Will 505 cc make me look like Pamela Anderson. I DONT WANT TOO BIG! (photo)

Question

Hello. I am 6 weeks away from my Breast Augmentation :) Still confused with what size i should go. I am 5ft4, 29inches around under my boobs. 32 inces top of my chest. And 8.5 inches from collarbone to nipple. Ive had 3 kids breastfeed. I now have a small A cup. I was thinking i wanted a C cup, but my dr suggested a full D for my size and 505cc implants, high profile. Im terrified u am going to be too top heavy. Cause i was considering more like 350cc to 400cc max. What are your recommendations for me?

Terrence Scamp, MBBS, FRACS · Answer

Hello there These days an accurate idea of sizing can be obtained using a sizer kit and a Vectra 3D imaging system .Generally speaking  500cc is quite large for most people but it does depend on your build and how much breast tissue you have there to start with .All the best TS

John L. Burns Jr., MD · Answer

Implant sizing is largely based on your breast measurements.  3D photographic imaging can be very helpful in narrowing down the size.

Joe Gryskiewicz, MD, FACS · Answer

Hi Tarane,Yes, 500 is getting up there.  Here are a few tips for you because this is perhaps
the hardest decision for a patient to make, as well as the surgeon.  Also see the video attached to my answer.  We spend up to two hours for our BA consults
to be sure there is careful communication. We do a full exam in front of a
full-length mirror taking six exact measurements.  We put your photos on a large computer screen
for imaging, and go over your “ideal-size” photos. We then save this
information to your password protected “web account.”

First and
foremost the implant should fit the dimensions of your breast and tissue cover.
 Balancing the implant to your
over-all body shape and tissue cover is essential.The
main thing is to have the diameter of the implant fit the diameter of your
breast "foot print".  The average size
chosen over our last 7,000 breast implants was “350cc”.  BUT, 90% of our patients tell us they wish they were bigger a year after
BA.  (We will see you every year for
routine checks at no charge.) It’s like your mind incorporates the "new
you" into your own self-image over a period of time. Cup size estimates can be misleading, but I generally advise patients
that they will experience an increase of approximately one cup size per 200 cc.
 You can try on implants in the office by
placing them into a special bra.  The implant is also flattened somewhat when under
the muscle, so it is a good idea to bump it up a bit. Approximately 1-ounce (25cc) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket.  Once you decide on a size you like, then add
on 25cc, because in real life the implant will be flattened slightly by your
tissues.  Multiple measurements need to
be taken to fit an implant to your exact anatomy.  Have your surgeon's office
show you the charts of the implant dimensions for the various profiles of
silicone and saline from the manufacturer.  Then you and your surgeon can
piece together the puzzle by matching your measurements, with your wishes,
versus your tissue cover and the available implants to arrive at
a surgical plan.  Keep in mind
larger implants tend to have more problems over the years.  Since silicone implants wrinkle less than saline
implants, they might be your best bet.

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.  Finally,
your verbal requests are factored into the analysis.

We use
the quick-recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick-Recovery (Flash-Recovery or
Rapid-Recovery) Breast Augmentation articles from peer-reviewed surgery
journals.  It is a surgical procedure that uses
special instruments and techniques to minimize tissue damage and avoid touching
the ribs. It causes far less trauma to surrounding tissue than traditional
approaches, and it dramatically reduces pain and recovery time. In published
studies of BA patients, 95-percent of women interviewed after the procedure
returned to normal daily activities within 24-hours. Quick-recovery BA is not a
“gimmick.”  These specialized techniques,
which actually speed recovery and get you back to your daily routine, kids and
work, are published in our plastic surgery journals.  Because these PS journals are “peer-reviewed”
and edited, they are the gold-standard in our field as being valid science.
Therefore, these are sound techniques, not marketing hype.

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 the PS has an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year.  Be sure the PS has been in practice for a
while, about 20-years might be a good gauge. 
Does the PS offer all three incisions? 
Discuss the implant type (gel or saline), shaped "gummy bear"
or non-shaped, smooth or textured, implant pocket (over or under the muscle)
and the "quick-recovery approach." 
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”

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  I recommend that you compare size by asking your surgeon to "try on" the implants.  Some surgeons also offer 3D imagining to demonstrate what you will look like after your breast augmentation.  All the best,Dr. ResultsMiami, FL

Jonathan Saunders, MD · Answer

make sure your surgeon understands what you want,  I think at that size your breasts will become your main attraction (which some people want) and not merely a pleasant accessory.

Nana N. Mizuguchi, MD, FACS · Answer

Choosing your breast size (implant size) is extremely important and you certainly should communicate with your plastic surgeon with you desired results.  If he feels based on your goals a certain size, than I would trust his judgment.  It is too hard to base exact implant size based on photos.Never feel bad about going back and discussing size with your surgeon.  His goal is to make you as happy as possible.Best Wishes,Nana Mizuguchi

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and concerns.

Having said that, thank for your height and weight and breast size estimates,
they do help. There is really no way to accurately predict what size you would
like without an examination. During your examination and consultation, you
should try on some sample sizes and see what you are comfortable with. Then the
PS can help explain with the size and current condition of your breasts.

If you have accomplished this step, then trust your plastic surgeons advice as
to what would be the best size for you.

Best wishes,

Dr. Michael J. Brown (Northern Virginia Plastic Surgeon)

Paul Gill, MD · Answer

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.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. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. 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

Robert Drielsma, MBBS, BSc, FRACS · Answer

There is no substitute for a formal consultation but based on your photographs and description, you may find 500 CC implants too large.  You should liaise with your surgeon and "try" on some implants or do the rice test to get an insight into what you can expect from your augmentation.  I use a specialised sizing system to simulate different breast sizes and give my patients an accurate idea of how they will look following augmentation.

Pouria Moradi, MBBS, FRACS · Answer

Thanks for the enquiry and sharing your story.505cc is way too big for your frame and your desired results.My suggestion is to see another surgeon as he/she has obviously not understood your goals.I hope this helps and good luck.

Will 505 cc make me look like Pamela Anderson. I DONT WANT TOO BIG! (photo)

Answers (15)

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