Will 695cc provide proportion? (photos)

Question

BL/BA+AL scheduled in July. Researching implant sizes prior to pre-op appt. Seems I have unusual stats from the average woman on RS: 5'11", 185 lbs, chest width 15", shoulder width 18". Haven't found before/afters with these figures, so can't assess results. Sientra textured, round, moderate profile recommended. Manufacturers data sheet reflects 15.1 cm that would work with my chest width, but it is 695cc!! Do I really have to go that large to be proportionate? Thanks in advance for responses.

William Andrade, MD · Answer

It is not necessary to choose implants that extend the exact width of your breasts; in fact, there will not be much coverage of the implants if you do.  I would recommend looking at other factors as well - photos, sizers, and your surgeon's advice.

Rodger Shortt, FRCSC · Answer

695 is very large. I'd would suggest placing 695cc of flour in a baggy and place it in your bra to trial the size out.

James E. Chappell, MD · Answer

Those are pretty big implants, and you are already DD-ish.  Sounds disproportionately large overall.  If you are unsure, get another opinion.  There are lots of us board-certified PS out there.  Find one who does a lot of augmentation mastopexies (implants and lifts together).  Best of luck to you.

Gary Lawton, MD, FACS · Answer

The implants are 15 cm wide for each breast.  The measurement you show is of the entire chest not the base diameter of the breasts.  The size you choose is based on your perception of the perfect breasts. Nobody can tell you what that is.

Robert Drielsma, MBBS, BSc, FRACS · Answer

There is no substitute for a formal consultation with a fully qualified plastic surgeon. A comprehensive examination including a range of measurements are taken to help you determine the best implant size and shape for your individual needs.  Its important to note that during a breast lift, your breast is reshaped and the width of your breasts is usually narrowed.  If you breast implants are the exact size of your breast width then often you will not have enough tissue to cover the implants and provide an aesthetically pleasing result.  695CC are large implants and not typically used for patients undergoing a breast lift.

Steven Wallach, MD · Answer

Without a formal exam in person, I can not tell you what is the right size for you.  695 cc implants are quite large, and your breasts may not tolerate this.

Tom J. Pousti, MD · Answer

Thank you for the question and picture. Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.
Patients who are considering breast augmentation/lifting surgery should understand that this combination surgery is significantly more complex than either one of the procedures done separately. In other words, the combination breast augmentation / mastopexy surgery differs from breast augmentation surgery alone in that it carries increased risk compared to either breast augmentation or mastopexy surgery performed separately. Furthermore, the potential need for revisionary surgery is increased with breast augmentation / mastopexy surgery done at the same time.  This revisionary rate may be as high (or higher) than 20%. 
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're looking for. Ask to see lots of examples of his/her work.
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” or "provide proportion" etc means 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.
The use of computer imaging may also be very helpful during this communication process.
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 hope this (and the attached link) help.

Jourdan Gottlieb, MD · Answer

The 15 inch chest measurement marked on the photo is not the measurement used for choosing implant width.  That measurement is the width of the breast tissue, which is measured in centimeters.  A 15 cm breast width would permit use of a 15 cm wide implant. I can't tell enough from the information and photo provided what I might consider proportionate.  If you have had a chance to try on an implant of about that size and it appears proportionate, so be it.  But if the sizer makes you look larger than you want to be, a second opinion is in order.  That is a huge implant. Some surgeons would not use that large an implant with the kind of breast lift you seem to need--they would do the procedures at separate stages. All the best.

Adam L. Basner, MD · Answer

Implant size is a very personal decision.  There are parameters to follow for the best result.  Measurements should be taken to help determine the appropriate range of  implant sizes for your anatomy... after that we have patients try on the recommended sizes to determine what they like best.  You can get a very good idea of how you are going to look when you look in the mirror... this is an excellent way to help choose which size is best for you.Dr. Basner performs breast augmentation surgery on a routine basis with outstanding results.  You can see his before and after photos on his website.  If you are n the Baltimore area and would like a complimentary consultation, you can call the office and we will be happy to find a time that is convenient for you.

Will 695cc provide proportion? (photos)

Answers (9)

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