What's the max ccs breast implants that would fit under the muscle? (photo)

Question

Mother of 2, and done having kids. Very few stretch marks and not looking to get anymore. I don't want two circles on my chest, but definitely set on round, smooth saline implants. Not looking for high profile, going for something more natural, just bigger. Really sick of looking like I just hit puberty... in the chest region anyways. I know everyone says don't say C cup but that's what I want.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Nelson Castillo, MD · Answer

Thank you for your question and photographs. 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 seeing an ASPS board certified plastic surgeon, they are in the best position to ensure that the implants the two of your decide upon are the right ones to meet your expectations. It sounds as if it may be wise for you to "try on" several of the implants so that you can have a better visual representation as to what they would look like. Best wishes!

Farah Naz Khan, MD · Answer

Hard to answer this question without an in person exam and specific breast measurements. Remember that there is no direct correlation between implant size (cc's) and cup size. Best option is to choose a board certified plastic surgeon who actually takes the time to measure you and examine your breast pocket. Sizers will only give you a rough estimate. The goal of breast augmentation is to optimally fill your breast pocket, not to overstuff or understuff it. At my practice, we utilize a series of 5 breast measurements that help me determine the ideal implant size, which in turn helps me deliver a 24 hour recovery. Do your research and choose a surgeon who takes the time to sit down with you and discuss your goals/expectations to determine the best size for you. Good luck!!

Joshua Cooper, MD, FACS · Answer

An actual breast examination along with careful measurements taken by a plastic surgeon are needed to help guide you as to which size implant will best suit you.The larger the implant the less "natural" you will look, in general terms.  Additionally, when you go with an implant that is a lot wider than your breast width, things start to look less "natural" as well. We find it best to have our patients try on various size implants here in our office.  This really helps narrow the size down.We also repeat this exercise again at each patient's pre-op visit to make sure she still feels the same about the chosen breast implant size.We also like to take a look at photos that our patients bring in on their  cell phones to help show us what their goals/expectations are. Best of luck to you!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

The size of implant best for you is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance.  Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

Silicone will give you a fullness at the top (upper pole fullness).

Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.

Anatomic gummy bear implants might be a good choice to give you volume.

These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.

During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Peter E. Johnson, MD · Answer

The size of the implant will vary by breast and chest size and of course what you want to look like. A very large and projecting implant will fit, but the look must be your focus, not the implant number. If a C cup is what you want make sure your surgeon knows what that should look like to you.

John S. Alspaugh, MD, FACS · Answer

Many factors affect the implant size including height, width of breast, preexisting amount of breast volume, body weight and even the shape of the thorax ( rib cage) will affect how  any single implant will appear. The patient's sense of what is attractive and works for her is the biggest factor. Sit down to discuss it with a Board certified Plastic surgeon.

Brian J. Lee, MD · Answer

Thank you for your question. By your description you sound like a good candidate for breast augmentation. Choosing an implant size will be based on your height, weight, chest width and final goals. Using a specific sizing system we can determine what you like. I always recommend finding photos of augmentations or even models that you like the size and look of the breasts so we can better understand what you are envisioning. We call these "inspiration photos". Good luck.

Steven Wallach, MD · Answer

The best way to size you up, would be to see you in person to be properly evaluated.  Other than that, it would be difficult to guess.

Karol A. Gutowski, MD, FACS · Answer

The best way to make a size determination is start with an in person evaluation and full breast measurements by a skilled plastic surgeon. Each body is different and implants have different shapes. See link below for examples.

What's the max ccs breast implants that would fit under the muscle? (photo)

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