230cc or 260cc? (photo)

Question

I'm booked to have a ba in December, I have been offered 230 or 260cc hp overs. I want a natural look so was leaning towards the 230s because when I tried the 260s on they looked too big. But im used to have nothing so anything is big to me! I'm struggling to find any pics so I can see what the difference would be. What sort of size would both options make me? I don't want to go and get the 230s and regret it cos there too small?

James E. Murphy, MD, FACS · Answer

Keep this in mind. You are looking at 30 cc's difference. There are 5 cc's to a teaspoon. Therefore you are looking at 6 teaspoons difference. Which is not a huge difference. Trying on implants in the office over your tissues and muscle tend to give a false picture of the true end result. You trust your surgeon to do do your Breast Augmentation. Listen to his or her advise, and go with that.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Base on your photographs, you are starting at a great place and should have a very nice outcome with breast augmentation surgery.  However, despite good intentions, online consultants will not be able to provide you with  meaningful specific advice.  Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant size/profile selection) is:
 
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your   desired goals  with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
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 or D cup" etc 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.  The use of computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.
I hope this, and the attached link, helps.

Paul Gill, MD · Answer

In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics.  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.
	Dr. Gill

Steven Wallach, MD · Answer

230 and 260 cc implants are only 30 cc's difference.  That is not a lot about a shot glass full of fluid.  Best to do a baggy test to check it out.

Darryl J. Blinski, MD · Answer

Try obn sizers of different cc's many times. I think the 260 option better. But that is even slightly small.

Peter Newen, MD - Account Suspended · Answer

This is a common issue many patients have when trying to decide which size implants to choose. This is a choice only you can ultimately make, but hopefully I can give you some helpful advice that may make your decision a lot easier. As far as 230cc versus 260cc goes, we are only talking about a 30cc difference in volume. 30cc is a very minimal amount of volume (about the equivalent of only 2 tablespoons). Now, when you are trying on the implants, of course its going to seem like more of a difference because you don't have your own muscle and surrounding tissue pushing down and around the implant. When the implants are placed, you are going to automatically loose about 10%-15% of the volume that you are seeing when looking in the mirror while trying on the implants. If you are pleased with the look of the 230cc implant while trying them on, then I would recommend you go with the 260cc because it tends to look a lot smaller when it is implanted. Many of my patients have the same fear when trying on the implants, after their surgery, typically their biggest complaint is they wish they would have gone bigger. Think of it this way... you are choosing to pay for this type of surgery to obtain fuller breasts. You want to be completely satisfied with your result... It would be a disappointment coming out of surgery thinking your breasts are still too small. I wish you all the best in your outcome and final decision. Try consulting with your board certified plastic surgeon again to finalize sizing, so you feel completely comfortable with your choice.

230cc or 260cc? (photo)

Answers (6)

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