Breast Augmentation: Q&A

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Size of Implants, Areola Incision, High or Moderate? (photo)

Included b&a pic of DESIRED results & my own pics/measurements My doctor uses Allergan silicone & suggested high profile 600-650cc but the rice test seemed large with 375cc He seems to prefer Areola incision but I desire to breast feed in the future He doesn't use sizers, but my left breast is smaller, esp noticeable during rice test Under bust: 28.5" Bust: 33 Waist: 25 Hips: 34 Distance b/t nipples: 9 Distance-center of ribs across breast to side: 6 Areola diameter: 1

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17 Doctor Answers | Asked by Jaz.mn

Doctor Answers (17)
Community Comments (1)

Implant Size Selection

Thank you for your question and photos. A 600c implant seems very large for you ! Based on the information you have provided, I agree that a 350-400cc implant would most likely achieve the result you are looking for. You should discuss your concerns with your surgeon before proceeding. Good luck.

Implant Sizing

I concur with the other physicians in that 600+ implants will likely be too large for your frame and the aesthetic goals as implied by your photos. I think there is a role for sizers, especially during surgery, but the most important factor is limiting the implant diameter to the width of your breast. In addition, I think recent evidence suggests the benefit of the inframammary incision in reducing capsular contracture rates and, hopefully, maintaining your ability to breastfeed... more

Determining implants

Hello. The most important factors for determining the size of implants that could be used on a patient include width of the base of the breast, the size of your thorax and the amount of breast tissue and skin you have. 600 cc implants are extremely large implants in my opinion and you seem to have a small frame. I would also speak to your surgeon about the approach he will take as I would not recommend a periareolar augmentation. Jaime Perez, MD Breast Augmentation... more

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600-650 cc implants and periareolar incisions

I don't like to say this or say it very often in a forum like this, but with over thirty years of experience, I can tell you that you are a set-up for disaster if someone attempts to put a 600-650 cc implant behind your breast. It is not feasible or reasonable to think that one can choose any implant size and make it work or achieve whatever size/shape the patient thinks they want in one procedure. The maximum size increase without stretching, distorting, and risking revision-requiring... more

Choosing implant size

I think high profile implants may be a good choice to achieve the results you want but I think 600-650 may be too large. I highly recomment the use of sizers to achieve the results you want. see video

Implant choices

If you did the rice test and you thought it was too big then don't go with such large implants. Inframammary will preserve more tissue than the periareola approach, but I like both incision approaches.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Implant Sizing

Hello Jaz.mn, I concur with the others that the rice knows more than your surgeon! You'll be very close to your goal photos with 375 cc. I would like to throw just a few thoughts your way for you to consider: 1. Breast augmentation is ideally a surgery that will provide you a pretty, long term result that will last for many years without the need of a surgical revision. Please consider this when choosing sizes. I would hope that you go to a surgeon that... more

Desired implant size

You have a small frame and look to be a 32A. The picture you desired will be best achieved with a 400 to 450 HP silicone size. The photo looks like a 32D. There is a easy way to determine size. Measure your chest below the breast which you say is a 28.5" which would make you a 32 cup size. Then place Mentor implant sizers which are form fitted over your breast into a soft bra. Then you measure the fullest part of your breast with the sizers in place... more

Benjamin Chu, MD

15 reviews

Honolulu Plastic Surgeon

What size implant

I would stay with the rice test. I think that a 650 cc implant is way too large. without your height and weight as well guiding me, I would think that a 375 range would be good. I also do not like HP implants. I feel they do not look as natural as mod plus style implants. You may want to get a second opinion. Also you can go online and look for women who have about the same breast volume as you, and you like their result. that should list the implant chosen which should help you. more

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Size of Implants, Areola Incision, High or Moderate?

I concur with other surgeons who feel that a 600-650 cc implant will get you to a size considerably larger than your goal, and that an implant that large will have an unnatural appearance even if it met your size objective. I too use Keller funnels, and I am quite doubtful that an implant that large can fit through an areola of your size without damage to the implant or tearing of the skin. I generally prefer breast fold incisions for most patients, but I wouldn't even try to... more

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Comments (1)

Jaz.mn
4 months ago

I am 5'9, 125lbs. My doctor would use the Keller tube

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