I want to look how I looked before kids - is 260cc too small? (Photos)

Question

I am 57kg and 168cm tall with a BWD of 10.5. I have breastfed 2 children. One surgeon has suggested 275cc UTM and the other 260cc OTM. My goal is to look proportionate to my body and like they are my own boobs. The pictures are now and what my boobs looked like 10years ago before kids. My question is will this amount off CCs give me back what I had?

Donovan Rosas, MD · Answer

Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including:
-Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing.  Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look.
-Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term.
-Patient desire (what is the look you are hoping to achieve?)
My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire.  
There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa.
With regards to your specific question, without an in-person exam or measurements it is difficult to offer any concrete advice. 260-275 ml is on the smaller side. The best advice is to respect your BWD and utilize sizers.
Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Ted Eisenberg, DO, FACOS, FAACS · Answer

Choosing the right size and profile breast implants for you. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style 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 size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. Both OTM and UTM are an option for you, although the volume and style of implants has to be carefully selected following an in-person consultation.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board-Certified Plastic SurgeonHouston, TX.

Camille Cash, MD · Answer

From the submitted photo it appears you have asymmetry in both volume and nipple position.  If the same sized implants are used for both breasts and the sagging isn't corrected you will need to expect a larger version of your current look.  Many surgeons have sample implants you can "try on" to get an idea of how you may look after surgery.  When considering over versus under there are a couple of things to keep in mind.  By placing the implant under the muscle there will be some support for the weight of the implant given by the muscle.  It also carries a lower incidence of capsular contracture.  I've included a video that I hope you find helpful.

I want to look how I looked before kids - is 260cc too small? (Photos)

Answers (4)

More Breast Implants Questions

5'2, 114 pounds. I am a 34b now and want to be c cup with more upper volume. What size and profile is recommended? (Photos)

Very strange feeling when I bend over, implant getting stuck to something - what could this be?

How many cc’s would I need to achieve the result I’m looking for?

BWD - 10.5. How much does your BWD truly limit you?

Goal is very small, natural-looking breasts with minimal projection - sizing and profile motiva 220-260cc mini/demi? (Photos)

Implants for a weightlifter - over or under the muscle? (Photos)

WE SEND PRETTY
EMAILS