Will 430cc be too much on me?

Question

I'm currently 99lbs 5'0 height and and a 32AA my doc suggested 375cc high profile and highest he would go is 430cc high profile So I'm leaning to 400 or 430cc but can't decide which one would be best on such a small body plus get me to a full C small D cup.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question.  Please keep in mind that going with the largest possible implant can come at a cost.  Patients who decide to get large implants with anatomies like yours can experience back pain and limitation in physical activity because of discomfort.  Be sure that you clearly communicate your goals with your operating surgeon to ensure that you can get the best results.All the best,Dr. ResultsMiami, FL

Mariam Awada, MD, FACS · Answer

Please do not go that large.  Based on your petite frame not only will you look completely fake and unnatural and out of proportion/ not fitting in you size 2 shirts, dresses, jackets...you will have severe wear and thinning of your already thin tissues and end up feeling implant wripples and likely seeing them too.  Not terribly sexy.  Please consult with someone else who has atleast 10 years experience and understands the ramifications of putting too large an implant in too small a patient.  Consider staying less than 375.

Joshua A. Greenwald, MD, FACS · Answer

It seems based on your height and weight that this implant would be too large for your petite frame.  Without photos, it is impossible to assess the current size of your breasts but I would imagine you are quite small.  Visit your PS and review photos and try on sizing implants - I think once you do this you can find a size that better matches your frame.  good luck.

James N. Romanelli, MD, FACS · Answer

You certainly are petite,  It will be important to be thoroughly examined.  I also like to use sizers and 3D imaging to help my patients "preview" their possible results.  Best of luck!

Joe Gryskiewicz, MD, FACS · Answer

Hi Jenn,First and foremost the implant should fit the dimensions
of your breast and tissue cover.  Here are a few tips
for you because this is perhaps the hardest decision for a patient to make, as
well as the surgeon.  Also see the video
attached to my answer.  Balancing the implant to your over-all body shape
and tissue cover is essential.The main thing is to have the diameter of the implant fit
the diameter of your breast "foot print".  The average size chosen over our last 7,000 breast implants was
“350cc”.  BUT, 90% of our patients tell us they wish they were
bigger a year after BA.  (We will see you
every year for routine checks at no charge.) It’s like your mind incorporates
the "new you" into your own self-image over a period of time. Cup size estimates can be misleading, but I generally advise patients
that they will experience an increase of approximately one cup size per 200 cc.
 You can try on implants in the office by
placing them into a special bra.  The implant is also flattened somewhat when under
the muscle, so it is a good idea to bump it up a bit. Approximately 1-ounce (25cc) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket.  Once you decide on a size you like, then add
on 25cc, because in real life the implant will be flattened slightly by your
tissues.  Multiple measurements need to
be taken to fit an implant to your exact anatomy.  Have your surgeon's
office show you the charts of the implant dimensions for the various profiles
of silicone and saline from the manufacturer.  Then you and your surgeon
can piece together the puzzle by matching your measurements, with your wishes,
versus your tissue cover and the available implants to arrive at
a surgical plan.  Keep in mind
larger implants tend to have more problems over the years.  Since silicone implants wrinkle less than
saline implants, they might be your best bet.

You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.  Wear this around the house for a while, and
see what you think.  Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
 Multiple measurements of your chest wall
are taken (seven in total).  Implant size
selection has been an issue of much discussion.

Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.  Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape.  A photo album of patient
pictures is maintained to assist them.  These photos ultimately help in determining
where the implants will be placed, since they can be shifted inside (to provide
more cleavage), to the outside, up or superiorly, and down or inferiorly during
surgery.  In determining the final size
selection, I always place the highest priority on the preoperative measurements
and potential tissue cover.  Finally,
your verbal requests are factored into the analysis.

We use
the quick-recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick-Recovery (Flash-Recovery or
Rapid-Recovery) Breast Augmentation articles from peer-reviewed surgery
journals.  It is a surgical procedure that uses
special instruments and techniques to minimize tissue damage and avoid touching
the ribs. It causes far less trauma to surrounding tissue than traditional
approaches, and it dramatically reduces pain and recovery time. In published studies
of BA patients, 95-percent of women interviewed after the procedure returned to
normal daily activities within 24-hours. Quick-recovery BA is not a
“gimmick.”  These specialized techniques,
which actually speed recovery and get you back to your daily routine, kids and
work, are published in our plastic surgery journals.  Because these PS journals are “peer-reviewed”
and edited, they are the gold-standard in our field as being valid science.
Therefore, these are sound techniques, not marketing hype.

Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons).  Also, ask if the PS has an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year.  Be sure the PS has been in practice for a
while, about 20-years might be a good gauge. 
Does the PS offer all three incisions? 
Discuss the implant type (gel or saline), shaped "gummy bear"
or non-shaped, smooth or textured, implant pocket (over or under the muscle)
and the "quick-recovery approach." 
Ask to see their before and after photos if you didn’t see any on their
website.  If they are experienced, they should have several 100 breast
implant patients for you to view.  I would also recommend that your doctor
offer you the chance to talk to past patients who would be happy to discuss
their experience with you.  You need to feel comfortable, so make sure the
environment is safe as in an accredited surgery center.  Also, ask a prospective surgeon if he or she
has ever published journal articles in professional peer-reviewed journals,
which they can provide you.   All the
best, “Dr. Joe”

Nathan W. Patterson, MD, FACS · Answer

As I am sure you know, cup size is rather subjective.  One person's full C is another person's DD.  Having said that, your breast measurements are critical in determining the best implant size for you.  If your surgeon recommended 375 cc, he/she did so with your measurements in mind.  Too big an implant may cause issues including more pain, lateralization over time, more progressive ptosis, and greater difficulty in revision.  It is typically easier to go up in size later rather than down in size later.At your small height and weight, a 430 cc implant would be quite large.  Try on some implants in that size before you decide.  Have a frank discussion with your surgeon regarding likely outcomes and potential short and long term problems.

Ronald Schuster, MD · Answer

There are many important factors which go into the selection of the best implant for you. This includes your chest dimensions, size and shape of your breasts, the ability of your skin to stretch as well as your goals. Your surgeon should be able to help you and make this a clear so you can make a good decision. Good luck.

Lane Smith, MD · Answer

Thank you for your question.  If the surgeon you have gone to for your initial consultation is not taking your desired goals into consideration during your consultation, you may wish to consider scheduling a consultation with a board certified plastic surgeon to discuss your goals, try on sizer implants to see which size best helps you achieve your desired look, and then together create a surgical plan to help you achieve that goal.Best regards,Dr. Lane F. Smith, MDPlastic SurgeonLas Vegas, NV

William Andrade, MD · Answer

Hello, there is no good correlation between implant size and final cup size.  If your surgeon has suggested that you consider implants no larger than 375cc, you could check with them whether it is feasible and safe to insert even larger implants.

Kris M. Reddy, MD, FACS · Answer

Breast Implant Size is a combination of subjective and objective criteria.There is not a direct correlation between the cc's of a breast implant and the corresponding cup size, as cup size is an inexact measurement that varies considerably among companies and even within the same company. Online consultants will not be able to guide you as well as surgeons who perform in person consultation.The size of the implants are based on a combination of a patient's goals and objectives and her anatomy. In order to provide a natural looking augmentation, the surgeon needs to evaluate many factors including soft tissue coverage, skin laxity, chest wall width, breast imprint width, the shape of the breasts and relative level of constriction to ensure that the breast implants are appropriate for your body.Consult in person with 3 experienced and expert board certified plastic surgeons to understand your options.

Will 430cc be too much on me?

Answers (16)

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