Breast Implants: Q&A

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I Want to Make Sure I Get the Correct Size for Upcoming Lift and Implant, How Does One Decide?

But I will be going to another state to have this done I will have a physical consult with my PS he day before and have had many over phone etc but with out trying on sizes yet I am worried i will end up to small or way to big.I am very wide shouldered 39cm from armpit to arm pit arm not stretched.16cm from armpit to cleavage mark and 13cm for BDW.18cm from collar to nipple. I have been recommended HP 750 but when I do the rice test it is not even close I also have asymmetry I would like large

9 Doctor Answers | Asked by lolomay in casper
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Breast implant sizing

Thank you for your question. It will be impossible to make any formal recommendations without a formal physical exam by your board certified plastic surgeon. I concur with my colleagues: communication is key to safely achieving your goals. In my practice, I consider two factors when selecting implants for my patients: 1. Dimensional planning 2. Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are... more
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Deciding size

Unfortunately, you have not provided any photographs. Certainly 750 cc implants are quite large. In my entire career of 25 years, I have nerver used implants that large in a retro-pectoral position on the primary augmentation. More important than implant size, is the type of lift you are going to require. I recommend you undergo a lift avoiding vertical incisions such as the boat anchor or lollipop. There is a new alternative technique that does not require... more
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Predicting size results in augmentation/mastopexy

I agree with Dr.'s Garramone, Minniti, and Stephenson. You are a set-up for problems ranging from minor to disaster by having a procedure done out of state with inadequate in person consultation and with a combined lift and augmentation with excessively large implants based on some misconception of sizing and results. Breast implants do not lift the breast and larger ones do not lift it further. A properly done lift alone will make the breasts look larger which makes it doubly... more

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+1

Implant sizing

A breast augmentation with a breast lift is a complicated procedure because the plastic surgeon is changing a number of things including the size and shape of the breast and the position and size of the nipple and areola. Only one of the choices is the implant size. It is important to understand that this combined operation is really two different operations performed at the same time that work against one another. Placing too large an implant will compromise the lift and... more
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Breast Augmentation/Lifting and Size Selection?

Thank you for the question. Prior to proceeding with the surgery it will be very important to communicate your goals with your surgeon. In my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “large” or “DD cup” 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
+1

Breast Implant Sizing

Hello Lolomay, I don't know what you mean by 750 cc HP being 'not even close', but I can tell you based on your bwd of 13 cm, the proper starting volume is 325 cc. Depending on other measurements, this may go up by 30 to 90 cc, leaving you far away from 750. This system is not based on what cup size you were hoping to be, or what you believe is proportionate for your height, weight, shoulder, hip, buttock, or thigh size. This is based on reproducible... more
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Implant choices

750 cc implants are quite large. The best thing to do prior to your consult is to do the "baggy test" at home to see what approximate volume you like.
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Choosing Correct Implant Size

Sometimes geographic distance makes it difficult to see plastic surgeons but seeing the plastic surgeon the day before the operation for the first time in my opinion is not the optimal situation. It appears that a 750 cc HP implant has been suggested but that would be too big in my opinion especially if a lift is to be performed at the same time. The most important measurement is the width of the chest which corresponds to the width of the implant. Dr. ES more
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Correct size is the look that is right for you

The implant number cannot be determined by trying the implant on in a bra like sizing clothing. The size and projection of the implant depends on the avilable skin envelope and the look that you want. Use photos to show your surgeon what you expect a good result will be. Unless the surgeon knows you as well as you do, the size to him is a best guess. Best of luck, Peter Johnson, MD
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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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