I’m very broad. 5”4’ and 160lbs. I’m having my breast augmentation in 10 days with moderate profile silicone. My PS recommends 445Cc mainly due to the width of the implant due to my broadness. Ideally, I would like to be a full C. My biggest fear is that I will look top heavy or even wider than I already do. I have the 405 and 445 implants ordered and I’m trying to decide which to go with. Any thoughts, advice or opinions are welcome and appreciated!
May 22, 2019
Answer: Sizing advice Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. That being said, 405-445 cc is a small range (40 cc differential is approximately the volume of a shot glass) and is likely make only a subtle difference. And most importantly...remember to love the look...not the cup. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
Helpful 2 people found this helpful
May 22, 2019
Answer: Sizing advice Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. That being said, 405-445 cc is a small range (40 cc differential is approximately the volume of a shot glass) and is likely make only a subtle difference. And most importantly...remember to love the look...not the cup. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Top 100 RealSelf Hall of Fame
Helpful 2 people found this helpful
May 22, 2019
Answer: Implant size Dear beachgirl1982, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
May 22, 2019
Answer: Implant size Dear beachgirl1982, breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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May 22, 2019
Answer: Would you recommend 405cc or 445cc implants for me? I don't want to look top heavy. Thoughts or advice? (photos) Try on a profile bra with 405cc and 445cc implant sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. You may not be able to discern a difference in 40ccs. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy. Based upon his/her credentials, trust your board certified plastic surgeon to make the best decision in the OR when the implants are placed. Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon Los Angeles, CA
Helpful 1 person found this helpful
May 22, 2019
Answer: Would you recommend 405cc or 445cc implants for me? I don't want to look top heavy. Thoughts or advice? (photos) Try on a profile bra with 405cc and 445cc implant sizers under a tailored blouse, tight sweater, swimsuit, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. You may not be able to discern a difference in 40ccs. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy. Based upon his/her credentials, trust your board certified plastic surgeon to make the best decision in the OR when the implants are placed. Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon Los Angeles, CA
Helpful 1 person found this helpful