Am I going too big at 350cc? (Photos)

Question

Hi, I am petite. 5’1, 95lbs and have a 26” rib cage and 29” bust. I am currently wearing a 32A bra and would like to be a full C cup/small D. I added my wish pics below and I forgot to show them to my surgeon before I was suggested 380cc mentor UHP silicone. Will this make me too big/fake and unnatural? Should I go for 350cc high profile instead? I want the look of some side boob and I am not sure if UHP will give me that and overall what size do you think would be best for my body? Please help, thanks!

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

Donald R. Revis Jr, MD · Answer

Good afternoon!It's impossible to tell without seeing you or at least seeing photos of you, but your goal photos are beautiful and natural, and I think they are an excellent choice of a goal look!

Eric Pugash, MD · Answer

Sizing is, of course, one of the key components of breast augmentation. All plastic surgeons would do it the same way, if there were a perfect way to do it. There is not, and each of us develops a process that seems to work most of the time. Most patients worry before surgery about going too big; after surgery very many wish they had gone bigger. I recommend you work with the surgeon you have chosen to do your procedure, and trust their recommendation. All the best.

Aldo Guerra, MD · Answer

Am I going to big? Thanks girl 123 for your question. As you have found out, size is a very personal choice. Therefore, I find that online advise simply does not apply in most situations. It is always better to see a patient in person when recommending a size.  On the other hand, you have a plastic surgeon already which can help you out to make this very important decision. I would suggest that you return to the office and discuss your size concerns but also show them your wish pictures and discuss whether these are realistic and your case. In addition, you can request to try Sizer’s and I do find it several size and systems work much better then 3-D  imaging. I hope you have a great day, Dr. Aldo

Austin Hayes, MD · Answer

Thank you for your question. The most important factor when sizing implants, is working closely with your surgeon, in person, to find the implant size that gives you the look that you desire. Careful measurements of your breast and chest wall will help determine which size implants will fit within your natural breast footprint. Taking into account your desired look, and your measurements, an implant is chosen that specifically fits your body. In my opinion, implant profile has the most significant effect on how natural your breasts appear after surgery. Ultra high profile, and high profile, implants tend to give a more "augmented" look. Moderate profile implants typically give an "in-between" look. Whereas low profile implants give a "natural" look, which is actually too natural for most patients. Unfortunately, online recommendations are not that helpful. Make sure that you have a good relationship with your plastic surgeon, so that you two can work together to find the right size and profile. In my office, patients try on implants in a bra and clothing. There able to see how they look in the mirror, and in photographs. Most women know they have found the right size when their breasts come into balance with their shoulders, waist, hips and buttocks. Women are also encouraged to bring in wish pictures, so that I can get a sense of the look that they would like to achieve. Good luck with the process!

Emily B. McLaughlin, MD, FACS · Answer

Thank you for your question. Your goal photos appear to be a very reasonable, natural, attainable goal. A second consultation and sizing may be helpful. Communicate with your board certified plastic surgeon again to ensure you have expressed your desire outcome. Good luck!

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,I would suggest you try this. Get some soft vegetable bags form the grocery store, fill them with 350cc's rice. Use a measuring cup, cc's and ml's are the same thing. Tie them and place them in a bra. Now try on swimsuits, shirt, sweaters etc, multi-season clothes. Feel the weight, look at the proportion of your breast to your waist, hips and body. Too much? Take some out. Not enough? Add some more. See what you significant other thinks, although the decision is totally yours, and then decide what you think is best for you. Remember, as general rule: the bigger the implant the bigger the problem. What do you think you will want in 5, 10, 15 years? I hope this will help, Good Luck, Stephen M. Davis, MD, FACS Green Hills Plastic SurgeryMember: American Society of Plastic SurgeryMember: American Society of Aesthetic Plastic Surgery

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. 
My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
 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 "full C, small D 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.

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

I hate to second guess the surgeon who has seen you, measured you and made recommendations but.........If you are going with an ultra high profile it is because you have selected a volume that far exceeds your breasts' capacity.  Ultra high profile implants look like tennis balls which I understand some women are looking for but IMHO, is not a good look for a woman of any age.  Also, ultra high profile implants can result in IRREVERSIBLE thinning of your muscle, breast tissue and skin.  My advice would be to settle for something smaller and lower profile.  You need to take the long view here.  Choosing an implant to look totally bodacious now could have a significant effect on your breasts years from now.

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