What would be the best size for me: 275 or 295cc UHP under the muscle? (Photo)

Question

My surgery is in 5 days and i’m still struggling on what size implant to go for. On my first consultation I was advised 295cc UHP under the muscle, but on my second it was 275cc UHP under the muscle. I’m only a 32A at the minute and want to be a full C/D. I’m swaying more towards 295 cause I think i’ll be disappointed with 275 and will wish I went bigger afterwards. But then I’m scared if I go for 295 and it’ll look too stuck on/fake! Any advice would be appreciated.

Kelvin Eusebio, MD · Answer

Dear mjhogannx,
Thank you for your picture with the question. Based on the fact you have small breast plus an implant which will be placed behind the muscle I would recommend you to have the 295cc. But more important sit down and discuss well your goals with your PS to help you achieve them.

Frank Lista, MD · Answer

Thanks for your
question and photos. Choosing the right implant size is one of the most
important decisions to consider. Ultimately, a difference of 20cc's is not very
significant—it's less than one ounce. That being said, you should carefully
consider your discussion with your surgeon and make a decision based on what
you believe will work best for your goals. If you have further questions about
the differences in these sizes, it would be a good idea to discuss further
prior to your surgery.

Alfred Sofer, MD, FACS · Answer

Thank you for your question. Breast implant sizing is one of the biggest challenges for a patient. 295cc is a modest choice and should come close to the results you are looking for. Best of luck with your surgery.

Daniel Barrett, MD · Answer

Dear mjhoganx,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, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Keith Hodge, MD · Answer

Based on the photos, either size will look great. Twenty cc's is only 4 teaspoons, so It will be difficult to tell the difference between the two implants. Good luck!

Ankur Mehta, MD · Answer

Hello and thank you for your question and for posting photos. Ill tell you what I tell my patients.....As stated by my colleagues, the difference is very small between 275 and 295. These are both pretty small implants. You shouldnt worry about the cup size as much as you should consider what you want your breasts to look like. I have my patients try on implants in a bra and many times they end up choosing implants much larger than they thought they would. You should also realize that when you try them on your breasts will usually look a little smaller once the implants are in. So if I have a patient that thinks a 275 looks "perfect" then I tell them to consider a slightly larger implant to factor in for the decrease in size they will see. I also inform my patients that one of the most common complaint after breast augmentation is "I wish I went bigger." I rarely have this happen because I inform my patients of all these factors. You should also look at before and after pics of women with similar breasts to yours and determine if you think they look like what you want them to. Every patient has different results but it can at least give you an idea. If I have patients trying to decide between to sizes that are close to each other I usually recommend the larger implant. The only way to know what to recommend however, is to understand what your expectations are and the only way to know that is through an in person consultation. Please make sure you are being evaluated by a board certified plastic surgeon and I wish you the best of luck on your breast augmentation journey!

Aldo Guerra, MD · Answer

I like both of your choices. The best one will be based on your measurements and goals. The difference between these sizes is less than two spoonfuls of water. I suggest discussing your measurements with your plastic surgeon. Best wishes. Dr. ALDO

Ted Eisenberg, DO, FACOS, FAACS · Answer

Don't fret. The difference of 20ccs is about a tablespoon, or one notch on your bra strap. Neither, when placed behind the muscle, will look fake.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Auth

Chad Robbins, MD · Answer

Hello and thank you for your question and photo's.   Twenty cc's is barely 1 ounce and not really noticeably different when looking at them.   I would go with the 295cc's.

Tom J. Pousti, MD · Answer

Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.
My best advice: more communication.
It is definitely worth spending more time with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
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 are 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 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. For example, 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 him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

What would be the best size for me: 275 or 295cc UHP under the muscle? (Photo)

Answers (14)

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