Should I do anatomical teardrop Mentor textured 390cc, 420cc, 440cc? (photos)

Question

24yr 5’6 128lb one child. These are my before, followed by goal photos. I know cc’s don’t correlate to bra sizes and every bra is different but I’d love to be a full D-DD. Planning on one more child in the next year or two, unable to breastfeed so that wouldn’t be part of the plan. Surgeon said 390cc would put me at a D but I’m worried about not going large enough and having some sag after second child. Thank you in advance.

George Marosan, MD · Answer

Thank you for your question and photos. Based on these photos and your wish pictures, you would do best with round smooth implants. BTW, more than 80% of plastic surgeons can't tell if a woman had round or anatomical implants in postop photos. The other 20% just guessed right. It seems that you prefer upper pole fullness, which an anatomical might not provide for you. In my practice, I use the Vectra 3D to simulate results based on your breast and chest wall analysis. How will future pregnancy affect your breasts and implants is not predictable. If you are worried about sag, going too large will get you there sooner.See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Gerald Minniti, MD, FACS · Answer

Hello,Stop thinking in cups. You need to be sized so you see what you'll look like. That's all that matters, with the exception of avoiding complications related to an implant that is too big for your anatomic capacity. So, you also need to be evaluated to be determine anatomic capacity and not choose an implant larger. Those that do are at high risk for complications that lead to reoperation.

Connie Hiers, MD, FACS · Answer

Your surgeon who has examined and measured you will be the best one to tell what range of sizes best suits your frame and tissue. Please do not choose a size that is too large, because it may sag and will thin out your tissue. Anatomical textured implants do carry some long term risks, like late seroma or fluid collection, and double capsules that are much less seen with smooth implants. Your surgeon and discuss the pros and cons of the different types of implants.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry.   I also think that your goal photographs are realistic understanding of course that goal photographs are communication tools not guarantees of exact outcome.
 
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant 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. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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 "D or DD cup” etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.
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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
  I hope this helps. Best wishes for an outcome that you will be very pleased with.

Milind K. Ambe, MD · Answer

Thank you for your question and photos.  I would not recommend anatomical or tear drop implants.  I would stick with smooth round implants because it will give you the look you wish to achieve.  As far as size is concerned it is really based on measurements as well so I can't say for sure which size is best for you. Best of luck to you

Gregory Park, MD - Account Suspended · Answer

The ideal selection of breast implant size for your breast augmentation should be based on a careful examination of your chest/breast dimensions. Your plastic surgeon should have measured you at your initial consultation. The compatibility of large implants in a small frame, generally does not bode well for good long term results. Make sure you understand the risks of choosing implants that are oversized. Hope this helps.

Should I do anatomical teardrop Mentor textured 390cc, 420cc, 440cc? (photos)

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Answers (7)

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