300cc or 350cc? (photo)

Question

Hi, I am wanting natural looking breasts, proportionate to my body as I am naturally quite flat chested, I want mentor smooth round silicone implants but was wondering what size and profile?

Stewart Wang, MD, FACS · Answer

Thanks for the photos. You have constricted breasts with minimized lower pole breast tissues, short distance between nipple and inframammary fold, and relatively high fold with sharp fold crease. On top of it, your areola are wide apart from each other. Additional information such as quality of breast skin and thickness of breast tissues will help finalize your treatment plan. For my patients who present with similar issues, the final treatment is almost always a set of compromises. It's important to figure out what's the most important issue for you. Is it certain size or shape? How important is cleavage? How far apart should the your breast implants be positioned? Are you willing to have excessive upper pole fullness? How about double bubble deformity?

	My suggestion, just based on photos alone, would be periareolar incision, subfascial(above the muscle) placement, anatomical shaped texture silicone implant from Sientra. Low to mid 300's cc.

	I would highly recommend that you seek out in person consultation with an experienced board certified plastic surgeon to work out the best treatment plan for you.

	Best Wishes,

	Stewart Wang, MD FACS, Wang Plastic Surgery

Kenneth Hughes, MD · Answer

The IMF can be lowered to make the breast seem more round and lengthen the NAC to IMF distance. This will allow the implant to be seated so that the NAC will be at the center of the new breast mound. The natural space cannot be closed too much or a symmastia (one breast) can develop.

Sacha Obaid, MD · Answer

Both 300 and 350 cc appear to be conservative natural looking choices for you. I strongly recommend that you try the implants on in a bra before surgery so you can visualize the size on you. This will show you the appearance that you can expect in clothes post-operatively. Good luck with your surgery.

Aldo Guerra, MD · Answer

Thanks for sharing and your photos. The options you discussed (300 and 350) both seem very reasonable and there's also a 325 cc that you can consider. I would recommend you see a plastic surgeon and have a full consultation. Best wishes - Dr. Aldo.

Kris M. Reddy, MD, FACS · Answer

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 with 3 
experienced and expert board certified plastic surgeons to understand 
your objectives.

Steven Wallach, MD · Answer

While you look like a good candidate for implants, the only way to properly evaluate you is by seeing you in person and performing an exam and discussing your goals. Without that it is impossible to say what is best.

Maria Cristina Picon, MD · Answer

Here the big difficulty will be the lower pole of your breast, after solve it the surgeon can prove with test set, for the right volume.

Pablo Prichard, MD · Answer

Hello and thank you for your question.

	By far the most important factor in choosing the implant size is not the cc's it is the base diameter.  Just like choosing a shoe, you would not want to go by how tall the heel is, but how the shoe fits.  To have natural looking breasts without an unnatural gap, your breast diameter needs to be measured.  Once this measurement is take, an implant with a complimentary diameter (minus the thickness of your tissue) should be selected.  Once this is done, then increase in cup size would be selected.  While this is different from body to body, in very general terms, moderate profile will give you approx 1 cup size increase, moderate plus 2, and high profile 3.  This changes a bit based on the rib shape and other factors.  Once these two decisions are made, the cc's are then whatever that particular implant is. 

	Best Wishes,

	Pablo Prichard, MD

Jourdan Gottlieb, MD · Answer

From the photos, it appears that you have a mild variant of tubular breasts. There are a number of features that define a tubular breast:

	•Wide and puffy areolae
	•widely spaced breasts
	•high breast fold
	•constricted lower pole (deficient tissue in lower half of the breast
	•minimal breast tissue
	•high breast fold

	•narrow base of the breast   

	I see, again in a mild amount, all but the first. As a result, an implant alone may exaggerated the deficient lower pole tissue resulting in the nipple and areola pointing downward, moreso than now. The larger the implant, the more pronounced the problem. 

	Choosing implant size is something best done at consultation, and there will be many factors at play.When you ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.

	Thank you for your question, best wishes.

Norman Bakshandeh Day, MD, FACS · Answer

I prefer the look of the moderate plus profile silicone implant. You also have some features of lower pole constriction which needs to be released during surgery. I would look at sizes that are only 25cc. apart

300cc or 350cc? (photo)

Answers (13)

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