I'm 24, 5'5 and 115 lbs, is 500c high profile OK? (Photo)

Question

I have mimimum to medium breast tissue but and I am saggy due to huge weight loss. I am 115 lb, 5'5 height and wear a 34 A bra. I wanna go big to have a full busty 34DDD or 34E look. Will 500cc high profile be accurate for me?

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall for augmentation alone.  The technique I recommend is a lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for breast augmentation, but the best size and shape of the implant is determined along with your plastic surgeon after measurements are taken of your breasts. It is difficult to say whether a 500cc HP implant will be the right one for you. Your breasts are not entirely symmetric right now, which may change what you decide. I find it helpful to use a Vectra 3D simulation to show patients what specific implants would look like in their body. I hope this helps. Best of luck!

Leopoldo Baccaro, MD · Answer

Selecting a breast implant involves much more than just the volume (cc’s). Be sure to discuss with a Board certified plastic surgeon. Measurements of the breast width, evaluation of the torso height, and patient goals are all important too.In your case, you’d be best off with a higher profile implant, possibly even a highly cohesive implant, to achieve a large, augmented look. It’s difficult to know from one picture alone whether 500cc;would be accurate. Best discussed in consultation with your surgeon.

Nelson Castillo, MD · Answer

Thank you for your question and photographs.  I think you are starting from an excellent position and should anticipate a nice result.  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 "try on" several implant sizes and profiles so that you can have a better visual representation as to what they would look like, knowing that you will lose some overall size with the required breast lift.  Hope this helps.

Daniel Barrett, MD · Answer

Dear shiro3419,
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

Kenneth Hughes, MD · Answer

A board certified plastic surgeon will be able to guide you to the correct size breast implant for your measurements and desires so do not be concerned about ending up with fake looking breasts. 
Measurements of the chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy.  The high profile implant will add volume to your breast.  
Breast implant size has nothing to do with bra cup size - which varies with each bra manufacturer. The average implant volume placed in the US is 350 cc. A very general estimate is that one cup size is 150 to 200 cc of volume, but realize that no direct correlation exists between the two.
None of the modalities to approximate final results from breast implants are 100% accurate; they merely facilitate the patient and the board certified PS concurring on the size and type of breast implant which will come the closest to reaching the patient's goal. My patients prefer to try on sizers under garments they typically wear to determine if they fit as expected and help allay some of their trepidation associated with this decision.

Cengizhan Ekizceli, MD · Answer

After loosing weight it's normal to have sagging. according to the amount of sagging you have the size will be decided. However from the photos uploaded breast implant with 500cc high profile seems to be a good choice for you

Amit Gupta, MD - Account Suspended · Answer

As per your images, you are not a very tall person & your shoulder is also small. In my view 500cc will be very difficult for you. My best suggestion for you, that would be very comfortable for you, would be 425cc or 450cc. However, by taking your exact measurements we can even try 500cc. But based on these images my estimate would be that you should go for 450cc at the max.

Samir Ahire, MBBS, MS, MCh - Account Suspended · Answer

Hello, Thanks for your question.Yes if you want 34E then 450 to 500 cc will give you the desired results. Also you have sagging which can be corrected with mastopexy.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. 
You may be an excellent candidate for breast augmentation surgery.
  
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually. 
  
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results. 
  
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. 
  
You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
  
 I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. 
  
I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
  
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
  
Please note that this response does not substitute patient-doctor relationship.
  
We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
  
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
  
We invite you to come in to discuss your options more thoroughly.  Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
  
M.Kara,MD,FRCSC (27+ years experience)
  
- Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

I'm 24, 5'5 and 115 lbs, is 500c high profile OK? (Photo)

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