Breast Augmentation 250cc-300cc - would this be too much for my body frame/type? (Photo)

Question

Hi there, I've recently scheduled my breast augmentation procedure for April 12th. I love my doctor and trust his knowledge very much but wanted some additional insight. Im currently a 32B/34B and my goal is a full C. He recommended 250-275cc for my implants. Motiva soft touch gummy round. I'm wondering if 300cc would be too much for my body frame/type. I'm 5ft5 and about 128 pounds. I will also ask at my preop but as you can imagine my mind is overthinking. Very excited for my procedure!

Derek Fletcher, MD · Answer

I request all of my patients bring 5-10 goal/wish photos to their planning appointments and on the day of surgery. When selecting wish photos, be sure to choose women with similar starting breast size, shape, and proportion to your body to ensure accurate comparisons and a similar starting point. I have my patients choose their top two favorite results and have those photos on display in the OR with their personal preop photos. This helps me choose the correct implant because I can compare the effect of the implant sizers (test implants that are placed in the patient's body before opening the final permanent implant) on the patient's breast size and shape, compare it to the goal photo, and ensure that the patient wakes up with exactly what they wanted. The exact implant size is not important. The result is what matters.

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, and they choose what looks right for them. 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

Gianfranco Frojo, MD · Answer

I believe that this is a good recommendation based on the photos. The ideal recommendations are from specific tissue based planning that would only be determined by doing a physical exam.

Sean T. Lille, MD · Answer

Dear Moyacaitlin7, That sounds like a very reasonable size but IMO it's more important that you pick an implant by dimensions that fit your dimensions. The implant width should be as close to your breast's base width to give you the prettiest cleavage. Too narrow of an implant will give you more gap and too wide will give you "arm boob". Cup sizes are not standard in bras, so you can't really go by that.

** my opinion is in no way a replacement for the advice of your surgeon.

** my opinion is in no way a replacement for the advice of your surgeon.

Brian K. Reedy, MD · Answer

Thanks for your question! Every patient is different, but I think you are in a good place given your goals. I would suggest sharing “wish pics” with your surgeon to ensure you are on the same page. Also, if you have a chance to try on sizers, I would do that as well. Good luck!

Daniel Barrett, MD · Answer

Dear moyacaitlin7,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

David Plank, MD · Answer

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

Shana Kalaria, MD · Answer

250-300cc will look perfect on your frame. You should review some before and after photos so you know what to expect. Good luck!

Brian Widenhouse, MD · Answer

Thanks for your question. It seems like your doctor's recommendation will get you the results you desire.
Implants larger than that may make you larger than a full C cup.

Connie Hiers, MD, FACS · Answer

Your surgeon who has examined and measured you can tell you what range of sizes would be best for your frame and tissue. Just based on photos only, the 300 cc size would probably be fine. I prefer the smooth round implants which are soft and natural feeling and not the gummy implants since they are firm.

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