Is 330cc Breast Implants Too Big for a Petite Frame?

Question

I'm 5'0", 105lbs. Which size is right for me? I am having surgery on the 22nd of this month. I am currently a small A and want to go to a small C. Is 330ccs to much for me?

Robert Frank, MD · Answer

Hopefully, you're just looking for a little reassurance and your surgeon has spent time with you to be sure you're on the same wavelength when it comes to size. A 330 cc implant isn't crazy big or crazy small but, it has to work for you. If you have any doubt, I hope you'll talk with your surgeon soon...before your surgery.

David E. Kim, MD · Answer

I find questions like these to be interesting , because without seeing you none of us can really give you an accurate answer. If you have found a qualified plastic surgeon and he feels this size is adequate I think you should trust the decision and go with it.

Otto Joseph Placik, MD · Answer

IT would be impossible to guiide you into the proper decision without an examination and discussing the more specific and relevant measures of breast base diameter and ptosis or atrophy. Under versus Over also plays a role in determining the final outcome.

C. Bob Basu, MD, MPH, FACS · Answer

Implant sizing depends on several factors.  This is the approach I use to help guide my patients with their implant size selection:

	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

Paul Gill, MD · Answer

Unfortunately, there is not a general rule of thumb or objective criteria to implant selection to replace an in office exam and good communication with a board certified plastic surgeon.
	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

Sugene Kim, MD, FACS · Answer

Thank you for your question. There are several variables in determining implant size. When recommending implant size for my patients, I consider the followings: 1) patients' anatomy (height, weight, chest width, chest height, amount of breast tissue) and 2) patients' desired look/goal. Without knowing your chest measurement and breast tissue amount, I cannot give you any recommendation. You should visit with board-certified plastic surgeon who will examine you. Try implant sizers to get a rough estimate of the size you may want. As you know, bra/cup size will vary depending on the brand. Good luck with you.

Mark A. Schusterman, MD, FACS · Answer

In general for size zero or one below 5'5" I rarely if every recommend anything larger than a 300cc implants.  You need to try them on to get a feel for how they will look when implanted.

Gregory Sexton, MD · Answer

Implant size is difficult, but as long as you are in the right ballpark it will be ok.

	In my experience, someone with your frame will end up with a large B to small C with 300cc. 325 to 350 should be in the C cup range.

	Good luck.

Tom J. Pousti, MD · Answer

It is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of &ldquo;goal&rdquo; pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as &ldquo;natural&rdquo; or &ldquo;C cup&rdquo; or "fake looking" means different things to different people and therefore prove unhelpful.
	Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
	I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the press implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
	I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
	By the way, the most common regret after this operation, is &ldquo;I wish I was bigger&rdquo;.
	I hope this helps.

Steven Wallach, MD · Answer

It is hard to say whether or not the volume you selected would be best to reach the desired size. You can do a baggy test of try sizers on to see how the volume fits in a bra for you.

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