Surgery is booked but I can’t decide on cc’s (Photo)

Thank you for your question. In general, 595cc implants are at the larger end of the implant range. However, every person has a different idea of what looks "natural" versus "augmented" so it's difficult to know how you will perceive the outcome. In my practice I find the best way for patients to get a sense of their final size is by trying on implant sizers while wearing an unpadded bra. The other option is to look at before-and-after photos of people with similar body dimensions as you. I also offer 3D virtual imaging but in my experience it doesn't work well for patients with any sagging, and you mentioned that you are considering a breast lift. Hopefully you surgeon will be able to give you a good sense whether they outcome you're seeking will be achieved with your current implant choice.

Hello,
I would recommend using dry rice and a sizing guide to try different sizes on if you cannot try on in office. If you measured at a 14cm breast width it will depend on the style of the implant you are choosing. Mentor has Boost implants which are a cohesive silicone, you could do the high profile in those and go up to 685cc given your measurement. An in-between size would be 635cc. If the office has them to try on I would do that otherwise using a rice sizer is second best.
All the best,
Dr. Joe

Only you can know want you want. The best way to figure out the size is have plenty of data points. One option is to visit a place that has Vectra 3-D imaging. Another option is to have the surgeon provide anatomic implant sizers to put in your bra so you can get a better sense.

Thanks for your question!
Schedule a visit with your surgeon to try on implants. Bring a few tight tops with you to see how they look in clothes. The size that your surgeon is recommending is a nice, full size. Best wishes!

Dear Charming850926,
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

Dear Charming850926, thanks for sharing your concerns,implants sizes selection are maybe the difficult step in this process, I do suggest to take a sit with your surgeon and talk about it, discuss your desires and listen his or her recommendation about, in order to meet your expectations. However it is impossible to pick or recommend style, shape or sizes without an in person consultation or at least pictures of yourself, that provide the chance to get the measurement of key breast parameters. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

Hello,

Thank you for the question and photos.

Implant size discussion and implant selection is one of the most important steps during your consultation with plastic surgeon. The decision-making process depends on patient’s desires, as well as breast and soft tissue dimensions. 595cc HP size implant is considered large and should give you a full cleavage that you are looking for.

I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon in order to discuss your goals and concerns for the best cosmetic results. 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.

I hope this helps.

Best regards,

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

If you are already size 36 E you do not need implants but need a breast lift. The technique I recommend is a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

If you are the upper left lady in the pink bikini, you are not an "E" cup. I would not go larger than the size selected. I suggest smaller for better long-term results. Large breasts are heavy and will sag.