1st BA here - My BWD is 14cm and my surgeon recommends 505cc Sientra 106 implants with a moderate+ profile to achieve my goal photos (34D/34DD). I currently am 34AA/34A with an athletic build but a "wider chest". I am 5'6 and 160lb. I know it is important to not get too fixated on the # as CCs appear differently on everybody. However, to hear 505 as the recommendation came as a shock to me! I have tried on sizers and completed 3D imaging. Are 505s considered large for my frame? Higher risk?
March 12, 2021
Answer: Smaller implants At size 34 A, each 100 cc of implant corresponds to 1 cup size change. 500 cc implants would take you up to a size F. Also, 500 cc implants weigh more than 1 lb each and will not fit submuscular. I would recommend you consider small size implants for long term stability. Best Wishes, Gary Horndeski, M.D.
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March 12, 2021
Answer: Smaller implants At size 34 A, each 100 cc of implant corresponds to 1 cup size change. 500 cc implants would take you up to a size F. Also, 500 cc implants weigh more than 1 lb each and will not fit submuscular. I would recommend you consider small size implants for long term stability. Best Wishes, Gary Horndeski, M.D.
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March 12, 2021
Answer: Implant size and type Dear dondefleur, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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March 12, 2021
Answer: Implant size and type Dear dondefleur, 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, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful