Breast Implants: Q&A

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Should Surgeons Choose Breast Implant Size?

I am scheduled to have breast augmentation in a few weeks. My PS says he will not choose a breast implant size for me and recommends I do the rice test and/or try on sizers in the office.

But most forums say that these are unreliable measures for sizing. How do you other doctors feel about his decision to not choose the size? Should this be a red flag?

24 Doctor Answers | Asked by angelrose83 in Huntsville, AL
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Combined Effort of Surgeon and Patient in Final Implant Choice

I do think your surgeon has a key role in guiding you to the optimal implant choice. Three factors play into my decision. 1. patient history and desired end result 2. chest wall dimensions and breast measurements 3. in office implant sizing based on patient history (desired end result) and chest wall measruements I believe the in office sizing with similar profile implant sizers is critical to a happy patient. I think the time spent in this... more
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Should Surgeons Choose Breast Implant Size?

Should Surgeons Choose Breast Implant Size? No a surgeon should guide and may suggest implant size and type and placement in the process of educating the patient.
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Newer techniques for choosing a breast implant size

This is a decision that the patient makes, with the advice of the surgeon.  It is important that the surgeon and patient agree on the size to be used, and various methods help to arrive at that decision.  The old methods of using a bag of rice, or trying on implants in a bra do help to some degree, albeit with some limitations.   It helps me when a patient brings in photos of other patients from the Internet or from magazines to tell me what she wants or doesn't... more

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+1

Choosing an Implant

Hi there- There are various reasons why a surgeon may not want to be responsible for the decision...: 1. After surgery, if you express dissatisfaction, they can wash their hands of the situation because you chose the implants. 2. It simplifies the consultation process for them, because once you have made the decision to have surgery, they can have you choose the implant with their nurse, or even at home. 3. It is a lot less expensive and easier for a surgeon to only have to order and pay for imp more
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Doctor and patient should choose breast implant size

In my practice, choice of breast implant size is a joint discussion and decision between me and my patients. Height, shoulder and hip width and body proportion are some of the elements that should be taken into account and discussed in-depth when choosing a breast implant size. I try to help my patients in choosing an implant that will enhance their overall body shape by taking all of the above measurements into account. I believe that a mutual, honest dialogue and decision is very... more
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Always a combined decision

By performing a series of measurements the surgeon can help determine the range of sizes that could be used in a particular patient. This is followed by an informed decision by both the surgeon and the patient as to which exact size to pick from that range. Sizers and other patients before and after photographs can be helpful for the patient to communicate to their surgeon which shape and volume they like best. It is never a patient only decision.
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Who Should Choose Breast Implant Size?

Coice of implant size is not the responsibility of the patient or the surgeon but both.  First the surgeon must point out the anatomical features of the patient including current breast size, shoulder width, hip width, waist and buttock.  Other things to be considered include: personality, profession, athletics and age. Once these things are discussed then I have patients try on sizers with a tight sports bra and a top.  This will give a good idea of the volume but not... more
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How to choose a breast implant

I agree there is a lot of confusion about how to choose a breast implant for breast augmentation and I agree with your sense that external sizers are unreliable (as are comparing to photos) and that maybe this is a red flag for your plastic surgeon's experience. If you went to an orthopedic surgeon for a hip implant you wouldn't care to choose the implant yourself. Nor would you feel comfortable in a cosmetic procedure like breast augmentation with the surgeon deciding it during surgery and... more
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Choosing a breast implant

Choosing the correct impalnt for you is a decision that should be made with your doctor.  Based upon the physical exam and the patient's request, I come up with a plan and a recommended implant size. I like my patients then to go home and do the "rice test or water test" with a baggy to see if that is the size that they want or  do they want to be slightly alrger or smaller. Usually we "hit it on the head"  from this, and the patient is happy after... more
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Choosing your Breast Implant Size

I consider two factors when selecting implants for my patients: 1.Dimensional planning2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. Even your fitness levels and... more
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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.

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