Suggestions for Silicone Breast Implant Size, 5'6" & 130 lbs. with saline 375 mentors
- Asked by niccinoodle in phoenix
- 3 years ago
I am a 24,5'6" & 130 lbs. with saline 375 mentors filled with 425cc & 435cc which makes me a 34D. I would like to be a bit smaller due to the fact that I feel a little "top heavy" and fake. I do know that I would like a little less projection so I am stuck between a 339 and a 371 silicone. I am afraid of going too small.
Fitting into a C cup would be great but I can't rely on that to make a decision. Any suggestions?
Breast implant sizing
It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
Web reference: http://www.poustiplasticsurgery.com/choosing-your-size.htm
Implant Selection Process
Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Web reference: http://www.drpaulgill.com
I would suggest going down about 50cc from your pics but would be very careful because you will likely have a Mastopexy in your future. Also, pictures and bra sizes are relatively useless which is why companies like Mentor make a very detailed sizing system which every surgeon doing breast augmentation should probably have available for their patients.
Recent Breast Implants Reviews
Breast Implants Photos
Thanks for your question. I typically tell me patients to go down 75-100cc's when I am asked that question in a circumstance similar to yours. There is no way for you to "try these implants on" since you are going down in size. I would have a frank conversation with your surgeon and see what advice they think is best for your situation.
With a revison placing smaller implants, you may need a lift. It is hard to say without an exam. Sometimes the decision is made after the exchange to see how the breasts respond.
With smaller breast implants, you will likely need a lift
Either implant will look nice on you. Discuss your goals in general terms with your plastic surgeon, and he or she can help you decide. I do think that, with downsizing, you will probably need a mastopexy (breast lift). This will require more scars, but will provide an improved shape, and will also allow correction of your minor asymmetry. If your implants are above the muscle, then you might wish to consider placing the new implants below the muscle. This will disguise the implants better, and would also probably give you a less abrupt transition from your chest to the upper aspects of your breasts.
Sometimes, if the implants are to be changed to submuscular positions, then I advise the patient to consider a two stage approach: Take out the existing implants, allow some healing time to let the breast tissues readhere to the muscles and then later place new submuscular implants. Understandably, most women don't want to be without their implants, but this does reduce the need for possible breast lift. If your implants are already below the muscle, then the breast lift will improve the upper pole contour. Discuss all of the above with your plastic surgeon.
I haven't seen what you looked like before surgery, of course, but there are some issues with the result shown here. Your implants are asymmetrical in position which might be your body or might be a capsular contracture. It also looks like if you downsize, there might need to be a lift considered to remove loose skin and level the areolas. These are almost more important to address than the size of the new implants.
Web reference: http://www.randcosmeticsugery.com
Downsizing implants and switching to silicone
From the photo you've provided I think you would to really well with a "modest" downsize and switching to silicone gel. I wouldn't get too hung up on the numbers as far as 339 vs. 371 cc, and that is usually a decision I make with sterile breast sizers at the time of surgery. It is important for you ton know that saline actually "looks larger" cc per cc than silicone. So your 425 cc saline augmentation may equilibrate most similarly to a silicone gel augmentation of 450/475cc.
Even if you down size slightly, I would still predict you would want to be with a 371 cc to prevent too much droopiness from the skin that may happen if you go too small. Your tissues may look somewhat droopy with a 339cc -but that is only something that can be determined at surgery.
My recommendations again are to go for a modest down sizing of the implants changing it to silicone gel. You will be so much happier with the natural feel of the implant. Using a sizer at the time of surgery is the best and most accurate way to see what size looks best for your tissues...also I would consider a "capsuloplasty" or "shrinking of the capsule" which can be helpful in down sizing procedures and not having to do a formal breast lift/mastopexy.
I hope this helps!
Silicone Breast implant size
I would even go slightly larger in your implant size. Also are you having any lifting to even out the appearance? These are issues that you should discuss with the operating surgeon. Regards.
Downsizing breast implants
IT appears that you need a smaller impant on your lefdt breast in comparison to your right breast but this is a limited view.
In my opinion, you would barely notice the change down to a 375 and I would therefore be inclined to advise the use of the 339.
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.