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Every plastic surgeon has a way they help determine the best implant size for their patients. I find the most proportional results are achieved by first measuring how wide the patients breast is. An implant which is close in width to the patients breast and therefore fits the natural breast "footprint", will give a natural looking result. At 5 feet 6 inches, you could look excellent with either size implant. From your photos it appears likely your breast width is around 12 cm which is what the implants width is. A change up or down of 25cc will only make a slight difference, so you could choose the larger implants with confidence they won't appear too big. Silicone is a good choice and chosen by the majority of my patients for its natural feel.
Don't be nervous about a tablespoon and a half! And as I ask my patients..."Forget the word "huge" and if I have to fudge a little...do you want to be a tiny bit bigger or a tiny bit smaller? And it is true...99% of women wish they had erred on going larger than smaller.
There is barely a noticeable difference between 300 and 325 cc. You should try on implants and see if you can appreciate a difference - make sure whoever is doing the sizing does not tell you which is which. 325 cc should not put you over the edge. Generally the belief is that women get modest during sizing, then wish they went with a little larger implant. Either way I think you should have a nice result.
The size different between 300 and 325 is very small. 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. Hope this helps. Dr. Basu Houston, TX
The actual size of a breast implant, measured in cc's, is really not very descriptive of what a breast augmentation will look like, or what the cup size will be. It is all relative to the size of the breast and the size of the patient preoperatively. A tall, broad-shouldered patient with small A-cup breasts may require 450cc implants to achieve a C-cup breast volume postoperatively, while a shorter patient with medium B-cup breasts may only need a 250cc implant to achieve a C-cup breast volume. If a natural appearance is the goal, then the way to get the size right is to 'try out' different implant volumes and profiles in the operating room. Once the implant pockets have been created, sterile sizers can be placed in the implant pockets, and the upper half of the O.R. table raised so that the resulting breast appearance can be assessed with the patient in an upright 'sitting' position (chest fully upright) while under anesthesia. These sizers are available not only for each implant size but also for each implant profile: low, moderate and high (in this practice we use high-profile implants only in rare instances). Inflatable sizers are used for saline implant augmentations, and pre-filled gel sizers are used for gel implant augmentations. For any patient there is obviously a range of implant volumes that would be considered natural-appearing, and a volume at which the upper pole of the breast begins to look very unnatural. While one patient may seek an augmentation that is 'perfectly natural', another may be interested in a result that is more on 'the full side of natural', and many patients do ask that the largest implant volume be selected that does not produce an unnatural fullness in the upper pole. By using breast implant sizers intra-operatively to determine exactly what breast implant profile and volume produces the best breast appearance in the O.R., patients can be provided with the closest possible approximation of their preoperative goals, and can be assured of a natural-appearing result.
