Do you lose 50 cc's with behind the muscle silicone implant placement?

Essentially the question is that of: How do I choose the correct implant to get the look I am wanting?  This is the most important question when it comes to breast augmentation.  In order to better address this question, we need to establish 2 main points: First: Implants do not come... more

The difference between 325 and 350cc. is less than10%. However, in general, size of implant is determined less by cc's and more by dimensions. Patients have a hard time understanding this and often get fixated on the cc's. The volume is the result of dimensional analysis, not vice versa. In fact, the volume... more

What is important to most women seeking breast augmentation surgery is the end result, not the exact size of the implant. Often, patients are surprised to see before and after photographs and learn that a woman with 250 cc implants may have fuller looking breasts than a woman with 325cc implants. There are... more

One of the most uncertain things for women undergoing brest augmentation is to know what they will look like with a certain volume implants.  And, as a surgeon, it can be difficult to understand what a women wants when she say she wants to be a full C cup of a small D cup. The use of sizers during the... more

I find that choosing to go under the muscle and using a silicone implant both are factors in selecting the proper implant size.  Silicone implants are underfilled (except for some newer versions used in Europe), and have different tactile and visual aesthetics than saline implants, which are usually... more

Many variables affect the final outcome of breast augmentation, but the one that most patients seem fixated on is the "cc's" or implant volume.  Patients often compare notes with their friends or family members who have also had breast augmentation, and may feel "slighted" if they... more

The hardest part about performing breast enlargement surgery is getting on the same page as my patients with regard to breast size. Often, there are conflicting points of view that confuse an already nervous patient. There are friends telling the patient that they should not do it at all. There are those at... more

Good communication between the patient and plastic surgeon is the key to choosing the best size implant for each individual.  The surgeon should be willing to work on this for while during the consultation.  I allow patients to return for a second shorter consult at no charge if they are concerned... more

Ninety five percent or our patients choose to have their silicone implants placed beneath their chest wall muscle (submuscular, also known as the subpectoral plane) and choose implants in the range of 300 cc’s to 450 cc’s. In this range, we usually advise our patients that the muscle may flatten... more

To ADW, Hi.  You have already had your surgery, and I hope that everything went great.  My answer is addressed to other women who may read this as well. 1)   The surgeon must know the look you want.  Show her or him a picture of what you consider ideal breasts.  The surgeon... more