Would Natrelle moderate profile 445ccs be too big for me? I'm 5'2, 135 lbs, 34 B and I would like a natural look. (photo)

Question

I’m 5’2, 135lbs, 34b, planning on getting Natrelle 445 moderate profile, but I’m not sure if this will be too big for me as I would like a natural look. I have not seen the surgeon only pt coordinator which she stated I would see surgeon on day of surgery which has me nervous & worried

Brian K. Reedy, MD · Answer

Thanks for your question!  I would also have some concerns.  Your breasts appear to be two different sizes, so I'm not sure using the same size implant for both breasts is the right decision.  It is concerning to me that your plastic surgeon wouldn't be seeing you until the morning of surgery.  I would definitely seek another opinion and be sure that you are meeting with a board-certified plastic surgeon.  Good luck!

Gerald Minniti, MD, FACS · Answer

Hello,1. If you haven't seen the surgeon, the day of surgery is too late. In general, the places that do this don't have surgeons you would want touching you anyway. 2. There is a inverse relationship between implant size and the qualitative result of the breast: the bigger the implant, the more the breast looks augmented. 445 cc is big. 3. Choosing the appropriate size implant and avoiding picking an implant that exceeds your anatomic capacity (putting you at high risk for a complication), requires expert (surgeon) measurements of the chest, and does not involve your height, weight, or current bra size.

Farbod Esmailian, MD · Answer

From the sound of it, the implant may be too wide for your body, but I dont really have any measurements of your breasts to make an accurate assessment.
We spend a great deal of time meeting with the patient twice and if patient desires more than that to make certain that we are all on the same page and that I can deliver the results that the patient desires.  If you have not met with the surgeon and will not see him/her until day of surgery, I would move on and see another board certified plastic surgeon to discuss your options.
The most important aspect of surgery is the relationship/trust you develop with your surgeon and I just can not see that happening if you have not yet met with the surgeon.
Hope that helps.

George Marosan, MD · Answer

Thank you for your question and photo. You do have nice looking breasts and 445cc will not give you a natural look. Roughly, one cup size for your frame is about 150cc. The size of implants you or the clinic chose for you will give you a DD or possibly larger.Is the patient coordinator a nurse? Even then, they can’t make the diagnosis and treatment plan without the surgeon. It seems the surgeon acts as a technician only? I would encourage seeking other consultations with board certified plastic surgeons.I personally spend an hour with my prospective patients discussing the surgery, choosing the implants, using Vectra 3D to simulate the expected results, have them try on sizers, answer all their questions. This is a life changing operation and if it is done poorly both in judgement and technical execution, can set you up for years of corrective surgeries.What you stated, would make me nervous too. Good luck.

Tom J. Pousti, MD · Answer

Thank you for the question and picture.  Based on your photograph, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry.    
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup” etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
 One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. 
You may be an excellent candidate for breast augmentation surgery.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually. 
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results. 
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure. 
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively. 
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures! 
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only. 
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. 
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Would Natrelle moderate profile 445ccs be too big for me? I'm 5'2, 135 lbs, 34 B and I would like a natural look. (photo)

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