350, 375 or 400 ccs? (Photo)

Question

Here are my current stats Height 5'5" Weight 119 Age 22 Goal is full C small D Currently 32A I have gone to two consultations, both doctors said my implant diameter size would need to be between 11 and 12 cm. Doctor 1 recommended 460-500 sillicone ultra high profile implants (however I feel these may look way too large) Doctor 2 recommended 350-475 sillicone high profile implants (worried they will be too small once healed) Below are some pictures for reference

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  The 500 cc implants that you have tried on seem to fit your frame nicely.  Ultimately, it depends on what your goals are.  High profile implants give a more "augmented" look than moderate (+) implants, so you will have increased projection.  Try on the different choices and go for what look you like best.  Try not to get too caught up on numbers.  Also, be sure that you have clearly communicated your surgical goals and have chosen a surgeon who is board certified in plastic surgery.All the best,Dr. ResultsMiami, Fl

Sheila S. Nazarian, MD · Answer

Choosing the right size implant depends on any number of factors all of which require an in person exam. However, in my opinion, the 460-500 are too large for someone of your size, but the final decision will depend on your desired outcome. Best, Dr. Nazarian

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photos. "Too big" or "Too small" can be very subjective, however Ultra high profile implants in the range you mentioned will be a more augmented, obvious look for you. My patients find it helpful to try on the implants sizers with a form fitting t-shirt in the office so that they can see the volumes on their body and get a feel for them. 350-475 on a base width between 11-12 will be fairly significant. I recommend that you talk more with your Plastic Surgeon about your Aesthetic goals and Sizes in your range.All the best

Douglas L. Gervais, MD · Answer

Dear Gabrille,  A photo of your breasts without the top would be most beneficial. That being said, based on your height and weight, I doubt you would need anything bigger than 400cc. I would stay with the HP implant. In my opinion, the Ultra HP implants do not look as nice and are generally not needed unless you are going with a much larger implant on a very small frame. Good luck. Dr. Gervais.

Keith Hodge, MD · Answer

Hi Gabriella. Based on the information provided, I would not recommend anything over 400cc's. I have seen this volume give many women a 32DD cup size. Of course cup size depends on the bra manufacturer. Good luck!

Bradley Bengtson, MD, FACS · Answer

This question is by far the most difficult to address in every BA consultation.  Every surgeons approach will be different.  I personally give patients a size range based on the breast width and elasticity.  There is a definite limit on maximum size.  If the size exceeds the soft tissue strength, complications like stretch deformities, malpositions etc occur.  Approximately 200 cc's is one bra cup.  25 cc differences that you have listed between devices is only 2 tablespoons, so you would not be able to see the difference if a 400cc implant was placed on one side and 375 or 425 on the other.It sounds like you want to be fully augmented.  I use Vectra 3D imaging and would measure your Breast Base width and recommend a high profile implant.  If you breast width is 12cm a 400cc implant would be as large as I would go...to see a significant difference you would need to go upper 400's/500 and would significantly increase your risk for complications.About 25% of my breast patients are revision from other plastic surgeons and we are typically reducing their implant size or correcting complications from oversized implants.All my Best!DR B

Donald R. Revis Jr, MD · Answer

Good afternoon!Looking at your photos I am feeling the 400cc- good luck!I have attached a link to my Breast Augmentation photo gallery for your review- hope it helps!

Thomas Trevisani, MD · Answer

Without a good set of photos, and the benefit of physical exam- it's difficult to comment accurately. Choosing the right size implants is a very important process that has to be done at your Surgeon's office, after measurements are taken, during a thorough sizing process. There's no correlation between the cup size and the implant size- so you have to go by how you feel during the sizing process.

Robert S. Houser, DO · Answer

Ultra high profile implants look like volleyballs on someone your size.  High profile is reasonable, but NOT 475cc!! Mathmatically, you only need 100cc to go up a cup size for someone with a 32 inch chest -- so 300cc gets you to a D cup.  Using dimensional planning (which is what I do to keep you from making a bad decision), I'd use something around 365cc in a full profile if your measurements are accurate.  Can you go bigger? Sure!  You're only increasing the risks for every complication you can have.  After you're stretched the pocket, MAYBE you could go even bigger someday, but your first implant sets the tone for your whole life experience with an implant.  Mess it up and you'll be sorry!

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

350, 375 or 400 ccs? (Photo)

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