Will 435 cc’s give me my desired look? (Photo)

Question

I’m currently a small B cup. I’m 5’7” about 160 lbs. I would like to be a full D cup. I have already found a plastic surgeon that I love, and have scheduled my surgery for July 20th. I would just like some other opinions to make sure I am making all of the right choices. My surgeon and I decided on 435 cc moderate plus textured silicone implants. Thoughts?

Luis A. Mejia, MD · Answer

hello thank you for your question and provided informaton as well.. based in based on the photo shown and the angles, I see that you are a good candidate for breast augmentation sub glandular position, in the case of cc 400 would be better option, my recommendation is that you get a consultation with a certified plastic surgeon who will evaluate you .

Navinderdeep S. Nijher, MD · Answer

The decision for implant size is primarily based on the width of your breast, and what type of projection you are looking for. From your pictures you look like an excellent candidate for breast augmentation. While it is impossible to fully give a recommendation without examining you in person, I think the implant you have chosen will give you the size that you are looking for, but may look a little wide. You may want to consider a higher profile implant than a moderate plus if you are looking for a "fuller" shape, but again this is a discussion between you and your surgeon. As mentioned by others, I also tend to use more smooth implants over textured. Perhaps consider getting some other opinions, but overall, with your breast shape, I think you should be able to achieve a very good result. Good Luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique. 
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Ram Kalus, MD, FACS · Answer

Thank you for your inquiry. Without a physical examination it is difficult to respond with accuracy, but the best way to determine which breast implant size is best for you is by first finding out your specific wishes not only with words or letters as in cup size or “not too big” or “natural”, but also with a visual understanding of what you hope to look like. Hopefully this is what you discussed with your plastic surgeon.In my own practice, this is accomplished either with photographs of patients whose breasts and body type look like you, or ideally with photos of patients not only whose breasts are similar to yours, but are also a similar height, weight, and pre-operative breast size. In our own practice we have provided that unique functionality on our website to accomplish exactly that.

Unfortunately the most common reason for a woman to be unhappy after her augmentation is feeling as though she is either too big or not big enough. Thankfully, in our practice this is rarely a problem because implant size selection is what we spend most of our time discussing and determining. I do not place the onus of selecting the breast implant size on my patients since they are coming to me for my advice and expertise, but I do ask my patients to be as specific as possible about their aesthetic goals and I then advise them accordingly.

Implants vary in width, projection and volume. This can be very confusing to women, who are used to discussing one number only such as “300 cc’s”. To better understand which implant is best for you, in our consultation room we have two shelves one above the other, each with four implants. The top shelf has all the implants with exactly the same width (12.5 cm), yet the less projecting implant with that width is a 275 cc Moderate or Classic, and the most projecting is a 590 cc Ultra High Profile. On the lower shelf, all of the implants are 300 cc implants, yet the less projecting implant has a width or diameter of 12.8 cm, and the most projecting of the 300 cc implants is the Ultra High Profile which has a 9.7 cm diameter.

Once it is determined which implant width or diameter would best fit you, the next step is to decide which what sort of look you are hoping to achieve, i.e. more projection, moderate, or least. This is determined by how much breast tissue you have naturally, and how large you ultimately wish to be. All of this can and should be discussed with your plastic surgeon. And don’t be shy about coming prepared with images which you feel best represent your desired end point. I would advise you to discuss your concerns with your plastic surgeon BEFORE your surgery to confirm that you are both of like minds. Your idea of “natural” or “pretty” or “proportionate” might be different from your plastic surgeon’s and it is very important for you to feel confident as far as the goals. Best of luck to you and I hope you are successful in achieving the enhancement you are seeking.

Nelson Castillo, MD · Answer

Thank you for your question and photographs. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend you voice your concerns with your surgeon, they are in the best position to ensure that the implants the two of your decide upon are the right ones to meet your expectations. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

David A. Lickstein, MD · Answer

it does depend on the width of your chest wall, and your goals.  I would discuss the potential risks of textured implants with your surgeon.

Darryl J. Blinski, MD · Answer

Best to seek other in person opinions from boarded PSS in our area. My guess over the RS is to small. Plus I do not ever use tec=xtured implants, to many ripples.

Tom J. Pousti, MD · Answer

Thank you for the question.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.
 
***Given your concerns, it is definitely worth spending more time (preferably prior to the date of surgery) with your plastic surgeon to discuss further.  One question that might be helpful to you: will you be more disappointed if you are slightly too small or slightly too big?  It will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.
 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 are 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. For example, I have found that the use of words such as “natural” or "full D cup" 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.My best advice: more communication.

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

Congratulations on your decision to have breast augmentation.  Your starting at a good place and should she be a very nice result.  It is very difficult to predict cup size.  Very generally speaking the 405 cc should increase you by 2 cups sizes in the same style bra that you currently wear.  You can also try the rice test at home.

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