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Debating 286cc Vs 304cc Natrelle Implants For My 34A Frame.

asked 4 months ago by Distressed Damsel
Latest answer by Jeffrey Hartog, MD
Question viewed 428 times
Tags: A cup, implant size, natural appearance, opinion

I'm 5'5" and 130lbs with a 32" ribcage wearing a 34A that I barely fill. I'm getting implants in 2 weeks and my doctor initially recommended 304cc implants. I'm worried its going to make me top heavy and my boyfriend is convinced if I get the 304's that I will look fake and is pressing for the 286's for the "natural" look. I'm agonizing over this decision to the point of obsession. My doctor is wonderful, but very hands off in the decision making part. Need help PLEASE

18 answers to Debating 286cc Vs 304cc Natrelle Implants For My 34A Frame.

+1

Implant Size

I have a hands off approach too in my practice. Everyone has a different opinion on what they think looks best. I rarely have had a patient think they were too big...but I have had many who wish they were bigger. On a 5'5 frame, you can easily handle the 304cc implants without question. Again, you must be comfortable with the size though.
Jeffrey Hartog, MD

Orlando Plastic Surgeon
+1

I wish I went bigger...

Is the most common complaint I hear from my patients after they spent agonizing over the size to go with. You should not really appreciate the difference between adjacent sizes and I always tell my patients, when torn between adjacent sizes, to simply go with the larger one. And not one has ever been disappointed. Mind you, my practice is in California. Best wishes with wonderful outcome!
Curtis Wong, MD

Redding Plastic Surgeon
+1

Too small of a difference to be overly concerned

I agree with the other surgeons. There is such a small difference between the two sizes that you are considering that it would be very hard to even notice the difference. Do not be overly concerned, however, it is ultimately your body and your decision and no one elses. T
Renato Saltz, MD

Salt Lake City Plastic Surgeon

www.saltzplasticsurgery.com

+1

Implant choices

If you are between two implants that are only about 20 cc's different then congratulations! That is a small number and I would not sweat it! Discuss your concerns with your surgeon.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Implants Sizes

Many patients find themselves on the fence between two sizes. In some ways you have answered your own question. You realize the difference is so small, it probably won't matter. You also said you wanted to avoid going too big or being too heavy, so it sounds like you are tending to go down in size and are favoring the smaller choice. All the best in two weeks, "Dr. Joe" Gryskiewicz
Joe Gryskiewicz, MD

Minneapolis Plastic Surgeon
+1

Implant size

Your boyfriend should have no input into this decision. he could be gone tomorrow: the implants are theoretically forever. i am not sure that if we put the 2 implants together that you could even tell the difference.you are obsessing about an amount slightly greater than a tablespoon. pick the ones you want and look for a new boyfriend. good luck.
Jonathan Saunders, MD

Newark Plastic Surgeon

www.drjonathansaunders.com

+1

Choosing implants for breast augmentation

Points to consider: Nice breasts derive from a good balance betweeen skin and volume. Implant base diameter must match the diameter of your chest. Review of your goals with your surgeon should include review of his/her pre- and post-op picture portfolio so you can get an idea of how he/she views the balanced female form. If your surgeon does not give you confidence during pre-op consultation then you need another opinion. YOU ARE IN CHARGE!
Daniel Greenwald, MD

Tampa Plastic Surgeon
+1

Your boyfriend's advice regarding implant size choice is incorrect.

I'm trying to restrain my shock and disdain at you even considering your boyfriend's "advice" over your surgeon's. I know he cares about you, but his belief that 304cc wil look "fake" and 286cc will be "natural" is just plain WRONG! If you were having your heart valve replaced would you accept his advice regarding selection of the proper heart valve size? Or even your correct shoe size at the store? The difference of 18cc is barely over ONE... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

www.mpsmn.com

+1

How to pick breast implants.

Hi. I hope you find this article useful. 14 cc's don't make much difference, but you need guidance about final shape and size. Get another opinion. Good luck. 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... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Implant size should not be an obsession.

Focusing on your desired outcome instead of implant size is very important for a successful procedure. It would be almost impossible to tell the difference between two implant sizes that are only 6% different after the procedure. It is likely that the difference between your own breasts is more than 18cc volume, so I would not be obsessing about choosing between two implants that will basically give you the same outcome. Choose the size that your doctor recommends on the... more
Mario Diana, MD

San Antonio Plastic Surgeon
+1

Worries about implant size

It is natural to fret over the 'right' implant size before surgery. I echo what so many othrs have said; there is no significant difference in the appearance between 286 cc and 304 cc implants. It is unlikely that you, your boyfriend or anyone else would know the difference. Communication with your doctor is the key. Find some pictures of what you want your breasts to look like and show them to your surgeon. Or ask to try on implants before hand... more
Michael S. Hopkins, MD

Albuquerque Plastic Surgeon

www.hopkinsplasticsurgery.com

+1

286cc vs 304cc Breast Implants

The difference is only 18cc, about 1/2 of an ounce. So the difference is very small and most likely will not be noticed. Go for what you think is best for you.
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+1

Implant size

You are talking about a total of 18 ccs difference. Put 4 teaspoons of water in a glass and that is 20 ccs. Thay way you can have an idea of what the difference truly is. I doubt you could tell the difference between the implants once they are in place.
Ronald V. DeMars, MD

Portland Plastic Surgeon
+1

286 or 304, not much of a debate

The difference is quite small, and your surgeon should know what you wish to look like and do the 'hard' work and selcet an implant to get you there. Seems like a red flag, hope he is not hands off during surgery. The look is up to you only, and boyfriends come and go. Some decisions you should make yourself and no one else need know. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

286CC implants vrs 304CC implants

Dear distressed damsel, distress no more. The difference between to 2 implnts you mention is so minor as to make very little diffference in your outcome. Ask your plastic surgeon if you can try on a sample implant in the office as this my make you feel more comfortable with your decision. Neither size will make you look top heavy or fake considering your ht and wt and both should creat natural proportioned results. Good Luck
Beverly Friedlander, MD

Short Hills Plastic Surgeon
+1

Implant choice

Do not obsess over this. The difference between the implants you have chosen is very small. In fact, most people are only able to see a difference in 30 cc increments. The key is communicating well with your surgeon. Show pictures of breasts you like and those you don't. I use sizers in the operating room and sit my patients up during surgery to determine if the implant meets our mutual goals. It sounds like you have a good relationship with your surgeon and the implants chosen... more
Robert W. Kessler, MD

Orange County Plastic Surgeon

www.drrobkessler.com

+1

Breast Implant sizing

Let me begin by saying that the actual volume difference between the two breast implants you are considering is quite small and I believe you will be happy with either one. Communication with your doctor is of primary importance so he or she knows what you are looking for after surgery. The words "natural", "perky" etc all mean different things to different people. In my practice, we have the patient use implant sizers in a bra to evaluate different... more
Ralph R. Garramone, MD

Fort Myers Plastic Surgeon
+1

Breast Implant Sizing?

Thank you for the question. Communication with your plastic surgeon will be key to achieving the results you are looking for. Unfortunately, the use of words such as “I really want a natural look" means different things to different people. In other words, what you consider to be natural may not be what your plastic surgeon considers to be natural looking. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

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