Hi! I am looking for some advice I have had my consultation but I came away feeling unsure after some further research. I honestly don’t know what cup size I am as I don’t wear bras I think around a 32A. I have been recommend 235cc sub muscular, I was offered the option of 275cc but at the time I thought it may look fake and too big. I am 165cm and 50kg. I have a petite and athletic frame I want something natural but also don’t want to be underwhelmed and regret going so small (as I have heard many reviews people say they wish they went bigger). Any advice on which option would be best suited I think there’s about 2cm grab on the right and 3.2cm grab on the left when she did the pinch test.
August 27, 2025
Answer: Implant choices Each plastic surgeon has their own way of guiding patients through the implant selection process. Some plastic surgeons ask the patient to make the final decision other plastic surgeons will make the decision based on input from the patient. My personal approach has always been to work with before, and after pictures of previous patients who had similar breast characteristics. I usually ask patients to bring in examples of ideal outcomes. Once I have an understanding of what the patient is hoping to achieve I bring those pictures with me to the operating room to use as reference. During surgery, I use temporary implant sizers to determine what size implant will give the desired outcome. Sizers are inexpensive temporary implants used for this purpose. They are never left in the patient other than during the procedure. I usually have different size and shape implants available at my disposal during surgery. This requires either maintaining an implant inventory or sending back implants that weren’t used. I have found this to be the most accurate way of getting what the patient was hoping to achieve. I think it would be inappropriate for any of us to tell you what size implant to use. It is your surgeons responsibility to help you with your decision. Even if you go with 275 mL, that is still fairly conservative. My best guess is six months later you may have wished you were even larger. When it comes to cosmetic surgery, provider selection is usually the most important variable. In the hands of the right provider things should fall into place and decision-making should be relatively straightforward. Finding the right plastic surgeon to work with is not at all easy or straightforward. It usually involves having quite a few in person to consultations, which can be time-consuming and potentially involve some financial cost. In my opinion, both financial and time spent for multiple consultations are a solid investment in yourself. I find it interesting. That patients think spending money on multiple consultations is a waste because it doesn’t lead to a surgical outcome. If it leads to better decision-making, then that can be worth more than money on a few extra constrains. The level of skill and experience varies dramatically among board certified plastic surgeons. You can read some of the other questions patients post regarding breast augmentation to recognize how often things turn out different than what the patient thought and how often the patients require revision surgery. In my opinion, plastic surgeons are in a better position to make the implant decisions because we have far more experience than patients do. From the surgeons perspective, putting the decision-making in the hands of the patient prevents the surgeon from being blamed of choosing the wrong implant. I still think the surgeon is in a better position to make the decision. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
August 27, 2025
Answer: Implant choices Each plastic surgeon has their own way of guiding patients through the implant selection process. Some plastic surgeons ask the patient to make the final decision other plastic surgeons will make the decision based on input from the patient. My personal approach has always been to work with before, and after pictures of previous patients who had similar breast characteristics. I usually ask patients to bring in examples of ideal outcomes. Once I have an understanding of what the patient is hoping to achieve I bring those pictures with me to the operating room to use as reference. During surgery, I use temporary implant sizers to determine what size implant will give the desired outcome. Sizers are inexpensive temporary implants used for this purpose. They are never left in the patient other than during the procedure. I usually have different size and shape implants available at my disposal during surgery. This requires either maintaining an implant inventory or sending back implants that weren’t used. I have found this to be the most accurate way of getting what the patient was hoping to achieve. I think it would be inappropriate for any of us to tell you what size implant to use. It is your surgeons responsibility to help you with your decision. Even if you go with 275 mL, that is still fairly conservative. My best guess is six months later you may have wished you were even larger. When it comes to cosmetic surgery, provider selection is usually the most important variable. In the hands of the right provider things should fall into place and decision-making should be relatively straightforward. Finding the right plastic surgeon to work with is not at all easy or straightforward. It usually involves having quite a few in person to consultations, which can be time-consuming and potentially involve some financial cost. In my opinion, both financial and time spent for multiple consultations are a solid investment in yourself. I find it interesting. That patients think spending money on multiple consultations is a waste because it doesn’t lead to a surgical outcome. If it leads to better decision-making, then that can be worth more than money on a few extra constrains. The level of skill and experience varies dramatically among board certified plastic surgeons. You can read some of the other questions patients post regarding breast augmentation to recognize how often things turn out different than what the patient thought and how often the patients require revision surgery. In my opinion, plastic surgeons are in a better position to make the implant decisions because we have far more experience than patients do. From the surgeons perspective, putting the decision-making in the hands of the patient prevents the surgeon from being blamed of choosing the wrong implant. I still think the surgeon is in a better position to make the decision. Best, Mats Hagstrom MD
Helpful 1 person found this helpful