I am getting breast augmentation in two weeks, and my head is spinning! I am currently a small A. (droopy from nursing two children). I am 27, 5'9" and roughly 115lbs. I think my BWD is around 11. I want to get 275CCs with a moderate plus profile hoping I will get a small C. My PS said that he would not go higher than 275CCs in the mod+ profile. We are using Silicone Gel implants by Mentor. Should I maybe even consider moderate profile for a more natural look? He said it's rarely used anymore...
How to Obtain the Most Natural Look With Breast Augmentation For Small Breasts on a Thin Frame? (photo)
Doctor Answers (15)
Natural look for small breasts
You should get a great result. You have a nicely shaped breast which has simply lost volume from your pregnancies. I think a moderate plus implant sounds right though a lot of it depends on your chest and breast measurements, as well as goals. You might not get into a C but I wouldn't emphasize the bra size but rather the "look" you are going for. For that you need to have a good discussion with your surgeon and show photos of what you're looking for. Good luck.
You're on the Right Track
In general I agree with your surgeon and think you're likely to get a great result with the plan you've outlined.
In the interest of playing "Devil's Advocate"and helping you be sure of your decisions and goals, bear in mind that the "natural" result you are asking for is synonymous with smaller breast implants, and that it is undoubtedly more common for patients who are not completely happy after breast augmentation to wish their breasts were a bit larger than it is for them to wish they were a bit smaller.
Congratulations- I think you are an excellent candidate.
Web reference: http://www.DrArmandoSoto.com
Use the implant that fits your base width diameter
Thank you for your question and the photos. I think that is a good choice if you want to have a full but still natural look.
Your surgeon is right. The moderate profile is rarely used because they are wide and offer little projection. In fact, Mentor has replaced the Moderate with the Moderate Classic Implant which has different volume choices and dimensions than the Moderate Silicone Gel Implants.
The Moderate Plus and the High Profile Silicone Gel implants are still available in the same sizes and dimensions.
FYI: The diameter of a 275cc Mentor Moderate Plus Silicone Gel Breast Implant is 11.7cm and the diameter of a 275cc Moderate Classic Silicone Gel Implant is 12.5cm which is probably too wide for you and has less projection.
If you are still unsure, go back to your plastic surgeon's office for sizing again. I hope this helps.
Web reference: http://www.mentorwwllc.com/global-us/Breast.aspx
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Moderate profile silicone implants can cause rippling.
Hi. Do not use moderate profile implants. They cause rippling. 275 cc's sounds good for you, but this article explains how we choose implant size.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 your chosen look is realistic for your anatomy. The most common mistake is to go too big.
5) I recommend that the surgeon NOT make a final implant choice in advance, because this is just an educated guess.
6) The surgeon should have a large inventory of different size and shape implants available in the operating room.
7) Then the surgeon can put sterile disposable implant SIZERS in your breasts during surgery, to see what a particular implant really looks like inside you. This is how to make the best choice. A sizer costs only $45, and takes all the guess work out.
8) Finally, the sizer is discarded, and the correct breast implants (based on what you want and on your anatomy) are opened from the operating room inventory, and put in your breasts to complete the operation.
Natural results from breast augmentation can be difficult to achieve in thin patients
I think the key to a good result for you is sub-muscular augmentation using an implant with diameter that fits well within your breast width. Yuo are quite thin and don't have a lot of soft tissue coverage, so using a big implant would be a mistake. 275 cc seems like a reasonable choice. The 'moderate' profile implant is going to be slightly wider in diamter with a little less projection - probably a neglibile difference.
Breast Implants for “Natural” Look?
Thank you for the question and pictures.
I think you and your plastic surgeon are thinking along the right lines. I would suggest and careful communication of your goals. in my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” or “C cup” etc. means different things to different people and therefore prove unhelpful.
I am sure you have chosen your flat plastic surgeon for good reasons; once you have communicated goals carefully, let him “do his thing”. Don't try to micromanage size/profile of breast implant used. It will be important for you to develop a sense of trust so that your “head can stop spinning”.
Again, communicate your goals clearly and then RELAX ( as much as possible).
A decison for the appropriate implant for you really requires an exam in person. Your anatomy and your surgical desires are important factors in the selection process. In narrow framed patients I often go with hp's or mod + profile.
Trust your surgeon re breast aug choices
it sounds like you and your surgeon have collaborated and come up with a good plan. from your pictures alone, not having the advantage of examining you in person, the 275 mod. plus silicone implant seems like it would likely be a good choice. over vs under muscle varies by surgeon, and different surgeons get good results either way.....but my recommendation would be to go under the muscle because you are so thin.
Web reference: http://www.drbarach.com
Breast augmentation sizing
Thanks for your question. i think you are making a good choice at 275 cc moderate plus silicone gel implant. In my practice I would definitely place the implant under the muscle.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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