Is a 32A to a 32C/D Unreasonable for a Bilateral Mastectomy Patient?

I am 5'3, 98 pounds, large 32A. Finishing chemo in 1mo and am debating radiation vs. bilateral mast. I have had a consult with a PS who highly discouraged going from a 32A to a large 32C (which I would like, why not). He said at max he would recommend 400cc's which would bring me to a large B. Going to a large 32C would bring more complications? Im concerned about rippling bc i'm thin. The PS also said silicone implants, in his hands, had higher rates of cap. contracture. thoughts? Thank you!

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A to D cup 5 ft 0 in to 5 ft 3 in silicone implant 090-109 lbs bilateral mastectomy chemotherapy second opinion

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3 Doctor Answers | Asked by guavahawaii in Hawaii

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Obtaining larger breast size after mastectomy

Your desires are reasonable following your mastectomies to increase your cup size. An examination and evaluation by a board certified plastic surgeon who focuses on breast reconstruction would be able to assist you in determining the best reconstructive option for you as well as expected outcomes following your procedure. One of the most important determinants for breast size would be your breast width as well as the tissue laxity following your mastectomy. Both... more

Breast reconstruction after mastectomy

I think you reconstruction depends upon many things. 1) what type of post-op treatment you will have, 2) what your anatomy is like,3) your mediclal history to name a few. I prefer autologous reconstruction for most people. Tissue expander of even immediate to implant reconstruction is possible.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Immediate one stage breast reconstruction with silicone gel implants and acellular dermal matrix

Without knowing more of the details of your case I would suggest by you breast measurements that a certain volum can be reached based on the weight of the mastecomty plu 10 to 20percent more. Based on measurement I use that to guide what implants make sense and have several options available in the operating room including sizers to help guide my selection. It is also criticcal to mark the lateral border of the breast try and recreate this landmark so the appearance is as close... more