285cc Need Advice for Full C Look? (photo)

Question

I am about 7st,32AA,5.3f (petite frame). My hopes are to achieve full C. First I was advised to go with 260cc, but I felt they were too small. He said they don't usually guarantee a cup sizes but work around on profile, tissue and frame. Then he offered 285cc alergan round implants 10cm, under the muscle. Looking at some forums I am now confused, similar ladies achieve different results with 285cc from B to D. He says that it will be a crime to put anything bigger, due to rippling.

Kenneth Hughes, MD · Answer

As is the case in many women who want augmentation, your anatomy may be at odds with cup size goal. High profile implants allows for more volume for a given width, but a board certified plastic surgeon should be able to explain this in detail and help you select an implant.

Vincent N. Zubowicz, MD · Answer

Every surgeon has their method for ariving at implant size. I have the patient bring a picture of what they envision and predict implant size. With pre-op sizers, the patient can put the size I have predicted into a bra with a pocket. If the patient feels good with the look and feel, that size implant is chosed for implantation.

Kris M. Reddy, MD, FACS · Answer

285 cc implants is a sound recommendation for your stated objectives and goals. The size of the implants are based on a combination of a patient's goals
 and objectives and her anatomy. In order to provide a natural looking 
augmentation, the surgeon needs to evaluate many factors including soft 
tissue coverage, skin laxity, chest wall width, breast imprint width, 
the shape of the breasts and relative level of constriction to ensure 
that the breast implants are appropriate for your body. Consult in 
person with 3 experienced and expert board certified plastic surgeons to
 understand your options.

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

Jourdan Gottlieb, MD · Answer

Most plastic surgeons will want to limit implant choice to use of an implant that is no wider than your own breast width. There is good reason for this--wider implants often give results somewhere between unnatural and bizarre. 

	We usually don't like to quote cup size, because there are no fixed definitions. Many surgeons on these pages estimate an expectation of one cup size elevation for each 150-250 cc. A 285 cc implant by those estimates should give about a one and one-half cup size increase. 

	Rather than guessing cup size, I find it useful to have patients try on implants and use visualization to choose an target, and pick an implant size based on that, using the woman's anatomy as a limiting factor in some patients. If you are worried about ripples, use silicone implants, as rippling is less common with those.

	Thanks for your question, best wishes.

Tom J. Pousti, MD · Answer

Thank you for the question.  As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online. The best online advice I can give to ladies who are considering breast augmentation surgery 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  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 “full C” 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.  
	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 helps.

Kamran Khoobehi, MD · Answer

If your goals from the augmentation is only size and not the shape, you should get larger implants. If you want a natural look and feel, then 285 would be great. You have very small amount of breast tissue to cover the implant.

Alberto Di Giuseppe, MBBS · Answer

Will prefer anatomical implant to round to have a more natural upper pole looking effect, probably 285 allergan or mentor cpg cohesive, submuscular, via a perioreolar incision.....

C. Bob Basu, MD, MPH, FACS · Answer

I consider two factors when selecting implants for my patients:
	1.Dimensional planning
	2.Gel Implant Sizing system

Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.

Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look.  If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look.
	Hope this helps.

Dr. Basu
	Houston, TX

Jeffrey Zwiren, MD · Answer

Most plastic surgeons use some method of dimensional analysis to help patients understand the correct implant to meet their individual goals and yield the best long term result. If you have a very narrow breast base diameter then you may be limited as far as implant selection. For women who have a narrow breast base diameter you may consider a high profile implant. For Allergan this would be a style 20 implant.

285cc Need Advice for Full C Look? (photo)

Answers (13)

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