5’5", 122 pounds. Need help with implant exchange size (Photo)

Question

I have the recalled textured allergan 415 cc high profile width 12.75 projection 5.2. Already have seroma and capsular contracture in right breast. I want to keep same cup size but would like more cleavage and better nipple position. Wish pics and current photos of me included. I can only go to the operation with one implant size. Dr wants me to choose from these mentor moderate plus smooth 440cc mentor xtra or 400cc mentor memory gel or 450cc memory gel. What size should I pick?

Daniel Barrett, MD · Answer

Dear Resourceful5304,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

No one over the Internet can help you chose the correct size. Go back to your surgeon and discuss sizes. If this is your photo, (only one is posted) I would recommend going with the smallest implant.

5’5", 122 pounds. Need help with implant exchange size (Photo)

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5’5", 122 pounds. Need help with implant exchange size (Photo)

Answers (2)

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