34B before breastfeeding. Is 400c too small to achieve my desired look? (Photos)

Question

11cm chest wall measurement. 34b before breastfeeding for 18 months. Scheduled to get 350-400cc HP mentor gel implants. Since I'm so tall (5' 10" & 155lbs), I'm afraid I won't achieve my desired/wish pic look with even 400cc

Martin Jugenburg, MD · Answer

Hello, thank you for your question. That is a reasonable size for your chest wall measurements and wish pics. We usually have our patients come in for sizing and make them try out a few implants in the range of their chest wall measurements. Then we choose a slightly higher implant size to the achieve the look they like since once the implant is tucked away under the muscle it may appear to be a bit smaller than in sizing room. Either way you have a great physique and breast anatomy and will this will look great! Thanks

Laurie A. Casas, MD, FACS · Answer

Great question! Best way to pick the correct size breast implant is during an in depth consultation with a Plastic Surgeon certified by the American Board of Plastic Surgery and who you develop a trusting relationship with during the pre surgical process. When you come in to see me we first review your goals through your description and we look at photos. Then in front of a mirror we measure your chest wall and breast dimensions. Together we look at options that would fit your chest width that will give you cleavage, the height of the proposed implant  to understand where the implant starts to provide fullness at the top of your breasts and finally the amount of projection you want. Companies like SIENTRA who provide 20 Yr financial support to their customers for broken implants, have 4 different profiles, so the same
Width and height implant can have more and more volume.. 
the bottom line is that you will need to try on different implants with different projections to really know what you want!  Hope this helps! Good luck

Gary M. Horndeski, MD · Answer

Your breasts are low on the chest wall. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear milkmarie1600,
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

Scott W. Vann, MD, FACS · Answer

My patients that are as tall as you and your breast width usually choose between 400-475cc implants. I would rediscuss implant size with your surgeon and try on sizers to help choose the exact look you want. Good luck.

Connie Hiers, MD, FACS · Answer

I would suggest going back and trying on the sizes to see what you like. There is a limit on what your tissue will support and what will be comfortable on your neck and shoulders. Please don't go past that limit.

Brian A. Pinsky, MD, FACS · Answer

This is a common question from any prospective patient. Implant sizing is based on the width of your chest. You need to match the base width of your breast as closely as possible to have the implant centered on your chest wall. You seem to have a good Amount of your own breast tissue, and 400 cc Is a fairly large implant.  You are not be able to get one much larger with a narrow base. 3D imaging can help with these decisions. Make sure to voice your concerns with your surgeon, but I think you are on the right track. Good luck.

Darryl J. Blinski, MD · Answer

Based upon the posted photos and wish pics you are correct in that I would recommend at least 500-600 cc HP implants. Best you re discuss your implant option sizers with your chosen PS.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, your breasts are relatively symmetric. The distance from the top of the breast bone to the nipples is slightly increased, the nipples reside well above the fold beneath the breasts and there is minimal sag. 400 cc implants would certainly be appropriate. There are various ways to determine desired breast size. Bringing in “wish pix” to demonstrate to your surgeon will make him / her aware of your anticipated goals. Placing an implant in a bra gives an extremely rough idea of anticipated breast size. One may estimate volume by adding rice to a baggie (1 cc = 1 ml) and adding the volume to your breast beneath a bra. Some surgeons offer computer imaging. Implant sizing is a lot more than volume ("cc.") The specific dimensions of your chest wall must be taken into consideration. The width of the breast, your desired projection, and the desired volume together determine the correct range of implant sizes. If you are still unsure, a second preoperative visit with your surgeon may be beneficial to be sure that you both are on the same page.Best wishes...

34B before breastfeeding. Is 400c too small to achieve my desired look? (Photos)

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