Very indecisive! 265cc or 295cc HP on small frame? (Photo)

Hi OliviaSC,

Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 

When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.

Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.

Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.

You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  It would be helpful to know your individual breast measurements in order to determine if 265cc is a good size for you.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Thank you for your question and posting appropriate pictures. Those sizes are quite similar and I recommend going with the larger one of the two to avoid size regret postoperatively. More importantly however I recommend going with moderate profile implants In smaller sizes to provide more cleavage if that’s what you are interested in. Best of luck.

Hi. The short
answer as regards the volumes you suggest ,is that there is very little in it.
In my practice, I use 3 elements to arrive at a suitable size range for any
given individual.  Each patient is asked to try on "testers"
(sample sizers) in the office in a bra  and show me the look
they prefer with a sizer in a bra on one side. Secondly, this is then
correlated with breast base measurements - the pre-operative breast
base width being the most critical measurement, as this determines maximum implant
base width for any given individual. So the patient can usually choose the
desired implant projection, but not the width as this is decided based on
existing anatomy. Other factors like whether the breast is firm or deflated,
stable on the underlying muscle or loose are also taken in to account.
Finally, a range of implants (each with a tester) is made available in the
operating room, where final intra-operative sizing is done (based on the pre-op
discussions, measurements etc) and an implant in then chosen at that time. I
usually have 5 implant volumes available - one is the most likely "best
fit", but I have 2 smaller sizes and 2 larger just to be certain that I
get the best fit for any given patient. Every surgeon has their own system -
make sure both you and the surgeon are on the same page!
 

Thank you for the question. 
 Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  
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.
Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
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.
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. For example, I have found that the use of words such as “natural” or "C or D cup” etc means 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, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with. 

Hello, thanks for the questions and the photos.In your case, the important thing is the size of your chest, to confirm the right implant to your chest. Between the measures of 265 cc and 300 cc, the difference is minimal and for your height is acceptable. how important it is for you to have a previous medical evaluation and your corresponding exams. Make sure that your PS, is certified by your country of origin, because your safety and quality is the most important. I hope that my answer will be very useful. Thanks and Merry Christmas.Member of the International Society of Aesthetic for Plastic and Reconstructive Surgery (ISAPS)

Choosing the right implant for you requires an exam in person and review of your goals..  I usually use HP's on a narrow frame and for a person that wants a large volume.

Hi,Thank you for your question and your photos.   The implants that you are considering will probably create a full B or possibly small C cup if the bra runs small.  As you know, bra sizes vary from manufacturers.  I would suggest that you ask to try on the implants to ensure that you are comfortable with them.  The difference in size between the 265 and the 295 is nominal  and they will look smaller once they are placed behind the muscle.   The moderate profile implants do tend to look more natural  and I would suggest that consider them as well.  You have a great shape to start with, lending itself to a very natural look slightly wider (moderate profile) implants.Good Luck,Beverly Friedlander, MD