I'm 5'5 and weigh about 145lbs and I'm scheduled to have my surgery at the end of March. I'm unsure as to what size to go with I'm currently a C cup but want to go to a full D or Double DD. The 1st doctor recommended 600cc but my second doctor recommended 500/550cc to achieve the look I am going for. I'm afraid of choosing the wrong size. I'm a mom of 2 wanting to go for a natural fuller look that isn't over the top. I am definitely going with silicone but unsure on mod+ or high profile. Please help.
Answer: It's all about details. how big is too big? The question of implant size is confusing. Plastic surgeons have as many opinions as there are plastic surgeons. Some quote the literature, some quote their experience, but the key determinate is you. If one believes that a breast augmentation is a valid operation, then why not accept that success is based on meeting the patient's expectations. How then can a plastic surgeon deduce the result that the patient is seeking.My personal practice is to begin with implant sizers in clothing. that gives you an idea of how you want to look. Most patients get a pretty good idea of what looks good. We then go to 3-D imaging. I currently use a Vectra system by Canfield. It allows me to show you how you would look with different implants; different sizes, different profiles, different manufacturers. My current system also allows me to include a mastopexy into the simulation. It is not perfect but it allow me to eliminate ambiguity. You would quickly notice that there is nearly no difference in the look of a 550 cc implant relative to a 600 cc implant.Notice that I haven't said word one about dimensions, tissue characteristics, and the like. That's because I am only answering the question of size. All those parameters are important. That's why consultations take a long time. There's allot to discuss. Take your time. Do your homework, ask probing questions, and I'm sure that you'll have a great result.
Helpful 2 people found this helpful
Answer: It's all about details. how big is too big? The question of implant size is confusing. Plastic surgeons have as many opinions as there are plastic surgeons. Some quote the literature, some quote their experience, but the key determinate is you. If one believes that a breast augmentation is a valid operation, then why not accept that success is based on meeting the patient's expectations. How then can a plastic surgeon deduce the result that the patient is seeking.My personal practice is to begin with implant sizers in clothing. that gives you an idea of how you want to look. Most patients get a pretty good idea of what looks good. We then go to 3-D imaging. I currently use a Vectra system by Canfield. It allows me to show you how you would look with different implants; different sizes, different profiles, different manufacturers. My current system also allows me to include a mastopexy into the simulation. It is not perfect but it allow me to eliminate ambiguity. You would quickly notice that there is nearly no difference in the look of a 550 cc implant relative to a 600 cc implant.Notice that I haven't said word one about dimensions, tissue characteristics, and the like. That's because I am only answering the question of size. All those parameters are important. That's why consultations take a long time. There's allot to discuss. Take your time. Do your homework, ask probing questions, and I'm sure that you'll have a great result.
Helpful 2 people found this helpful
Answer: Large implants are not enough in women with pregnancies Unfortunately, you have not provided any photographs or told us your bra size just your cup size. If you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal. Since you had 2 pregnancies you would benefit from a simultaneous lift. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 550 cc or 600 cc implants are very large, will not fit retro-pectoral, will extrude inferiorly and laterally requiring revision. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result.Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
Answer: Large implants are not enough in women with pregnancies Unfortunately, you have not provided any photographs or told us your bra size just your cup size. If you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal. Since you had 2 pregnancies you would benefit from a simultaneous lift. I recommend a new technique called Breast Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be placed. Aligning the areola, breast tissue and implant over the bony prominence of the chest wall maximizes anterior projection with a minimal size implant. Small round textured silicone gel implants placed retro-pectoral look and feel more natural, are more stable, less likely to ripple or have complications needing revision. Implant profile is irrelevant in the retro-pectoral position since the muscle compresses it. 550 cc or 600 cc implants are very large, will not fit retro-pectoral, will extrude inferiorly and laterally requiring revision. 22% of women who undergo breast augmentation alone require revision within 2 years because they are dissatisfied with the result.Best Wishes,Gary Horndeski, M.D.
Helpful 1 person found this helpful
February 11, 2014
Answer: Breast Implant Size Breast Implant SizePlease see my previous posts regarding this topic for more information. This is one of the most frequently asked patient question. Your strap size 32 34 36 makes a big difference in cup size. A 32 dd is much less volume than a 36 dd.Also, sagging is a big factor after children. Photos of what you consider a dd would be helpful. The profile of the implant and diameter matter as well.More information would help. It's worth a drive from Bakersfield to get good informtion.
Helpful
February 11, 2014
Answer: Breast Implant Size Breast Implant SizePlease see my previous posts regarding this topic for more information. This is one of the most frequently asked patient question. Your strap size 32 34 36 makes a big difference in cup size. A 32 dd is much less volume than a 36 dd.Also, sagging is a big factor after children. Photos of what you consider a dd would be helpful. The profile of the implant and diameter matter as well.More information would help. It's worth a drive from Bakersfield to get good informtion.
Helpful
February 10, 2014
Answer: Bring a spouse, girlfriend or photos... Its always difficult to meet patients and in a very short period of time figure out what they want. I encourage patients to bring a spouse or girlfriend in to help them decide what looks good on them. We can give suggestions but, they are only that...suggestions.
Helpful
February 10, 2014
Answer: Bring a spouse, girlfriend or photos... Its always difficult to meet patients and in a very short period of time figure out what they want. I encourage patients to bring a spouse or girlfriend in to help them decide what looks good on them. We can give suggestions but, they are only that...suggestions.
Helpful
February 9, 2014
Answer: Cup sizing and CCs? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 D and a 38 D are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California
Helpful
February 9, 2014
Answer: Cup sizing and CCs? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: Your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant.There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 D and a 38 D are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California
Helpful