Suggest Smaller Breast Implants to Get C Cup?

I am scheduled for breast augmentation surgery on September 14 with Natrelle mederate profile silicone breast implants. I am a moderate B who's lost upper fullness from running and I am very lean. My doctor picked 286, 304, and 339 cc's for surgery. I only want to be between a small and moderate C. He suggested that the 304 cc implants will most likely be the fit, but I'm scared that they will be too big. Should I suggest the smaller implant?

Doctor Answers 6

Picking Implants

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There are many different ways to pick implants.  I can only tell you of our personal approach that has led to only 2 implant size changes in 24 years of practice.  As an artist, I know what I can do in shaping your breast. That said, I have my patients show me photo's of breasts they like and do not like.  This gives me a map of what they are trying to accomplish.  I will know based on my physical exam of them if their goal is achievable. The photo's show me upper pole fullness, lower pole fullness, implant width, position in relation to the nipple, projection, cleavage, proportion of breast below the nipple, above the nipple.  All these things affect the result. IT IS NOT JUST IMPLANT SIZE and PROJECTION. Then we use their photo's in the operating room as a guide.  The pocket and implant position I think they need is created through a hidden underarm incision and then we insert an inflatable sizer.  It is inflated until we get a result that matches the patient's photo of choice.  If adjustments to the pocket have to be made, then they are made.  Then the implant that matches the sizer dimensions is chosen.   We do not have the patient pick the implant size as this limits our artistic ability to match what they really want.  

Fort Myers Plastic Surgeon
4.6 out of 5 stars 28 reviews

Try a breast implant sizer.

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These implants are about 10 ounces. I would recommend that you try a sizer on and walk, run, jog, try different clothes on, ask friends, etc and determine if this is a comfortable fit for you.

Your surgeon should be able to suggest sizing techniques such as the rice test, or zip lock bag. If not breast implant sizer kits are available on line.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Implant choices

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Choosing the right implant for you requires a physical exam and consultation. One way to check the right volume for you since you already chose the range, is to do a baggy test with the volumes you think will be right for you.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Smaller Breast Implants for small to moderate C cup

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The difference between a 286 cc and a 304 cc moderate profile Natrelle implant is minuscule. From what you describe, you have loss of breast volume especially in the upper portion of your breasts and either size breast implant will result in restoring breast fullness in that area without being oversized.

You can try the sizes out with silicone gel implants pre-op to get an idea of the difference in size and weight of the implants. Your surgeon can use sizers in the operating room to make sure that the breast implant size being used fits your needs.You have obviously expressed your needs and concerns to your surgeon, however at the end of the day you have to trust your surgeon's judgment in this matter.

Joel B. Singer, MD
New York Plastic Surgeon

Breast implant sizes.

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1) It is absolutely not your job to pick implants. You have to trust your surgeon to make this technical decision. Just make sure your surgeon knows you are afraid of being too big (a very appropiate fear).

2) Your surgeon should use disposable implant SIZERS during your surgery to find the ideal size for you. That takes the guess work out.

3) You may find useful information in the breast augmentation page of my web site.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Choosing the right breast implant

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Most women realize that their "cup size" often depends upon the bra manufacturer. Many women can wear both a "B" or "C" bra from different companies and have the exact same fit. Thus, choosing your breast implant based upon this criteria is flawed as there is NO scientific basis for this.

As a solution, I have found that sizing with the implant in a bra is the "most accurate" means to determine post-op outcomes. Your doctor may need to adjust this according to your tissues, breast volume or skin stretch. You must remember that this is a "best guess" and will never be 100% accurate. No surgery can be controlled to that degree.

If you have any concerns, call your doctor and ask to "resize" in the office to help you feel more comfortable. These discussions are much better had preoperatively than after the implants are already in place. Just remember the biggest complaint with most women is "I wish I would have gone bigger." Good luck.

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.