High profile or Moderate Plus? 275cc or 300cc?

Question

I'm torn between sizes and which type of implant. I am a 32-34 AA in bra size currently, my goal is a full C cup, small D cup. I have broad shoulders and my chest is a little wider and I want to balance my body out. I want them to look natural but also have cleavage. I am choosing to go under the muscle. I have heard that going under the muscle you lose volume of the implant, so I'm concerned if I go with 275cc I will not be completely satisfied with my size.

Austin Hayes, MD · Answer

That's an excellent question for your surgeon. They will be able to help guide you. Surgeons have different techniques for determining how to help patients choose their implant size. Placing implants under the muscle does make them appear slightly smaller. If patients have an implant that they are happy with when trying them on with a sports bra, I recommend going up one additional size. This is because the muscle puts pressure on the implant and makes it appear slightly less full.

M. Scott Haydon, MD · Answer

Thanks for your question. If you truly have a large frame, then you don't want a HP implant. It has a round shape that looks very fake. Based on the base diameter of the breast, the implant can be chosen that will fit. Hopefully you can find a Board Certified Plastic Surgeon to help explain the options. Best of Luck!

Clark Schierle, MD, PhD, FACS · Answer

The choice of size and profile is a very challenging one that we spend the most time on in our consultations. We employ 3D imaging and simulations, rice sizer's, the Mentor gel sizing system, as well as several biodimensional measurements taken on the breasts themselves to come up with the best plan for our patients. The good news is you seem to have narrowed down your choices to a small range. Your breasts may increase or decrease in size by 20 to 30 mL over the course of normal weight loss, weight gain, monthly changes in your breasts with your hormonal cycle, etc... so if 275cc is a good size, 300cc is likely going to give you a good result as well. Most patients will typically wish they had gone a bit bigger when the swelling is done subsiding, so our patient will tend to choose the larger of the two sizes when they are stuck deciding between two similar implants as you are.

Paul Gill, MD · Answer

Thank you for your question. It is very difficult to accurately discuss implant volume without an exam and detailed measurements.In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. I use these measurements to help me during your sizing process to guide you to a safe result and one that meets your end desires.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 during the sizing process. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Tom J. Pousti, MD · Answer

Thank you for the question. Generally speaking, the best online advice I can give to ladies who are considering  breast augmentation surgery ( regarding breast implant type/size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.  2.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or breast implant size/type/profile will most likely help achieve your goals.
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 "C or D 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.   Therefore, I ask that my patients not base their communication preoperatively OR  their satisfaction with the outcome of surgery postoperatively, on achieving a specific cup size. The use of computer imaging may be very helpful during this communication phase.
3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link (dedicated to breast augmentation surgery concerns), helps.  Best wishes.

Terrence Murphy, MD · Answer

Size is a visual thing and implant profile is best based on measurements.  Be sure that your surgeon takes the time to work with sizers so you can see what a particular size looks like on you.  Youi can also make your sizers at home with flax seed in panty hose.  10 oz is 300 cc.  Go to a bra store and try the sizers with different size bras to see where you are.  Once you pick the size we usually put an implant in which is about 10 percent bigger than the size you like to match the look of the sizer.  Good luck and take your time with sizing.

Brooke R. Seckel, MD, FACS (retired) · Answer

To balance your wide shoulders and frame you want wider implants, the Moderate plus. When choosing between implants 25cc different in size always go with the larger.

Ronald V. DeMars, MD (Retired) · Answer

This question regarding what type of implant would be best for an individual requires a consultation and examination. The surgeon you see whould be the one to answer this.

High profile or Moderate Plus? 275cc or 300cc?

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