Should I get 350 or 370cc gummy bear implants?

Question

I am so confused' my surgery is in 1 week. I am about 5'8' and 122 pounds. had my mind set that I wanted to be a full C; doc put a 375 in my sports bra and was happy with that THAN he said i can handle a 425, "it will look good on you". He was pretty firm on 425. I don't want to be in the D range, I want to keep it in the C range. I don't want "Stripper boobs"...I want a very natural nice size set of boobs. I want pretty cleavage when i wear a bathing suit/dress but not so much that there isnt even space between my 2 boobs.

James N. Romanelli, MD, FACS · Answer

This question of sizing is always one of my patients' top concerns.  And deservedly so.  Having said that, I agree that 350-370 cc is not a big difference.  I size our patients with 3D imaging as well as the use of sizers (directly on the chest, not in a bra).  Re-visit this issue with your surgeon and best of luck with your choice!

Barry L. Eppley, MD, DMD · Answer

The decision in breast implant size between 350cc and 370cc is really irrelevant. There is no appreciable difference in these implant sizes. There is a difference, however, between 350/370cc and 425cc implants. Given these concerns, you need to revisit a sizing appointment and feel comfortable walking into surgery with the chose breast implant size. You need to get an implant size that you want, not something that looks good to anyone else.

Elliot W. Jacobs, MD · Answer

First, find a board certified plastic surgeon with many years of experience, particularly in breast augmentation.  Have a frank discussion with the surgeon as to the desired size of your new breasts.  You should also mention whether you are physically very active.  There are pros  and cons for all kinds of implants:  saline, silicone gel or "gummy bear"  -- you should discuss this as well.  The gummy bear implant is great -- but more expensive and it may not be right for everyone.I have found that taking measurements of your body, your breasts, your skin elasticity, etc, all will affect your choice of implant size and shape.  And remember, it is not just volume -- some smaller diameter implants can provide more projection.As you can see, it gets complicated.  That is why choosing an implant by merely stuffing a sample implant in your bra is not the way to go.Good luck!Elliot W. Jacobs, MD, FACSNew York City

Tom J. Pousti, MD · Answer

Thank you for the question. There is no accurate correlation between size of breast implant and cup size achieved.
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'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 "C or D cup” or "stripper boobs"  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.
 The use of computer imaging technology may also be very helpful during this communication process.
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 (and the attached link) help.

Mel T. Ortega, MD · Answer

Thank you for your question . Please put pictures to get a good examination, otherwise it is really hard to get a good answer for you . Please add side pictures of your breast also .What has your surgeon recommended and the best way for you to have the right answer id to try out the sizers . Your doctor should have them at no cost to you to try them . Good Luck

C. Bob Basu, MD, MPH, FACS · Answer

A physical exam is really required to make any recommendations.  To help my patients achieve their goals,  I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional 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. Hope this helps.

David L. Cangello, MD, FACS · Answer

Hello and thank you for your question.Without a photo or
an examination there really is no way to answer this question. If you are
unsure about the surgeon's opinion I would suggest you seek a second opinion.Best of luck to
you!

Lee E. Corbett, MD · Answer

My thought is that you need to return to your surgeons office and re size the different options. In the end, it doesn't matter what your doc thinks look good on you, it only matters that you like your look. And, a 425cc implant on a 5'8" 122lb woman will be a lot of breast. You need to re size and make your own choice. If you surgeon disagrees get a second opinion.

Jay M. Pensler, MD - Account Suspended · Answer

Impant size is always a difficult decision.You should discuss this with your surtgeon to insure you are both on the same page.I like to utilize computer imaging for issues like this so the patient gets a visual understanding of the difference between the sizes.The difference between one size is modest.

Brooke R. Seckel, MD, FACS (retired) · Answer

It is crucial that you be comfortable with your decision about the size of your breast implants.Plastic surgeons almost always choose the larger possible size because in their experienced most patients after a year tell the doctor that they wish they had gone larger.However 350 cc is the most common breast implant size used in my practice and patient requests for a C cup are by far the most common request in my practice.My advice is always to follow your got instincts when choosing between breast implants of similar size.  The 425 cc is not that much larger however the main issue is the Ace with of the implant is greater which will make the breast wider with the larger size.

Should I get 350 or 370cc gummy bear implants?

Answers (10)

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