Thank you for your question. Picking the proper implant size is something that creates alot of anxiety among women planning the procedure. Ideally, implants should be chosen based on more than just their volume. The base width of the implant should be matched to the width of your breast, and the projection chosen to fit your desired look and the characteristics of your breast skin. This allows the implant to be chosen on a 3 dimensional basis rather than by just volume alone. This will give more predictable and natural results. With that approach in mind, we can consider the original question. Depending on your chest width and overlying skin, you may be able to have a 550cc implant placed. This would be especially true if it was a higher profile implant, which would be more narrow and appear smaller but with increased projection. Ultimately, the best choice for you would be made during a consultation and the ensuing discussion.
I consider two factors when selecting implants for my patients: 1.Dimensional planning 2.Gel Implant Sizing system Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation. Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. If you have decided on saline implants, then based on the gel sizer you select, we can guide you to the saline implant that achieves a similar look. Hope this helps. Dr. Basu Houston, TX
