Athletic build wanting natural looking breasts. Will 225 CCs be too small? (photos)

Question

I'm a retired athlete & currently wear size 36A bra. I have a BA next week and have decided on submuscular placement with inframmamary incision. I'm going back and forth between size 225 and 250 CCs. I have wide swimmer shoulders and developed lats as most swimmers do. My Dr told me that going under the muscle won't affect final implant size, but I don't want to regret going too big or too small initially. I still swim recreationally and want to look like a better version of myself. Suggestions?

Clark Schierle, MD, PhD, FACS · Answer

I think that size will look really natural and you will feel great! The exact choice of size that will work best for you is an important decision that you should make with your board certified plastic surgeon. 3D Vectra imaging and simulation, the Mentor gel sizing system, rice filled implants at home in your bra, and bio-dimensional analysis are all methods that can be employed to help you come to a decision. Because size is such an important component of decision making in breast augmentation our office employs all of these techniques with each patient to ensure the highest rate of satisfaction possible. Good luck with your decision!

Larry Weinstein, MD · Answer

Looks like your right breast is larger then your left. Has two different size implants been considered. Saline implants can be filled to 225 to 250cc to help off set a difference in size. Have you had a chance to try on the implants in a tight bra, have you had a 3 dimensional Vectra imaging, did you see before and after photos that are similar to your breasts to help you feel confident in your choice. The volume you have chosen will make you approximately a B cup and should be well tolerated by your muscles and swimming. Good luck...

C. Bob Basu, MD, MPH, FACS · Answer

In terms of picking the right implants to achieve your goals, generally speaking, I consider two  
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
 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.Dr.BasuHouston, TX

Paul Gill, MD · Answer

In order to make an accurate size recommendation, I would need to assess
 your chest wall and breast mound measurements and characteristics.  
Unfortunately, there is not a general rule of thumb or objective 
criteria to implant selection.
	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.
	I wish you a safe recovery and fantastic result.
	Dr. Gill

Steven Wallach, MD · Answer

I think I just answered this. WIthotu an exam I can not say what is right for you, but given you already reviewed this with your surgeon, a baggy test may help you determine which one you prefer.

Tracy Kayan, MD · Answer

You do look very athletic so going with a smaller implant size overall is a good choice. Regarding the difference in the sizes between 225 and 250, ultimately it won't make a huge difference in cup size, but the slightly larger implant is sometimes a little wider and can make a more natural looking breast, as too small of an implant can leave a "gap" between your breasts.

Athletic build wanting natural looking breasts. Will 225 CCs be too small? (photos)

Answers (6)

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