Breast Implants Q&A

80%

WORTH IT RATING

1,008 Reviews

Ask a Question

View Before and Afters

Average Breast Implants Cost: $6,000

Learn about Breast Implants

4,917 people and 831 doctors are talking about Breast Implants

Get Free Email Updates

Help! I Can't Decide on a Size, and my Surgery is on Friday.

asked 1 year ago by Houston TX1193 in Houston TX
Latest answer by Otto Joseph Placik, MD
Question viewed 515 times
Tags: breast size

To begin: I am 5'7", 110 lbs and very thin throughout. I did consultations with 3 surgeons though, and they all said I have enough breast tissue to cover a saline implant so that is what I'm going with. I am currently a 34A, and was hoping to go to a 34 small C. My surgeon and the nurses all recommend I get a 300cc implant, though I was originally thinking of not going higher than 250cc's. Any advice? I don't want to have huge, unnatural looking breasts. Thanks!

15 answers to Help! I Can't Decide on a Size, and my Surgery is on Friday.

Go with surgeon's advice on breast implant size

There are different schools of thought on how to choose the best implant size, and no method is perfect. For example, it is not uncommon for a patient to feel that the implants are a bit too large early on, then just right when swelling subsides and they settle a bit, then maybe cuold be a bit larger after a few months. I presume that you had the opportunity to try samples on in a bra to preview them. Again, this is not a perfect way to predict, but it helps you and your surgeon... more

Richard Baxter, MD
Seattle Plastic Surgeon

Help! I Can't Decide on a Size, and my Surgery is on Friday.

You forget top post a photo. So my guess is follow your chosen surgeons advise, otherwise if you are that unsure reschedule the operation. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

It is not your job to choose size of breast implants!

How to pick breast implant sizes Article by George J. Beraka, MD Manhattan Plastic Surgeon 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 yo... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Implant size

This is a very very very comon question. First of all most patients want a "natural" look but almost all love their look regardless of how "natural" they look. Most patients are concerned about going too large but almost all feel that they could have gone larger once the augmentation is done. The larger the implant relative to the breast tissue, the less natural the result. Saline also is les natural than the gel implants especially if the patient has little... more

John P. Stratis, MD
Harrisburg Plastic Surgeon

Implant sizing

I find it helpful during a consultation to have patients place implant sizers in a bra to get an idea of what a particular implant will look like. You didn't mention if you had the opportunity to do this at any of your consultations. One thing to keep in mind with this, however, is that the implant will ultimately look a bit smaller (by about 5-10%) once it has completely settled, as compared to preoperative sizing. Therefore, if a patient likes the look of a 275cc... more

Robert Wilke, MD
Minneapolis Plastic Surgeon

How to determine bra size after breast augmentation

Short answer: that size and style implant should give you your desired result. Long answer: Bra sizes are confusing. More often than not, a woman is not wearing a correctly fitted bra, doesn't know her bra size, or doesn't know how a bra is fitted. Cup size is dependent on the "number" part of the bra size... a D cup in a 34 bra is a different size from a 42 bra. Outward projection is further determined by the "profile" of the implant. High school... more

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon

Breast augmentation: you can decide on how you want to look

You may not be able to decide on the size of the breast implant. It seems unlikely that you could unless you have been involved in hundreds of augmentation procedures and accumulated experience. I do think that your surgeon is off to a good start with the suggested size, so you can worry less. What you should do is arrive with a bra you wish to fit, and photos of a look you feel is perfect for you. Ask you surgeon to put them up in the room during surgery, and get as close as he can to... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast implant size

Without a photo it's hard to say but trust your experienced surgeon's advice. A 250 will not get you from an A to a C. It will be too small. A 300 sounds very reasonable for you and will not be too big.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

The difference between a 250 cc and 300 cc implant is relatively small

The difference between a 250 cc and 300 cc implant is relatively small and should not be a source of concern. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

What size is best for me?

When deciding to undergo surgery you must be 100% comfortable with decision. As a plastic surgeon, it is quite alarming to read that you do not know what size you want to overtake. It makes me wonder, are you comfortable with your choice to have surgery in the first place? A surgeon can recommend any size that they personally believe would look natural on your body, however, at the end of the day your decision is the only one that matters. Due to the fact that you... more

Sam Speron, MD
Chicago Plastic Surgeon

Breast Implant Size

I agree with my colleagues that the implant size should be determined by the Plastic surgeon after adequate consultation with the patient. However, the patient should have the final decision. This should be a joint effort. The goal of the consultation should be to educate you and allow you to make an informed decision on the proper size to meet your desired breast size. Your question suggest that you did not spend enough time with your Plastic Surgeon. Choosing the correct... more

Stanley Okoro, MD
Atlanta Plastic Surgeon

www.georgiaplastic.com

Determining implant size

I also recommend you try on different size implants to determine what size you would be most happy with. This is a very common problem with patients who are simply told what size implants they should get. Would you buy a car without driving it? That said there is not a tremendous amount of difference between a250cc and 300cc implants once it has been in for 3 months and your breasts have had time to adjust to them.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

"Try On" Implants Before Surgery

"trying on" a breast implant sizer while wearing a non-padded bra and a fitted top will allow you to see the what different sizes of breast implants actaully will look like on your body type. Doing the "rice test", or even a computer simulation can also be helpful. Deciding on a number without first seeing yourself in a mirror is not the best alternative in my opinion.

John LoMonaco, MD
Houston Plastic Surgeon

www.DrLoMonaco.com

Advice on implant size

Good luck with your surgery, but you really should not have too many doubts at this point if you had an adequate consult. You can always do the rice test and see what you like.

Steven Wallach, MD
Manhattan Plastic Surgeon

Size of implants

The first thing that struck me is that you are not completely in agreement with what the plan is and your surgery is two days away. That is a red flag for me since cosmetic surgery is an elective surgery. You should be completely convinced and secure with your decisions. No one other than the surgeons that have examined and consulted with you can really determine what your implant should be. Rather than fixate on the volume, you and your surgeon should go over the rationale for... more