Does this Vectra 3D seem accurate? Would another implant suite me better? (Photos)

Question

I’m currently a small 34B and I’d like to be a full C or a D. My BWD was measured at 12.6 and I do have a wide space between my breasts, although it’s hard to tell if my existing tissue toward the center is minimal or if the actual pocket is wide set. These vectra images are from my Dr with 425cc Motiva ergonomix implants. I’m confused because it looks really small despite being a lot of cc’s, and it doesn’t appear to fill in the cleavage at all, it even looks wider than my existing breasts to me. If my BWD is accurate then I don’t know if I can do a wider implant, assuming they used the Demi profile here which is the only one that would make sense. Would it help to go up in CC? Or is that what I’m stuck with? I know I have a wide-ish chest and kind of broad shoulders but I’m also fairly petite at 5’3/5’4” 125 lbs so I don’t want to appear top heavy. I’ll include my wish photos here as well. I would love any input as to what would flatter my body type the best. Thank you

Donovan Rosas, MD · Answer

The choice of implant size/volume is a decision which is best made in concert with your board certified plastic surgeons. There are a number of factors which play into the decision including patient desire and chest measurements. Ultimately, your surgeon, based upon his/her exam will be able to guide a prospective patient toward reasonable options.
There are a number of tools available to help a patient make decisions with range offered by their surgeon including sizers, goal photos and 3D imaging. However, it is important to realize that these are "guides" and not "guarantees." They are meant to offer a patient a reasonable estimate on which to make decisions.
3D imaging has become an effective tool for discussing options for patients and narrowing down choices. However, it is important to remember that the imaging is only a simulation. There is no substitute for the experience of a board certified plastic surgeon. 
It is vitally important to spend time discussing the results of your imaging consultation with your surgeon. As this will help clarify your goals/expectations and guide your surgeon in adjusting those expectations as needed.
Based upon your photos, a higher profile device is probably best as this would allow for maximal volume delivery given a more restrictive width. However, there is no replacement for an in-person examination. Regardless of implant choice, cleavage is defined by anatomy, an implant will accentuate what was already present.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Daniel Barrett, MD · Answer

Dear Fabulous350428,

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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Mauricio Castano, MD · Answer

Hi, first of all we need to understand there are different types of chest walls, when you have a curved thorax (carinatum) this will cause your breast fall apart from each other.
Now motiva ergonomix, In my experience (all my breast augmentations and lifts are done with motiva implants, 100%), if you are looking for fuller upper pole, I would go with Motiva Round, since ergonomix after 1-2 years will over expand the lower pole, and if your breast foot print sits low, it wont make the upper pole fuller or higher. 
Hybrid breast augmentation might work for you, fat transfer into the cleavage and upper pole will fill the midline gap, this will make that both breasts aren't so separated. Talk with your surgeon about this option, anyway a simulated result doesn't mean that will be the real result, keep that in mind. 
Hope this helps you out ,have a nice day.

Does this Vectra 3D seem accurate? Would another implant suite me better? (Photos)

Answers (4)

Answer: Hybrid

Answer: Hybrid

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Does this Vectra 3D seem accurate? Would another implant suite me better? (Photos)

Answers (4)

Answer: Hybrid

Answer: Hybrid

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.