My surgery is in 1 mo. I’m still not sure which size to get. I’m having a breast lift w/ round gummy bear implants (Photo)

Question

I’m 5’9, 125lbs, c cup. I gained a lot of weight then lost it this yr(around 70lbs) so my boobs are saggy and lost volume. At my consult I decided on 450CC but my fiancé hates big, “fake” looking boobs so now I’m really reconsidering size. My surgeon says we can try on different sizers again prior to surgery. I want to go to a full D, but not look too big. Also afraid of having regrets that I didn’t go big enough. Any thoughts on what size might work for me? High profile or mod +

Ronald J. Edelson, MD · Answer

You are an excellent candidate fir a Lyft with implants. I try to avoid using overly large implants when doing a lift at the same time. Larger implants will cause your skin to stretch more. I think 375 is plenty.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Donald R. Revis Jr, MD · Answer

Good morning!
450cc High Profile doesn't sound too big for you at all, but the best way to determine that is to bring several tops and try on the implant sizers again, just to confirm that you are comfortable with the size- good luck!

Kenneth Hughes, MD · Answer

Hello, thank you for your question. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy.

Nelson Castillo, MD · Answer

Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. I would recommend continuing to discuss your concerns with your surgeon to ensure that the implants you decide upon are the right ones to meet your expectations. Best wishes!

Daniel Barrett, MD · Answer

Dear brittish70,
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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Luis A. Mejia, MD · Answer

Dear Brittish70, thanks for sharing your photos and concerns If you don’t add too big implants I can say there shouldn’t be a problem getting a breast augmentation surgery + Breast Lift. Too large implants could increase back and neck pain but if you get regular to medium implants I don’t see a problem.  It all 
depends on your desired results, due to your pictures I can recommend 375cc as a great choice for you. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Gary M. Horndeski, MD · Answer

At size 32 or 34, each 100 cc of implant corresponds to 1 cup size change. At size 36 or 38, each 200 cc of implants corresponds to 1 cup size change. You can compute the volume required to reach your goal of a D. However your breasts are low on the chest wall and asymmetrical in volume, shape and position. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You need to go back to your surgeon, try implants sizes again, and discuss what your want. A natural looking breast will do much better over the long term and not be too heavy on your neck and shoulders.

My surgery is in 1 mo. I’m still not sure which size to get. I’m having a breast lift w/ round gummy bear implants (Photo)

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