How many cc's would you recommend for a more proportionate look? (Photo)

Question

I had 700cc saline implants with a lift done in 2015. I have (minor) scoliosis, pectus excavatum & prominent rib cage, thus I do not have perfect symmetry now & did not before the first surgery. I'm getting new implants w a lift done in Sept. I want to go smaller to look more proportionate as I am quite petite, but not too small so I'm still comfortable with myself. Would 500 still be too large?

Daniel Barrett, MD · Answer

Dear nicr93,
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

Gary M. Horndeski, MD · Answer

If you are size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. If you are size 36 or 38, each 200 cc of implant corresponds to 1 cup size change. From this, you can determine what size bra you will be after removing 200 cc. However, the bigger problem you have is that your breasts are too wide for your chest wall. You need a narrow base of the implants. You will also need a significant lift as you breasts are too low on the chest wall.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

The 500 cc's implants will still be too large and heavy on your frame and tissue. I would suggest going down to 400 cc's and using mesh for support. Your pockets can also be tightened.

How many cc's would you recommend for a more proportionate look? (Photo)

Answers (3)

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