Breast Augmentation: Q&A

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Go Against PS Recommendation For Breast Implants? (photo)

I am 5'3" and 128lbs, I wear a 34A in VS and have a short torso. My PS gave me his prof opinion on "perfect size for my frame". He suggested 304 silicone mods. He said a 339 mod or 350-375 HP would still fit my chest measurements, but would be pushing it. After reviewing pictures, I can't help but want to go 375 HP. I would rather have a little fakey and perky vs big and saggy. He is also doing a lift, just around the nipple. Will I look ridiculous with 375 HP?"

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A cup 5 ft 0 in to 5 ft 3 in 110-129 lbs second opinion

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17 Doctor Answers | Asked by ccs

Doctor Answers (17)
Community Comments (2)

Implants and Breast Lift

I never understand Plastic Surgeons who just suggest a breast implant size. The only way to determine the correct size is to try them on. I have my patients wear a sports bra then we try on sizes, too big, too small and keep working our way to the best implant. High profile will give you two baseballs on your chest. It will not be flattering. I would use low profile implants to help fill the upper poles. Again I don't know what size, you'll have to try... more

Avoid large implants by simultaneous lift

300 cc implants would take you to size D. However, just as important as implant size is a lift. You may benefit from a new technique called Breast Augmentation with Mini Ultimate Breast Lift. Using only a circumareola incision it is possible to reshape your breast tissue to increase upper pole fullness, raise your breast higher on the chest wall and more medial to increase cleavage. An implant can be placed at the same time. Aligning the areola, breast tissue... more

Going against operating surgeon recommendations

I am concerned with the question and the 15 responses I see here. With many years of experience and thousands of cases, I can say that this size, shape, and type of breast is a setup for a poor outcome if the surgeon doesn't know how to fit and position the implant, adjust the inframammary crease level, or the patient is choosing the implant volume or expect size/shape of the breast. In rhinoplasty, this is part of the Michael Jackson problem. The patient thinks they can just... more

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The right implant for you

Hello. The size your surgeon recommended seems reasonable to me but if you want more and the 375 HP fits your measurements then talk to your surgeon about your concerns. What he describes as “perfect for your frame” may mean what would look the most natural for your body. If you are going for a more “fakey and perky” look make sure your surgeon knows how you feel. Maybe bringing in pictures of how you’d hope to look could ease some of the confusion. Jaime Perez,... more

Go Against PS Recommendation For Breast Implants?

You might need to chose a new PS but I think you should have a large % of the input choice to your implants.

Correct implants for Sagging breasts

You have breasts that are saggy with your nipple almost at the inframammary fold. However your nipples are still fairly close to the mid-arm level which is where you want them to be. The larger the implant you chose the more the implant will need to be placed in a lower position in order to center the nipple relative to the breast so the nipple does not look low relative to the breast. The larger you go the greater the need to lower your current inframmary fold if you do... more

Benjamin Chu, MD

15 reviews

Honolulu Plastic Surgeon

Larger than implants than plastic surgeon recommends

Choosing implants for a breast augmentation is a difficult task. Implant size is based on your aesthetic goals and your anatomy. Additionally, sometimes going with implants that are too large may have more long-term complications and issues requiring more surgeries -- capsular contracture, implant malposition, etc. Keeping these issues in mind, I would discuss your desires and aesthetic goals with your plastic surgeon; also, ask him or her his concerns regarding going with... more

Breast implants

375 is not too big, and would look good. You may even consider implants only, and only raise the nipple after the skin has stretched. You may not need it. Good luck.

What is the best implant for my size - high profile or moderate profile

One of my favorite quotes from a famous breast plastic surgeon: "Everyone wants natural, but natural is getting bigger every year". I find this to be true. Almost every patient desires slightly larger breasts after they have adjusted to their new frame. It is true that the larger you go, the more implant related changes can occur. However, the average in my office runs around 350-425. I have also seen a shift to high profile implants - partly because the patients are... more

Choosing the best #breastimplant

There is no "perfect" implant unless it involves your opinion. There are ranges that will give you a successful outcome, but you should have some input in that final outcome. If you want a bit more "fake" a result then the 375 HP will serve you better than a 339 MP. The key is making sure that you like the outcomes of your surgeon and then provide him with photos of results you think are attractive. Finally, you will have to trust that your surgeon will produce a result that will make you... more

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Comments (2)

ccs
4 months ago

This is all great information. Someone had mentioned a moderate implant would add more upper polar fullness than HPs. I do want that and assumed the HPs give more as they appear fuller on the top ( the Sizers anyways) I do have a large area of flatness between my collar bone and breasts and would like to even that out. So glad I'm getting expert feedback before my surgery date. Is one better than the other for my lift? I just didn't want saggy mom boobs, so thought the HPs sounded perkier. My PS doesn't typically use the HPs and recommend the moderate up to 339 that would fit my chest wall measurements. We are going under muscle. Also I am in a bikini during summer months, will my higher breast be more obvious with HP vs moderate. I did try on sizers in the office, none of the sizes scared me in clothes, it comes down to what won't bottom out by year one or give me a uniboob, ha.

ccs
4 months ago

I did check on my measurement today and one breast is 12.2 and the other 12.4

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