How many ccs for the desired results on my frame? (photos)

Thank you for your question and photos. The photos of movie stars can be helpful, but it's important to remember many of these pictures are usually retouched to make areas look fuller, softer, rounder, etc. On-line pics are good to give you an idea only of what you would like for fullness and volume, but remember they are often not a true picture of reality.  Direct communication with your plastic surgeon is key. I think that 3-D imaging has been most helpful for my patients, and you should discuss this with your surgeon. You may also consider doing an implant try on session with implant sizers at your plastic sugeon's office, however this is only an estimate of volume, and does not demonstrate what the shape will be like. I agree with your surgeon that 400 cc is a big implant for your frame! Good luck.

When I see patients for breast augmentation, I teach them how to try out different size implants in a soft bra to help them decide for themselves what volume feels right to them. It is my job, as a plastic surgeon to guide them towards a range of sizes to experiment with that will work with the skin and breast and chest wall size they have. After they have chosen a volume that feels right, I have the ability to measure and choose a style of implant that will work best for them. But ultimately, the volume is for the patient to choose with careful guidance from me. A surgeon is not really able to choose what is best for the patient. In my opinion our responsibility is to guide the patient to help her make a good choice for herself. Before having surgery, you should make sure you are comfortable with your surgeon and the choice of implant size. Ask your surgeon, get another opinion if you are still unsure of what implant is best. Best wishes.

Thank you very much for sharing your concerns with us. After having analyzed all the info. and photos provided to us, i can realize that you have an underdeveloment breasts and a low-grade breast fall.For these reasons, I recommend a Breast Augmentation using microtexturized highly cohesive silicon implants, with high projection and considerable volumes 500ml. up to fill the breasts properly, and placing them under the muscle, to get a natural look and long term best results.Respectfully,Dr. Emmanuel Mallol Cotes.-

Thanks for your question. I would suggest following your surgeon's advice. It seems like that would be enough to fit your frame. I hope you communicated all of your body goals with your surgeon because that is a very important factor in achieving your body goals.Dr. ResultsMiami, FL

Hello,Thank you for the question and photos. It is very difficult to say what will "fit" you without physically measuring you, however if you wear a 32 band bra, you are petite, so it will require less volume to give you a "large" look. 400 may be plenty. I recommend trying the sizers on with a soft bra in office in order to truly see and feel what suits your frame. Don't hesitate to book a consultation with another Plastic Surgeon if you haven't had the opportunity to do that.All the best!

Hi Melanie, Thanks for your question and photos.  A couple things -- while the photos of movie stars can be helpful, it's important to remember many of these pictures are airbrushed and retouched to make areas look fuller, softer, rounder, etc. Wish pics are great to give an idea only of what you would like for fullness and volume, but remember they are often not a reflection of reality.  I completely agree with Dr. Pousti that open and direct communication with your plastic surgeon is key.  You may also consider doing an implant try on session with implant sizers at your plastic sugeon's office.  My patients enjoy this as it gives them an idea of what to expect.  While not exact, it does at least give an idea.  My very best to you. -Brian S. Coan, MD, FACS

 Thank you for the question and pictures. Online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.  Best to discuss your goals, expectations, concerns, and questions directly with your plastic surgeon, preferably prior to the day of surgery.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” or "giant balloons" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

If you did not have breast lift, since you have a certain amount of drooping you would need a very large implant 450-500 cc and I don't know if it would end up looking like what you want.