I had my BA consult and tried on different implant sizes with a sizing bra. The sizing bra was like a sports bra, so it seemed to squish down on the implants and my breasts. Will my end results be relatively close, or bigger since they won't be squished by sports bra? I like 450cc and 420cc, but just those numbers sound huge! I am barely a B and want to be a full C/small D.
Answer: How accurate are sizers in sizing bra compared to how end result will look? Although useful as rough guidelines and as communication tools, all the modalities currently used to predict what breast implant size/profile will best achieve a patient's goals with breast augmentation are not very accurate, in my opinion. The use of the rice test, sizers placed beneath a patient's bra, goal pictures, computer imaging technology… are all useful, but not necessarily as accurate as one would hope. In my opinion, nothing will replace careful verbal preoperative communication with your plastic surgeon, preferably in front of a full-length mirror along with the use of as many "communication" tools” listed above. In my practice, I use all of the above modalities and then use intraoperative temporary sizers to help determine the best breast implant size/profile to achieve a patient's specific goals as closely as possible. For this reason, I think it is helpful to have the entire range of breast implant sizes/profiles available in the upper room. Achieving realistic expectations prior to proceeding to the operating room is also an important part of the preoperative communication process. Patients should be aware that the results of their breast augmentation will not necessarily match exactly what they are visualizing with anyone of the above-mentioned communication tools. Given your questions and concerns, and given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon. This additional time spent will be helpful in the communication process and in alleviating some of your anxiety. Best wishes; hopefully you will be very pleased with the outcome of the planned procedure.
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Answer: How accurate are sizers in sizing bra compared to how end result will look? Although useful as rough guidelines and as communication tools, all the modalities currently used to predict what breast implant size/profile will best achieve a patient's goals with breast augmentation are not very accurate, in my opinion. The use of the rice test, sizers placed beneath a patient's bra, goal pictures, computer imaging technology… are all useful, but not necessarily as accurate as one would hope. In my opinion, nothing will replace careful verbal preoperative communication with your plastic surgeon, preferably in front of a full-length mirror along with the use of as many "communication" tools” listed above. In my practice, I use all of the above modalities and then use intraoperative temporary sizers to help determine the best breast implant size/profile to achieve a patient's specific goals as closely as possible. For this reason, I think it is helpful to have the entire range of breast implant sizes/profiles available in the upper room. Achieving realistic expectations prior to proceeding to the operating room is also an important part of the preoperative communication process. Patients should be aware that the results of their breast augmentation will not necessarily match exactly what they are visualizing with anyone of the above-mentioned communication tools. Given your questions and concerns, and given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon. This additional time spent will be helpful in the communication process and in alleviating some of your anxiety. Best wishes; hopefully you will be very pleased with the outcome of the planned procedure.
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Answer: Bra sizers do not predict final appearance The appearance of the breast after augmentation does not correlate with the appearance of sizers in a bra. The more accurate technique I prefer to use is based on cup volume changes. If you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal.Best Wishes,Gary Horndeski, M.D.
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Answer: Bra sizers do not predict final appearance The appearance of the breast after augmentation does not correlate with the appearance of sizers in a bra. The more accurate technique I prefer to use is based on cup volume changes. If you are 32 or 34 each 100 cc’s of implant corresponds to 1 cup size change. If you are 36 or 38 each 200 cc’s of implant corresponds to 1 cup size change. From this, you can compute the volume required to achieve your desired goal.Best Wishes,Gary Horndeski, M.D.
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February 20, 2014
Answer: Breast implant sizing Every surgeon has a different approach to helping their patients choose the implants that will achieve their goals. When using a bra and sizers during a consultation, the patient can have an idea of the proportions they will achieve with an augmentation, but the breasts will look different when the implants are inside of you rather than inside a bra. I find that this is easier to assess with a tight-fitting shirt worn over the sizing bra. Some surgeons will recommend going "one size up" from the size you liked in the office but I prefer the approach of picking the largest size with which you feel comfortable while sizing. It is very uncommon for a patient to feel like their implants look larger in their body than they did in the sizing bra. Best wishes.
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February 20, 2014
Answer: Breast implant sizing Every surgeon has a different approach to helping their patients choose the implants that will achieve their goals. When using a bra and sizers during a consultation, the patient can have an idea of the proportions they will achieve with an augmentation, but the breasts will look different when the implants are inside of you rather than inside a bra. I find that this is easier to assess with a tight-fitting shirt worn over the sizing bra. Some surgeons will recommend going "one size up" from the size you liked in the office but I prefer the approach of picking the largest size with which you feel comfortable while sizing. It is very uncommon for a patient to feel like their implants look larger in their body than they did in the sizing bra. Best wishes.
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February 21, 2014
Answer: I prefer reviewing photos and making measurements to help with implant choice In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape.Many times this simply raises more questions.I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
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February 21, 2014
Answer: I prefer reviewing photos and making measurements to help with implant choice In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape.Many times this simply raises more questions.I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
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February 21, 2014
Answer: Breast sizing systems are only a rough estimate of breast augmentation result Thank you for your question and photographs. Breast implant sizing systems are helpful to give you a general idea of the fullness after breast augmentation, however because they're placed on top of your own breast and not beneath as will be the case after surgery, they are really only a very rough approximation of how you will look after surgery.I agree with your feeling that 420 and 450 cc implants are very large for your frame and size.In my experience a patient with your current breast appearance and body shape Implants in the 250-300 cc range will give you a full B cup and 325-350 cc will give you a full C. I certainly would avoid implants and the 400 range.
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February 21, 2014
Answer: Breast sizing systems are only a rough estimate of breast augmentation result Thank you for your question and photographs. Breast implant sizing systems are helpful to give you a general idea of the fullness after breast augmentation, however because they're placed on top of your own breast and not beneath as will be the case after surgery, they are really only a very rough approximation of how you will look after surgery.I agree with your feeling that 420 and 450 cc implants are very large for your frame and size.In my experience a patient with your current breast appearance and body shape Implants in the 250-300 cc range will give you a full B cup and 325-350 cc will give you a full C. I certainly would avoid implants and the 400 range.
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