Help! I Can't Decide on a Size, and my Surgery is on Friday.

There are different schools of thought on how to choose the best implant size, and no method is perfect. For example, it is not uncommon for a patient to feel that the implants are a bit too large early on, then just right when swelling subsides and they settle a bit, then maybe cuold be a bit larger after a few months. I presume that you had the opportunity to try samples on in a bra to preview them. Again, this is not a perfect way to predict, but it helps you and your surgeon communicate. Another approach is for the surgeon to make the decision based on measurements, but that is less likely to give results consistent with what the patient wants. I encourage patients to forget about cup size and focus on what looks right with samples in a bra, but having said that an increase of 2 cup sizes is usually at least 300cc. Sounds like you are in good hands and have had good advice.

Your situation is not uncommon when patients are left to figure this out based on photos, their friends outcomes from surgery and searching the internet. Getting to the final breast implant choice is a process. You need to do your homework by looking at and bringing in some photos that you like and that closely represent your starting breast size and shape. During consultation, we will discuss your subjective goals (desired look, cup size, likes and dislikes) and assess your anatomy. Validated 3D simulation tools like Vectra 3D are helpful but can not be completely relied upon. Taking in all of this information and using my experience I can then provide a narrow range of implant dimensions (volume and profiles) that will safely achieve your goals. Fretting between a 250 cc and a 300 cc is unnecessary. Both will achieve similar outcomes. Adding 50 cc (approximately 3 tablespoons) will achieve a little more roundness and fulness while likely fitting into the same cup size as the 250 cc. I disagree that the final implant size should be determined during surgery for most patients. Spend the time prior to surgery to make this important decision.

The difference between a 250 cc and 300 cc implant is relatively small and should not be a source of concern.