I Am 5'7, 120 Pounds. I Was Flat and Now Got my Breast Done to 385cc Under Muscle. Could I've Gone Bigger? If So How Many Cc?

Question

Could I've gone bigger than 385cc for my body frame? If so How many cc ?

Jed H. Horowitz, MD, FACS · Answer

Breast Implant Sizing for Augmentation and Enlargement - 
	It depends on your chest size, pregnancies, weight gain and/or loss.
	If you want to be larger, wait at least one year for the tissues to stretch and then replace the implants.

Sultan Hassan, MD, FRCS(Plast) · Answer

Hi and thanks for your question, however its really quite important to remember that the best results can only be achieved by a careful preoperative assessment with your PS. Choosing an implant that 'fits best' to give you as close to your desired goal as possbile.

Brian J. Reagan, MD · Answer

You are rather tall and lean. It sounds like with 385cc you are probably a Full C/Small D. So the question may not be "could you go bigger", but rather "should you go bigger". What is your goal. While it may be technically possible to go bigger, doing so might not look natural and stress your soft tissue capabilities. Give it more time and maintain communication with your surgeon.

C. Bob Basu, MD, MPH, FACS · Answer

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

Pablo Prichard, MD · Answer

Dear Fahmi,

	Thank you for your post.  Nationally, this is the 'biggest' question that women have after augmentation and the most common reason for revision.  For this reason, I usually push women to go slightly larger than they were originally thinking.  The largest size possible for a given patient depends on skin and tissue strength, and chest dimensions and cannot accurately be given without all of these issues.  In general, though, I choose my implant sizes based on chest dimensions, base diameter of the breasts and desired cup size, rather than cc's.  However, for comparison, the following link is a petite girl with relatively narrow chest who is 5'6" and had 500 cc high profile implants placed.

	Best Wishes,

	Pablo Prichard, MD

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