175cc or 210cc over ? 32A wishing to be 32C - petite & don't want big boobs. (photos)

Question

Hi ! I'm 1m59, 55kg, Athletic 25 years old. Currently 32a (72cm under the bust, 79/80 at the biggest part of my Brest - nipple) My surgeon suggest me 175 or 210 over the muscle. I'm small and don't want to be too big (over à 32C seems big for me). I did blind sizing and liked the 210. But he told me it could Take me up to a 32D which scared me. What size to choose ? Is 175cc is big enough to Be a C? Can 210cc Take me to a D? Since it's small implant compare to the average i'm kinda lost

Luke J. Curtsinger, MD · Answer

You are petite, so I believe that you are in a good range for your size.  You liked the 210 with sizing, and based on the info you provided, I would guess you would end up with a big B or small C.   Go for the 210!

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

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

G. Robert Meger, MD · Answer

pboobs:  While there is no clearly adopted and agreed upon "formula" to universally assign a cup size to a breast mound we generally have a lose agreement of cup sizing.  a 175 cc implant is pretty small.  While implants look a little larger when placed above the muscle, I would not expect you to end up being much more than a full B with those implants.  In my opinion, to would take at least 400 cc to get you to a D, even if placed above the muscle.I hope this helps.Best of luck to you.G. Robert Meger MD

Gary L. Ross, MBChB, FRCS · Answer

You are asking for small implants and to be honest you are best to have a look at this size using 3D imaging. This may give you a better idea of how t may look. If that means a second opinion I would take the time and consult with someone using 3D imaging.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with  breast augmentation surgery.  Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

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 are 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. For example, 
I have found that the use of words such as “natural” or "C or D cup” 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

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, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos. The
choosing of implants is a very crucial and is one that should be done through
an in-person exam.  Various aspects could affect the choice of implants
like breast tissue, body measurements, desired end result and the like.
 Bra sizes also differ from one manufacturer to another so a carefully
selected implant can be able to get you very close to that size.  It is
always best to visit a board-certified plastic surgeon and have a full
evaluation for your concern. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic
surgeon is the best way to assess your needs and provide true medical advice.

Brooke R. Seckel, MD, FACS (retired) · Answer

First, you have very nice normal breasts and placing implant on top of the muscle risks visibility of implant.You should have your implants placed under the muscle which is possible and prefered because you have normal excellent nipple position.The 210cc implant should be fine especially under the muscle. It will not make you a D cup.Seek a second opinion from an experienced board certified plastic surgeon.Read below for more on choosing implant size.

175cc or 210cc over ? 32A wishing to be 32C - petite & don't want big boobs. (photos)

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