4'9, 100lbs, 32A. Want to be a D cup. Will I look ridiculous with the preferred size I want knowing I am really petite? (photos)

Question

Hello! I have a few questions hope someone can help. I am 4'9, 100lbs, 32A. 2 kids. I Want to be a D cup . My doctor is planing on putting 295cc Natrelle gummy bear mod. Plus profile on me and that's a small C. I was thinking of going a little bit big at least a small D cup. Will I look ridiculous with the prefer size I want knowing I am really petite?. I am willing to accept any suggestions. I will attach my pictures and the my wish pictures. My surgery will be this coming December 1st.

Brian K. Reedy, MD · Answer

Thanks for your question! Sometimes, as surgeons, we put limitations on implant sizes because of a patient’s anatomy. If you trust your doc, then you should go with his recommendation. If you get a good result the first time, then replacement down the road to go bigger will be a much easier surgery. You can always seek a second opinion as well. Good luck!

Irena Karanetz, MD · Answer

Hello,
Thank you for the question and photos. 
Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions. I also utilize Vectra 3D planning to further help with implant selection. 
Based on your photos, 300-350cc range size implant will likely give you a nice full cleavage that you desire.
I suggest that you discuss your questions and concerns with your Plastic Surgeon for the best cosmetic results. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
Best wishes and good luck. 
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donald R. Revis Jr, MD · Answer

Good evening,
I don't think that would look ridiculous on you at all- and 295cc will definitely not get you there- you probably need around 450cc HP or XHP to achieve that size and look.

Gary M. Horndeski, MD · Answer

At size 32, each 100 cc of implant corresponds to 1 cup size change. 295 cc implants will take you up 3 cup sizes to a D. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Warren Schutte, MD · Answer

Hello, great question. Breast augmentation is very personal. In my clinic, I believe that patients should be the primary decision makers when it comes to size choice. We have all patients try on sizers numerous times before surgery to ensure that they are involved in the process and the ultimate decision makers. Of course, measurements, profile, size limitations, etc come into play with the decision as well, but if you want a D Cup, you should absolutely be able to accomplish your goals with a supportive plastics team. 
Good luck on your journey.

Daniel Barrett, MD · Answer

Dear Cute385441,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend seeing additional board certified plastic surgeons to ensure that the implants you decide upon are the right ones to meet your expectations. You may wish to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. As you undoubtedly know, a precise treatment plan or specific implant recommendation can only be determined with a careful examination and detailed discussion with your plastic surgeon. Volume (295 versus 350), is far less significant than implant width and projection. Implant width is similar to shoe size. The implant literally needs to fit into your breast and chest. The implant you mentioned may well “fit” your breast, but the volume and projection are what will determine the “look” you want, similar to the style or type of shoe you would select. It is true that for a given volume a high profile implant will have a narrower diameter, and it is also true that a person such as you with a petite frame will require a narrower diameter implant than a patient with a broader chest or larger frame.  Other considerations such as saline versus silicone are also important, as are "round" versus "anatomical" or "form stable" or "shaped", smooth surface versus textured, and softer versus firmer with the different levels of gel cohesivity.

The term “natural” can mean different things to different people and the profile of the implant does not necessarily determine that. You can certainly achieve a “natural” appearing result with a high profile implant if properly selected, but as a rule, the larger the implant and the higher the profile, and certainly if the implant is positioned too high, the greater the chances you will look “augmented” because of exaggerated upper pole fullness or convexity.

In my practice, besides a thorough interview process and physical examination with careful measurements, we use on lay sizers within an unpadded bra to help you understand what you are likely to look like in a bra, bathing suit, or T-shirt with a given size implant. In addition, and this is critical, we ask all of our patients to provide us with photos of their desired final look, with images of women’s breasts that most closely resemble the look they are trying to achieve. This serves as a visual guide that thankfully rarely leads us astray. The most common reason for patient disappointment after breast augmentation is size-too big or not big enough. This algorithm which we have been employing for over thirty years has proven to be very successful.

Because all of these factors can leave you quite confused, it is crucial that you select an experienced board certified plastic surgeon whose aesthetics align with your own, and with whom you feel comfortable. Don't be reluctant to seek a second or even third opinion if necessary to be sure and feel confident about moving forward with scheduling surgery. Expressing your desired cup size is notoriously inaccurate, and final breast size is the most common reason for patient disappointment after breast augmentation, either too big or not big enough.

Take your time, do your research. Best of luck to you.

Connie Hiers, MD, FACS · Answer

With your small frame, you do not want large and heavy implants. Your surgeon will guide you to the largest size for your frame  and tissue. The size selected would be a good choice.  Perhaps ask to go slightly larger.

4'9, 100lbs, 32A. Want to be a D cup. Will I look ridiculous with the preferred size I want knowing I am really petite? (photos)

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