Will 400cc Silicone Gel MP Implants, Under the Muscle, Give Me the Mid C I Want or Should I Stick with 375cc?

Question

I am 5'6, 110 lbs, breastfed 2 kids, 29inch ribcage, 13BWD, 34A (with empty cups)

Gary M. Horndeski, MD · Answer

At size 34 A each 100 cc’s of implant corresponds to 1 cup size change.  400 cc implants would take you up 4 cup sizes to a DD.  If you want to be a C, you would only need 200 cc implants.  I recommend small silicone gel implants placed retro-pectoral since they look and feel more natural, are more stable, less likely to ripple or have complications needing revision.  In the retro-pectoral position, the muscle compresses the implant and determines the projection, not the implant profile.  Unfortunately, your photographs do not show the position of your breasts on the chest wall but they appear to be slightly lower and after breast feeding it is possible that you may benefit from a simultaneous lift.  The advantages of a lift technique are reshaping your breast tissue creating upper pole fullness, elevating them higher on the chest wall and more medial to increase your cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant.  

	 

	Best Wishes,

	 

	Gary Horndeski, M.D.

Ali Adibfar, MD, DDS · Answer

Hello 

	25cc does not make a huge difference in the final size of your breasts. 

	In general you need to add approximately 100cc to jump a cup size .

	Although I usually remind patients that the larger the implants the higher the chance of complications such as traction ripples, capsular contracture, etc.... I notice that patients commonly like the sizes more in the immediate post operative time when they are more swollen!

	good luck

C. Bob Basu, MD, MPH, FACS · Answer

I think you would feel more comfortable if you had more of a say in your implant size with some helpful guidance from your surgeon.  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

Steven Wallach, MD · Answer

It is difficult to determine what the cup size will be from the volume chosen. It is always best to be evaluated in person.

Marcel Daniels, MD · Answer

25 cc's is about a shot glass of volume and is unlikely to make a big difference in breast size. Since the biggest complaint among women getting implants is "I should have gone bigger", pick the 400cc implant. Hope this helps! Good luck!

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.

Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.

There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.

During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.

I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.

We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.

We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind
Hello. Thank you for your inquiry and congratulations on your surgery! It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

The most important issue is that implant fits your chest, your figure and your life style. It's important to measure the diameter of the breast and assess how elastic the breast is. If the implant is too big, it will spill off your chest laterally and drive you nuts or it will result in the dreaded unaboob. Don't get hung up on numbers, either with the implant volume or the bra size. What's important is that you have a result that looks and feels good on your body.

Will 400cc Silicone Gel MP Implants, Under the Muscle, Give Me the Mid C I Want or Should I Stick with 375cc?

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