I am scheduled for surgery in 4 days and now I am second guessing the size of implants. (pre surg nerves and size obsession) I am 5ft 115lbs, currently 34C breast diam 15cm, w/level 2 ptosis. I would like to have very large full breasts approx 34DD.I was advised implant sizes 330cc-500cc would work for me. My PS recommended 420cc moderate pr, saline under muscle. I have worn sizers in both 400&475. I love big, but dont want crazy big. Will 420cc give desired 34DD or do I need bigger implant size?
Will 420cc Implants Make Me Very Big?
Doctor Answers 17
Breast implant sizing
The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size.
Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result. On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants. Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants. On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational. As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. 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 cup” or "fake looking" or "top heavy" or "crazy big" 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 breast 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 “I wish I was bigger”.
I hope this helps.
What is considered BIG for Breast Implants
420cc is about 2 cup sizes. If you've tried the implant samples to show you what 420cc implants would look like in addition to what you already have and are pleased with what your body looks like, then I say "Go for it!"
My only concern is how you'll feel about your choice, 10-15 years down the line, after childbirth, gravity and weight gain has hit.
Determing Breast Implant Size
It’s hard to say without a photo which placement fits you the best. There are various factors regarding how you want your breasts to look and feel, but if you and your doctor have a good, open line of communication, you shouldn’t need to go back and forth on your decision. A major factor that effects how breast implants look and feel is whether they're inserted over or under the chest (pectoral) muscle. I do submammary and submuscular implants, inserting the implants under the breast tissue and over the muscle through an incision in the breast fold. The result is fabulous: perkiness with barely a trace of scar.
If you want the most natural-looking breast you'll need a subpectoral implant, in which the implant is placed under the muscle. This procedure also requires the merest incision - about three centimeters in the crease under the breast or at the edge of the nipple -- and diminishes the incidence of capsular contracture, the formation of hard scar tissue around the implant which occurs in 10 to 30 percent of cases.
Subpectoral implants aren't right for everyone, though. If you have saggy breasts, an implant placed under the muscle won't fill out that empty breast sack, and you'll get what we call the "double bubble" look, where the implant is situated next to your armpit and the breast hangs several inches below it. Instead, you can have a procedure called augmentation mastopexy, in which the implant is placed under the muscle and the skin on the breast is lifted and tightened.
In short, you must know -- realistically -- what you are starting with, as well as what you want to look like when surgery is done. Do you want a natural appearance or a round, perky look? These are some of the factors I weigh with my patients when evaluating what type of procedure to do.
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External sizers and 3D imaging would help...
It’s obvious that 500 cc implants would have a more dramatic effect in someone who’s 5’ tall than someone who’s 6’ tall. Also, your starting breast size would ultimately impact your final breast size and final result.In addition, it’s important to remember that 50 cc is only 4 tablespoons. Terminology is also important.I find that not everyone’s idea of a D-cup is the same. This potentially leads to confusion as well.
The best approach to resolve this issue is consultation with a board certified plastic surgeon with experience in this area.In an effort to minimize confusion, we utilize both external implant sizers and the 3D Vectra Computer Imaging System.These two systems help the surgeon understand the patient’s aesthetic goals.They also significantly alleviate the anxiety that many patients experience regarding breast implant size.
Will 420cc implants make me very big?
Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, etc). Your height, weight, breast width, and body habitus will make a difference for which implant style/projection to choose. Implant profile will also make a difference on the projection, which will influence overall breast/cup size. I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you of results. Sizers are helpful during an in-office consultation. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width. This is the most important determinant for the sizing of implants, which will provide the optimal result and most aesthetically-pleasing result for you.
Consult with a board-certified plastic surgeon well-versed in breast procedures who will examine and discuss with you the various options and factors to consider and help you decide which one will be the right one for you. Hope me that this helps! Best wishes for a wonderful result!
Implant Selection Process
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.
Sizing of Breast Implants
As mentioned by others, it is very difficult to translate implant sizes to cup sizes. If you are now wearing a 34C bra and do not want to be "crazy big", you do not want to go bigger than a 420cc implant. Not only would you be "crazy big", but it would also be obvious that you have been augmented.
Would Will Breast Implants Make Me Very Big?
Regarding: "Will 420cc Implants Make Me Very Big?
I am scheduled for surgery in 4 days and now I am second guessing the size of implants. (pre surg nerves and size obsession) I am 5ft 115lbs, currently 34C breast diam 15cm, w/level 2 ptosis. I would like to have very large full breasts approx 34DD.I was advised implant sizes 330cc-500cc would work for me. My PS recommended 420cc moderate pr, saline under muscle. I have worn sizers in both 400&475. I love big, but dont want crazy big. Will 420cc give desired 34DD or do I need bigger implant size?"
THE KEY to an attractive augmented breast is picking an implant which is fully covered by YOUR current breast tissue and does not slide sideways off your chest. Your surgeon can easily tell you if your breast width matches that of the 420 or 475 cc implant. Choosing a larger implant will expose the ripples of the implant along the side and bottom of the breast.
The key to a long lasting perky breast is using the smallest implant you can put up with. You ALREADY have grade 2 sagging of the breast with your natural 34C breasts and yet you did not mention any plans to lift your breasts and correct the sagging during this surgery. Adding 420 or 475 grams to each sagging breast will increase the rate of breast sagging. Something to consider.
I would talk to your surgeon and ask him which breast implant offers the best compromise of full coverage and weight to try and get the best result.
Dr. Peter Aldea
If you like the 500 cc sizers than go for it. Otherwise you are setting yourself up for disappointment and the most common post operative compliant of, "I wish I would have gone bigger!"
Breast augmentation; choose the look, not the implant size
Your question comes up very frequently and we hear such concerns; will a 350cc implant be right for me? Or will I need a 420cc implant for a DD cup or will a 450cc be better? As a reviewer, my best advice is to make sure you know what look you want (and yes cup size) and make even more certain that your surgeon knows what the goal is. You will not care if the implant is a 400cc or a 475cc if the look is 'you'. Bring in photos, buy the bra you hope to wear (the 34DD) and fill it out and let your surgeon see it to know what you want. The surgeon should keep your goal clearly in mind as he selects the correct implant. He should also advise you as to a safe and realistic outcome.
Best of luck,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.