Are 350cc Implants Too Large For Over The Muscle Placement For Me?

asked 9 months ago by claire in weston
Latest answer by Scott E. Newman, MD
Question viewed 241 times
Tags: 350-399cc, implant size, over muscle

Iv'e just had a consultaion with my surgeon and im very confused!!! Im 37 have a small frame at the top with 31inch across breast at nipple and 28inch rib cage, i have had two children so lost volume of the breast at the top, im a 32aa not saggy and do not need a lift but excess skin to fill. I want to be a perky, large c cup and have been given the choice of 290cc low profile overs, i was handed 350cc to feel and i asked if i could have them, my surgeon said yes! are these to big for what i want?

7 answers to Are 350cc Implants Too Large For Over The Muscle Placement For Me?

Get 350 and put them under the muscle

Actually, you need to choose your implant size in a more precise manner than just being handed a certain size. To accomplish this In our practice, we use the appropriate sized bra, and then the patient tries on each size implant, using a gel implant sizer, until she feels she has exactly the right size for her, not too large, not too small. Too many times have I seen unhappy patients whose implants are not the "right" size, because the doctor made the choice for them... more

Robert M. Lowen, MD
Bay Area Plastic Surgeon

Implant styles are over valued

Dear Claire, There are several aspects to your question that must be considered. You are clearly a small person so you don't want implants that are too big, making you look unnatural and even, potentially, freakish. Most of my patients do not want to be "showy" but they want to see a difference, in and out of clothes. After 20 years of practice, I know of no way to pre-size patients accurately in advance of surgery. Simply stuffing implants into a bra tells you nothing... more

Richard T. Bosshardt, MD
Leesburg Plastic Surgeon

Breast Implant Profile, Volume, and Muscle Position Are All Factors for your Best Result

Dear claire- Regarding your details and the implants suggested to you, you may want to consider trying a different profile breast implant. You noted that you were given a choice of 290 cc low profile implants, but you may need to mid range, moderate, or high profile breast implants to give you the volume and shape that you want. You stated that you have some loose skin to fill, which also implies that you could probably more easily accomodate a larger implant... more

Roy Kim, MD
San Francisco Plastic Surgeon

Over/Under...

It's hard to fully advise you without a photo. I have performed over 4000 cosmetic breast procedures and I can't think of any good reason to place implants over the muscle in the situation that you describe. Again, this is just based on your description and I'd be curious to see your photo as there may well be a good reason why your doctor suggests this.

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

How to pick Breast Implant Size and Breast Implant Profile

Choosing the appropriate size for your breast augmentation relies on many factors including your current breast size, the amount of skin you have, your desired cup size, and your breast and body measurements. You should consult with a plastic surgeon performing breast augmentation regularly who will work with you to pick the right size and profile. It shouldn't be just choosing one of two sizes and the right size for you means incorporating both you and your plastic surgeon's... more

Ankit Desai, MD
Jacksonville Plastic Surgeon

Determining implant size

It is difficult to determine without photos. Clear communication with your plastic surgeon is important in achieving the desired goals of the patient. I like to communicate with patients with “goal” pictures. During surgery, I use temporary sizers to determine the size/profile that will give the patient the look she is looking for. Trying to predict the size of the implant preoperatively is not ideal. I think it is too much responsibility for the patient to... more