I'm 5'6 102 lbs. 23yo. No kids. Bra size 32A. How can I be a full C? I prefer silicone to saline. (Photo)
Doctor Answers 22
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process.
In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size.
I wish you a safe recovery and fantastic result.
Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.
I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.
By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.
I hope this helps. Good luck!
Implant volume & cup size
Gary Horndeski, M.D.
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I found that this approach is possible in patients with minimal pectus excavatum as you have.
The larger 300-325 cc would seem a better choice to achieve the size that you want.
Please consult another board certified plastic surgeon for an examination and opinion. The doctors should check the insertion of your pectoralis muscle to ascertain if it is widely split by your practice.
I'm 5'6 102 lbs. 23yo . No kids. Bra size 32A. How can I be a full C? I prefer silicone to saline. (Photo)
To give you the most natural result, I would place them in a submuscular pocket using an inframammary incision. 325 cc will most likely give you a C cup size, but keep in mind that bra sizes vary greatly from one manufacturer to another. What is most important is how the final result looks, more than the label on the bra.
Full C cup
Thanks for submitting your pictures. Based on your pictures you appear to be a small A cup. If indeed your chest circumference is 32 inches, to become a 32 full C cup, you will need roughly 375 cc . Since I prefer saline implants, I would use a 325cc implants and fill them up to 375 cc. The advantages of saline implants are as follows : 1. 1/3 of the cost. 2. Small incision under the areola which is favorable for scar while silicon implants require longer incision in the submammary crease which is less favorable for scar. 3. Sub areola incision allows for easier dissection of the pocket and consequently obtain nicer cleavage and better sub mammary crease positioning. 4. In case of implant leak or rapture, it is simple to replalce saline implant and complex for silicone implant.
Always, consult with board certified plastic surgeons and check the before and after to make sure that you like the results.
I'm 5'6 102 lbs. 23yo. No kids. Bra size 32A. How can I be a full C? I prefer silicone to saline.
Best implant for cup size
I suggest consultation with one or two more ABPS-certified plastic surgeons.
Size and profile are the next issues, and there is a tendency for many of my colleagues to almost "automatically" recommend high profile implants (particularly for petite patients). I believe it is best to choose desired size first (anatomy allowing), and then choose the lowest profile implants that will fit your pocket diameter. This may indeed be high profile implants in larger size choices, but I would not hesitate to use moderate plus profile implants if they fit your pocket diameter for the sizes chosen. Too-high implant profile simply gives you abnormal projection and excessively-wide cleavage if HP are indiscriminately recommended for a majority of patients.Your pectus is truly minimal, and should not influence your choice whatsoever. It will simply help to give you a more pronounced cleavage.
I think you should listen to your gut about implant size, especially since you emphasize you want a "FULL C." In a woman your size, 275cc will increase your breast volume by just a bit over one bra cup size--you need larger implants to achieve your goals, which are perfectly appropriate and achievable by an experienced ABPS-certified plastic surgeon. Don't let any surgeon tell you what you should like; instead, your chosen surgeon should examine you and measure your anatomy carefully (BTW, breast base diameter measurements are bandied about as if they are precise and definite limitations on implant diameter, when in fact most breasts do not have "sharp" edges to accurately measure.)
The important thing is that the surgeon uses his or her measurement techniques systematically in choosing implant diameter and profile to best achieve your goals--which involve LISTENING to you, not telling you what you should think. Our expertise is then applied to your goals and anatomic requirements to get you as close as possible to your desired look.
One other thing: when looking at goal photos, some patients equate a desired look and listed implant sizes with what they should choose. Remember that final breast volume is implants PLUS whatever the patient started with in terms of her own breast volume. Someone may be similar in height and weight, and even have breasts that look SIMILAR to yours, but as your own pectus evidences, chest walls are different and breast volumes are different. Thus, you should choose final desired appearances and then allow your surgeon to combine your OWN breast volume plus the properly-selected implant volume and profile to best approach your goal look. In other words, if your goal photo patient had B-cup breasts plus 325cc and you liked that "final" look, your own A-cup breasts plus 325cc implants will end up being too small! Perhaps you already understand this, but it is a common misconception, and worth repeating.
Also, a given implant volume that you choose when sizing in a bra and stretchy top will look too small when that exact size is compressed by your muscles. Most surgeons who do lots of submuscular breast augmentations understand that anywhere from 10-20% additional volume will need to be added to your chosen implants to equal the look you had when sizing. Thus, if indeed you tried on 325cc implants and liked their look in a bra and stretchy top, I would consider actual implants in the 350-400cc range, again, depending on your exact goals and the findings in the operating room. This helps to minimize the "too small" outcomes that are all too common, and what I fear for you if you continue with the suggestions you have voiced hesitancy about.
Thanks for asking your questions. Listen to your gut on this; you are right on target and should be able to achieve a fantastic result--IF you get it right the first time. Now read my headline again. Best wishes! Dr. Tholen
MANY advantages to submuscular placement of breast implants
James McMahan, M.D. Columbus plastic surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.