For your stated objective, the two implants are reasonable but possibly still too large for your goals/objectives.
The size of the implants are based on a combination of a patient's goals
and objectives and her anatomy. In order to provide a natural looking
augmentation, the surgeon needs to evaluate many factors including soft
tissue coverage, skin laxity, chest wall width, breast imprint width,
the shape of the breasts and relative level of constriction to ensure
that the breast implants are appropriate for your body. Consult in
person with 3 experienced and expert board certified plastic surgeons to
understand your objectives.
Consider the dimensional breast augmentation technique. It is designed to consistently achieve the most natural–looking result based on variables like your height, weight, breast width, breast height, distance between nipple and breast fold. These are all considered to achieve your desired cup size.
Implant size to achieve goals
I consider two factors when selecting implants for my patients:
2.Gel Implant Sizing system
Dimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.
Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.
Implant Selection Process
In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements and characteristics. Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.
Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.
The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.
I wish you a safe recovery and fantastic result.
Choosing the right implant for you requires an evlauation inperson and a discussion of yoru goals. It is very difficult to "size you up" in this type of forum. The difference in yoru choice is only 24 cc's and that is less than a shot glass of liquid.
Thank you for the question and pictures.
The more breast surgery I do the more I realize that there is no correlation between the size or model (profile) of implant used and resulting cup size. This may have to do with several factors including: the amount of breast volume the patient starts with, the shape of the patient's chest wall (concave or convex), the type and model of breast implant selected (saline/silicone and low/moderate/high profile), bra manufacturer variance in cup sizes, the degree of filling of the cup with breast tissue, and the subjective differences in patients perceptions of cup size.
Much of the final “look” achieved after breast augmentation surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant.
3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result.
On the other hand, saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants.
Other differences involve how the breast implants are filled. Saline implants are filled after they’re implanted, so saline implants require a smaller incision than prefilled silicone breast implants.
On May 10, 2000, the FDA granted approval of saline-filled breast implants manufactured by Mentor Corporation and McGhan Medical. To date, all other manufacturers’ saline-filled breast implants are considered investigational.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery for patients over the age of 22.
4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. 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 cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
By the way, the most common regret after this operation, is “I wish I was bigger”.
I hope this helps.
Implant Size,B to Large C Small D, 400cc ?
It is impossible to know for sure what Bra Size you will end up with, Although we normally have a good idea.
Oprah has stated that 50% of women are wearing the wrong Bra.
We strive for the right breast size instead. The implant size you mentioned will probably achieve your desired results, although you need to see what your surgeon thinks as he/she has hopefully sized 100's-1000's of women.
Breast augmentation, implant size
You really should not be the one deciding what size implant you will get, you aren't the one with the experience in doing this procedure. Your surgeon will take measurements of your chest to decide what range of implants will best go with your anatomy and then will probably use breast implant sizers in the operating room coupled with the knowledge from the photos you like to get the best possible fit for you. If your surgeon is leaving the choice up to you, it may be a good idea to get more than one opinion. Any given implant size can have several differnt cup size results in different patients based on their preexisting anatomy.
How Many CC's to Go From a B Cup to a Full C / Small D Cup Look?
Your final bra size will depend on who makes the bra and who fits you.
As I always tell my patients, we really don't care what the label on your bra shows after your surgery. We DO care that you like what you see when you look in the mirror.
Try on implants in a bra and select the size you prefer. I always suggest adding about 10% to that volume to obtain the desired look.
I also suggest that if you are having difficulty deciding between two sizes, take the larger implant.
Finally, the difference between the two implants your are considering is 24cc - this is roughly two tablespoons!
Don't make yourself crazy over a difference that is barely noticeable.
A more important question is what sized implant is best for your body. that measurement of base diameter of your breast as well as other measurements help guide a surgeon to the best size for you. go onlline and look at results you like on women who started wtih your volume and you should have an idea of size implant. for a woman of your height and weight, 350-375 cc range probably as long as the base width of your breast can take width implant.