How Do I Choose the Best Size Implants After Mastectomy? Going from 425cc to 650cc Doctor Answers, Tips
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How Do I Choose the Best Size Implants After Mastectomy? Going from 425cc to 650cc

I had 425cc implants put in but I have very little profile. I was a B cup using a great push up padded bra. I am 53, have always wanted larger boobs. My doctor has agreed to implants of 600-650cc implants. I am going with a high profile Mentor memory gel. Implants were done in April 2011, I do not want to look like a stripper, I do want more than average for my body. Help!!! I am 5', 120 lbs.

9 Doctor Answers | Asked by db4758 in Flagler Beach, FL
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Large implants after mastectomy

Implants greater than 500cc are not uncommon in breast reconstruction. A woman will need a much larger implant after a mastectomy to achieve the desired profile because there isn't any breast tissue present over the implants. Adequate tissue expansion is also important to prevent the skin from limiting projection and allow the implant to give a good natural appearance.
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How Do I Choose the Best Size Implants After Mastectomy? Going from 425cc to 650cc

If you currently have 425cc and do not have enough projection, then going to a 650cc HP does not at all sound unreasonable. You have to remember that post mastectomy, you have NO breast tissue, so it is not at all the same as someone having 650cc for augmentation purposes because they are starting out with some tissue. You will not look like a stripper! Feel comfortable and confident in you and your surgeons decision!
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Choosing breast implants

Communication with your surgeon is the key. The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra... more

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+1

Sizing for postmastectomy breast reconstruction is very different from cosmetic cases.

Db4758: Sorry to hear about your predicament. My answer is predicated on a lot of assumptions, so ultimately, you will have to confide in your Surgical Oncologist and PS. Assumptions: 1) Your SO plans a skin sparing/nipple sparing mastectomy. If your case will require removal of a lot of breast skin, your PS will be limited in the size of the tissue expander, which can be safely buried under the mastectomy flaps. 2) Your breast cancer doesn't require additional... more
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Implant choices for breast reconstruction.

The choice of implant size and shape in a breast reconstruction depend upon your pre-mastectomy breast width, desired breast volume, and your overall body type. 650cc may look very large in one women and small in another. The staging of your reconstruction following your mastectomy and whether a dermal matrix (such as Alloderm) was used will impact the decision to use larger, more projecting implants. Higher profiles (particularly with larger implants) makes more sense in breast... more
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650 cc implants

650 cc implants are quite large and may give you the "stripper" look. However, an exam would be essential to evaluate what would be good for you. This can not just be surmised from this brief correspondence.
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Larger implants do not give better profile after mastectomies.

Hi. I would advise you not to use such big implants. You do not have as much projection or "profile" as you want because the skin is too tight. Larger implants will give you wider and higher (more fake looking ) breasts but will not improve profile. You need to accept the limitations after mastectomy
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Breast Implant Size

Dear db4758 in Flagler Beach, FL: Determining the size of implant needed for breast augmentation is subjective, so there is no single correct answer. One simple trick is to buy a bra the size you would like to be and fill in the needed volume using rice and a zip-lock bag. The amount of rice in the zip-lock can be varied until you are comfortable with the fill volume. Bring the bags to your surgeon at your pre-op appointment to give them an idea of how much additional you would like... more
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Please send your pictures

I would think that 650 cc would be too big based on the before surgery breast size. You have thin layer of skin and going too big has the risk on thinning the skin even more.
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