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Surgeon Says I Can't Get More Than 236cc. Should I Trust my Surgeon?

asked 1 year ago by Danixoxo in Canada
Latest answer by Rian Maercks, MD
Question viewed 1,544 times
Tags: age 18-24, female, 090-109 lbs, 5 ft 0 in to 5 ft 3 in, 200-249cc, 300-349cc, A cup, trust

Hi I am 21 years old... very tiny. 5 feet, 95 pounds, currently a small A cup. I am having a breast augmentation in the next few months. I was planning on 300cc... but unfortunatly he told me the most he could do is 236cc or else I will look fake and it will cause complications. But that just sounds soooo small to me... it broke my heart. Will these even make a difference? I wanted to achieve a full B, small C cup. I am really tiny... should I just trust him? he is a good surgeon with a high rep

14 answers to Surgeon Says I Can't Get More Than 236cc. Should I Trust my Surgeon?

Using Newer Shaped Breast Implants

Hello Danni: I believe that you can have larger implants and still have a natural look. Ask your plastic surgeon about the newer shaped breast implants that come in 3 different profiles (moderate, moderate plus, and high profile) to better fit women's bodies. Judging from your photograph, you are petite and have a narrower A cup chest. Your Plastic Surgeon can select the Moderate Plus or High Profile implants that are narrower than the traditional moderate implants, but stick out... more

Richard Wellington Swift, MD
New York Plastic Surgeon

How to choose breast implant size

When considering plastic surgery of any kind, it is always a good idea to consult with at least two board-certified plastic surgeons. As far as implant size is concerned, the 236cc size may look very nice, but you could possibly go just a little bit larger if you wanted to. I don't think I would recommend anything larger than 300cc because of your petite frame. In my office, I allow my patients to select their size (with my guidance) by... more

Pamela B. Rosen, MD
Coral Springs Plastic Surgeon

Implant selection and technique- both influence the shape and appearance of the breast

Dani, It is difficult to say what is right for you without an exam, but I would think a natural look could be achieved with upto at least 325 maybe more depending on thelook that you are after. Many surgeons think that they have to place very narrow implants in patients like you. I have a different perspective in that I use implants that are wider than what most people choose and use a technique that I call 'cold-subfascial placement' to... more

Rian Maercks, MD
Miami Plastic Surgeon

Breast implant size

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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast implants in thin patients

You are very slender. The maximum implants you can use are high profiles with a base width equal to the width behind your breast. These will look extra full on you and should only be used if you want that look. A moderate plus of the same width will look less fake and a moderate profile of the same max width will look more natural. The volume just follows the profile and the width. Maybe you should go to another doctor for an opinion.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Measurements play a key role in choosing the right size implant.

You are a petite woman indeed, however, all of the measurements are not available to determine which size implants are the best for you. You may want to get another opinion and weigh out your options. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Implant selection

It is diffiuclt to "size you up" without performing a formal breast exam on you. Your anatomy certainly has a big impact on the size of the implant available to you.

Steven Wallach, MD
Manhattan Plastic Surgeon

Implant size selection is important

Implant size selection is important, but there are many options available to help your surgeon meet your expectations. I do not agree with your surgeon that a larger implant will look fake or necessarily cause complications. It is possible to use an implant with a higher profile in your situation, and achieve a full B to small C cup size. In fact, I recently performed a transaxillary sub-muscular saline breast augmentation on a patient your size and used a 330 cc implant. She is a... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

www.stevenringlermd.com

Small or large breast implants

I would recommend you obtain two more opinion. Based on the diameter of your chest, the cup size you desire and the projection of the implant you can have a larger implant. You can try the different size implants as well. best wishes.

Ali Sajjadian, MD
Orange County Plastic Surgeon

Thinking volume of implants instead of dimensions

The problem here is thinking in terms of volumes and particularly specific volumes instead of knowing what dimension or size of implant will fit and what effect it will give and then looking up the cc's of volume. It's sort of like being sure that you want a size 4 dress but you really don't know if that's your size. It's better to measure your breast width and find what width (and height for a round implant) will fit your breast and then choose the forward profile... more

Scott L. Replogle, MD
Denver Plastic Surgeon

236 cc implant max

Hi, You are tiny, and your surgeon is right to be somewhat conservative in implant selection. That being said, 236 cc is a really small implant and you will not be able to achieve breasts in the B/C cup range. Most surgeons would feel comfortable placing an implant larger than that your surgeon selected. You should meet with a least one more surgeon in person to determine an optimal size for you, based on physical examination. Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon

There is nothing better than physical examinaton

I would suggest that you seek two more consultations . During the consultation do not tell your doctors about the other doctors and let them tell you about the size rather than you tell them what size you want. I would agree with your doctor that 236 c.c will give very natural result look. But if you are more concerned about the size I would suggest 300 c.c high profile silicone implants.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

I can't get more than 236cc

Thanks for the photo. I totally disagree with your chosen surgeon! I could easily place a 300 cc in your dissected pocket. Seek other opinions now. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

You need to make the decision

Consult another surgeon or you will be dissapointed! Your surgeon is there to educate you, tell your options and risks, benefits and limitations, however it is your body and you need to make the decisions. Also remember you are the one, who will be looking at the mirror after the surgery. And you need to like what you see. If your surgeon is telling you that that is the only size he will use, then my recommendation is very simple, look for another surgeon. Remember Board certification in... more