One surgeon tells me the sizers are an accurate indicator of final size outcome. Another tells me to factor in a 10% loss in final implant size if submuscular. Which is correct? Debating between 275 cc and 295 cc. I know it's only a shot glass difference, but the 295 cc sizers appear too large to me, the 275 cc just right. I'm 5'5 and 115 lbs so small differences in volume are more evident on me.
Answer: Sizers and implant size Thank you for your question. I would say both the surgeons you consulted with are correct. In the hands of an experienced surgeon, sizers, or actual implants in a sports bra can be a very accurate representation of the final outcome. In fact, this is often more accurate than the various imaging systems in the market. Experience is the key. After having done a few thousand such procedures, a typical plastic surgeon develops a very good idea of what size a particular patient wants, or what will work best for them. Balance, appearance and proportion are more important than actual volume. There is some shrinkage when placed under the muscle, so many surgeons will suggest going one implant size up to compensate for this. Because a patient becomes very accustomed to whatever size implant is placed, most surgeons suggest going with the larger of the two choices as this results in greater patient satisfaction.
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Answer: Sizers and implant size Thank you for your question. I would say both the surgeons you consulted with are correct. In the hands of an experienced surgeon, sizers, or actual implants in a sports bra can be a very accurate representation of the final outcome. In fact, this is often more accurate than the various imaging systems in the market. Experience is the key. After having done a few thousand such procedures, a typical plastic surgeon develops a very good idea of what size a particular patient wants, or what will work best for them. Balance, appearance and proportion are more important than actual volume. There is some shrinkage when placed under the muscle, so many surgeons will suggest going one implant size up to compensate for this. Because a patient becomes very accustomed to whatever size implant is placed, most surgeons suggest going with the larger of the two choices as this results in greater patient satisfaction.
Helpful 1 person found this helpful
August 27, 2019
Answer: Breast Augmentation Hi, thank you for your inquiry. Sizer can give us a good idea of what we would look like post surgery. Given your height and weight, because you are relatively small, minute differences can have a greater impact on you. I would see a board certified plastic surgeon to get correct anatomical measurements on you to decipher which implant size would look best for what you have envisioned.
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August 27, 2019
Answer: Breast Augmentation Hi, thank you for your inquiry. Sizer can give us a good idea of what we would look like post surgery. Given your height and weight, because you are relatively small, minute differences can have a greater impact on you. I would see a board certified plastic surgeon to get correct anatomical measurements on you to decipher which implant size would look best for what you have envisioned.
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August 26, 2019
Answer: Sizers and implant size In my opinion, sizers in general do not correlate well with actual implant size, they only give some idea how a patient wants to look in a bra or clothing. You should not be having to experience anxiety over wether to select 275cc or 295cc , as most patients would not be able to descern the difference. A number of factors must be considered when selecting the correct implant for a patient , and only your surgeon has the knowledge and experience to correctly do so....that is their job! In our practice, patients show us how they want their breasts to look, and we take the responsibility of making the correct selection.
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August 26, 2019
Answer: Sizers and implant size In my opinion, sizers in general do not correlate well with actual implant size, they only give some idea how a patient wants to look in a bra or clothing. You should not be having to experience anxiety over wether to select 275cc or 295cc , as most patients would not be able to descern the difference. A number of factors must be considered when selecting the correct implant for a patient , and only your surgeon has the knowledge and experience to correctly do so....that is their job! In our practice, patients show us how they want their breasts to look, and we take the responsibility of making the correct selection.
Helpful
August 23, 2019
Answer: Accuracy Great question! Unfortunately nothing is 100% accurate and no surgeon will every promise any of these maneuvers will by 100% accurate either. I agree that the sizers used will have about a 10% loss in volume once its in the body. The difference between a 275cc and 295cc is actually only 1/2 a shot glass as one shot glass is 40cc's and therefore almost negligable. Review your options with your surgeon and go with your gut feeling.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
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August 23, 2019
Answer: Accuracy Great question! Unfortunately nothing is 100% accurate and no surgeon will every promise any of these maneuvers will by 100% accurate either. I agree that the sizers used will have about a 10% loss in volume once its in the body. The difference between a 275cc and 295cc is actually only 1/2 a shot glass as one shot glass is 40cc's and therefore almost negligable. Review your options with your surgeon and go with your gut feeling.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
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August 23, 2019
Answer: Implant size Dear chi24, 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
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August 23, 2019
Answer: Implant size Dear chi24, 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
Helpful