5'9 140lbs 14BW 34B, need help deciding on volume. My PS suggested I try 500cc sizers. I'd already decided on 450cc. (Photo)
Doctor Answers 16
When choosing implant size error on the larger side of your range.
Best size breast implants
Please see my many posts on this subject.
50 cc in this size range is minimal. about 10% difference.
the diameter is wide if you want a very round breast and side fullness . otherwise a smaller diameter hi profile or lesser volume
You will be larger than a 34 dd most likely
You can also approximate this at home by measuring out an equivalent amount of rice placed into a cutoff foot of old panty-hose, and put this in your bra.Wear this around the house for a while, and see what you think.Implant size must square with assessments of tissue cover, breast diameter, and chest wall width. Multiple measurements of your chest wall are taken (seven in total). Implant size selection has been an issue of much discussion.
Therefore, I use a wide variety of methods, but the implant size is always established preoperatively.Also, patients are advised to bring reference photos demonstrating their ideal size and shape. A photo album of patient pictures is maintained to assist them. These photos ultimately help in determining where the implants will be placed, since they can be shifted inside (to provide more cleavage), to the outside, up or superiorly, and down or inferiorly during surgery. In determining the final size selection, I always place the highest priority on the preoperative measurements and potential tissue cover. Then, the patient’s verbal requests are factored into the analysis.Our average size over the last 6,000 implants was 350.
Be sure to see only a board certified plastic surgeon (by ABPS - The American Board of Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). Also, ask if they have an established, high volume breast augmentation practice, performing several hundred breast augmentations each year. Ask to see their before and after photos if you didn’t see any on their website. If they are experienced, they should have several 100 breast implant patients for you to view. I would also recommend that your doctor offer you the chance to talk to past patients who would be happy to discuss their experience with you. You need to feel comfortable, so make sure the environment is safe as in an accredited surgery center. Also, ask a prospective surgeon if he or she has ever published journal articles in professional peer-reviewed journals, which they can provide you.All the best, “Dr. Joe”
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Choosing the right implant
Size choice for implants
Either implant size will be fine--one is just 50cc larger.
I ask my patients to do a "mind experiment" with me in the pre-op area. I tell them I have the "absolutely perfect" size implants for them, and then suddenly (in this made-up situation) they are no longer available and I either have to choose 30cc "bigger than perfect" (which is equal to 2 tablespoons difference that cannot be seen), or 30cc "smaller than perfect" (also equal to a 2 tablespoon difference that cannot be seen). It's sort of a half-empty or half-full question, and there is no right or wrong answer--it is a "gut check" question.
The answer helps me make the proper choice as I create the implant pocket. I'm already down to 2 adjacent-size implants, and this helps me choose the "best ones" for my patient based on her own input.
Sizing with actual implants in a bra and stretchy top pre-operatively also helps, as do goal photographs. Those are the sizing methods that narrow me down to one or two sizes, and the final choice is made based on actual anatomy in the operating room. Profile is based on the proper actual pocket width in the size the patient chooses. Mod + sounds right for you.
There is no wrong answer here, and you should go with your own gut, aided by the experience of the surgeon you have chosen to trust. Make the decision together, since you both will have to live with it (or re-operate). Best wishes! Dr. Tholen
5'9 140lbs 14BW 34B, need help deciding on volume. My PS suggested I try 500cc sizers. I'd already decided on 450cc.
There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 C and a 38 C are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer.
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest that your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Picking the right implant size for you
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.