460cc or 500cc Silicone?

Hello,

While some of the other surgeons have actually tried to answer your question, and some gave you a hint of caution, I am here to give you a serious reality check.

If this is going to be a 'one shot deal', then you may want to rethink having breast implant surgery at all right now, especially given your choice of very large, HP implants on a small frame/small breasts.  Your risks of complications are higher than a breast augmentation without a lift, by virtue of the fact that a breast lift creates more potential problems.  In addition to that, using HP implants has it's own higher complication rate over its less projecting counterparts (intermediate profile implants).  If you scan this site for other women's posts who have a variety of post operative complications needing reoperation, you'll see most have either inappropriately large, or HP implants, or both.

Please read your consent form for the complications, as well as financial responsibility for re-operation.  Although most are unlikely, like hematoma, DVT/PE, or death, many have a fairly high rate of occurrence, like rippling, capsular contracture, and asymmetry.  If you have a complication that you can't live with, what are you going to do?  It wont be for free.

Sometimes the cheapest way to go is not so obvious.  Choosing a surgeon who will size you appropriately and not allow you to pick your implant size or profile, who performs meticulous work (especially needed when performing the more difficult augmentation mastopexy), with proper credentials (Certified by ASPS, Member of ASAPS), and is a specialist in all forms of cosmetic breast surgery, will decrease your risk for re-operation, and save you the most money, even if he was expensive (more than likely).

I hope I've given you pause to think about you and your future.  I know this is an exciting time, and you may have been waiting for this day, but you need to know the reality of what you are undertaking.  I wish you the best of luck.

At size 36 B each 200 cc's of implant corresponds to 1 cup size change.  500 cc's would take you up 2 1/2 cup sizes, which would be approximately a size D or DD.  I doubt you could accommodate an implant of this size in the retro-pectoral position.  If you attempt to place a 500 cc implant it will extrude inferiorly and laterally and will require revision.  Your focusing on implant size but the lift is more important.  There is a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to place the implant, reshape your breast tissue to increase upper pole fullness, elevate them higher on the chest wall and more medial to increase cleavage.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall will achieve maximum anterior projection with a minimal size implant. 

Best Wishes,

Gary Horndeski, M.D.

It depends on what you think a full C is.  I think that either size will make you a D cup.  Look at pictures on the Internet to get an idea of what you want to look like and show them to your surgeon.  Whether you go with a 460 or 500 cc implants doesn't matter that much.  It's less than a ten percent difference in size.

Without examining you, it is hard to say what the appropriate size would be for you.  The difference between the two implants is pretty small - essentially four tablespoons.  However, in someone who is 5'1, either one of those implants is going to be a fair amount of volume.  I would check with your surgeon and see what direction they feel is best for you.

I strongly recommend that you try on the implant sizes that you are considering in your surgeon's office.  That way you will know exactly what to expect post-op.   Good luck.