's job to pick the right breast implants, not the patient's. Implant selection is really pretty technical. 3) Make sure your surgeon REALLY understands the look you want. Mentioning a cup size is not enough. Show your surgeon pictures of breasts you like. 4) Then your surgeon has to tell you if your chosen look is realistic for your anatomy. The most common mistake... more

How to choose the right implant volume?

I choose the proper left side volume and the try to get the right to match the left. Sorry my filter was turned off. On a serious note, This determination can be estimated based on wearing a sizing bra and implants. I always have many implants available in the OR because I cannot tell until I place a sizer in the OR what a breast will look like. Something lead you to your PS choice. If you are familiar with their work then proceed. Get another opinion to help give you more confidence. Good... more

Implant size decision

Communication between the patient and surgeon is critical when choosing the optimal implant size (and shape). First I ask patients about their goals. Then I examine them to determine what size range I believe will look best for their body. We look at pictures of other patients together and agree on a general size. In the operating room, I confirm with sizers within that range which implants look the best.

Breast implant sizing

It is important to communicate your size goals with your surgeon. 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 “C cup” means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be... more

Choosing the right implant size

Choosing a plastic surgeon with whom you feel confident and secure with is more important than trying to 'choose' the perfect size implant for you. During the consultation, I will discuss with patients their goals of the procedure, the size breast and 'look' they are attempting to achieve, we will look at the various implants so the patients can get an idea of what the sizes mean. Ultimately, I generally choose the size based on all these factors in addition to... more