I am 5'8", 145lbs, 32C, and my breast width is R14.5cm L14cm. My PS recommended the Naturelle Style 10 silicone, which I believe is Moderate Profile, in 390cc bilateral. My aesthetic goal is to have a D-DD cup with a natural slope appearance. I am afraid that this is not big enough to achieve this, and that my breast will appear flat and wide. What do you think my outcome will be? I am really nervous.
I Am 5'8", 145lbs, Breast Width is R14.5cm L14cm. Will MY Dr. Recommendation Get me a DD?
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Doctor Answers 6
Implant Selection Process
The larger the implant, the higher the risk of complications. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
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.
I wish you a safe recovery and fantastic result.
Breast Implant Size Recommendation
In my opinion, I always think going smaller is better in the long run. However, I'd be out of business if I picked sizes for my patients. Having said all of this, in my experience at your height and weight you will most likely not achieve the look you're going for with a 390cc implant. Again, that is just my opinion. Do keep in mind though that a bra size is made up by a company and isn't a true measurable system. Try on various sized implants to get an idea of what you think looks and feels best for your body.
Without examining you it is hard to tell you what implant would be best for you. Moderate profile do not give a lot of projection.
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Breast Implant Sizing?
Thank you for the question.
For patients planning on breast augmentation surgery it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “D-DD cup” etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison. I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
Although potentially helpful, I do not think that the use of pre-operative sizers and/or “rice test” is a precise enough way to communicate goals. As you can imagine, a breast implant size or placed on the chest wall will not necessarily create the same look as the same size placed on the rib cage ( below the pectoralis muscle).
With computer technology improving, this may be the next best tool to help with communication between plastic surgeon and patient. However, ultimately it will be the selection of plastic surgeon and his/her ability to communicate with patients to determine their goals, that will be the most important variable in achieving the desired end results.
Once you have made the selection of plastic surgeon, continue the communication process until you feel comfortable that you are both on the same page in regards to your size goals.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
Sizing implants before surgery.
Thank you for your question:
The 390 style 10 is a wide low profie implant. 397 is a style 15 moderate profile. The numbers can be very confusing for people choosing their sizes.
There is no perfect sizing tool... bags of rice or water have no shape, sizing kits are limited in their selection and computer programs are still evolving. Headless photos on the internet rarely tell the entire story because each womans height, hips and shoulders are different but they help me know the look that the patient is going for.
In my own practice I like to have my patients try on actual implants in a testing bra. Based on your question I think it would be helpful for you to do this as well.
When I size my patients we first focus on the width of the implant... does it fill the width of the natural breast? Does the outside curve compliment the hips? Once we find the width that Balances the top and bottom of the whole person we focus on the proection... low, moderate or high profile. For example a low profile 240, a moderate profile 304 and high prifile 375 all have similar widths but will give a very different cup size.
Even looking at actual implants on your frame is imperfect beecause they tend to look smaller inside you under the muscle, but to me so far this is the closest and most realistic teaching tool.
Again, I would recommend you look at actual implants on you in a testing bra. Bring a few different shirts or blouses, and even a friend for an additional opinion. A 390 low profile may give you the width you need, but it may not gve you the projection you are looking for.
Hope this helps.
The best implant size to achieve your volume goals
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. Even your fitness levels and other relevant criteria are taken into consideration. It is you who will decide what you are comfortable with.
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. So try these implants in the office to pick which look you like the best.
Hope this helps. Best of luck.
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.