Hi, I’d like your opinion on a few concerns. My surgery is next week. I’m 5’6, 133 lbs, 33-28-42 bra size “32B”. I’m getting sub-muscular, textured, silicone implants. Should i get smooth implants since im going sub-muscular anyway? I’m afraid they won’t drop. I don’t want to go too big, I’d hate a “D”. Would you recommend 300cc or 400cc. And how many cc’s are “lost” by going under the muscle? Also, would you recommend areolar incision? Thanks!
Answer: Smaller better At size 32 B each 100 cc of implant corresponds to 1 cup size change. 300 or 400 cc implants would take you up 3 or 4 cup sizes. I recommend you consider a smaller implant if you want to avoid being a D. Best Wishes,Gary Horndeski, M.D.
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Answer: Smaller better At size 32 B each 100 cc of implant corresponds to 1 cup size change. 300 or 400 cc implants would take you up 3 or 4 cup sizes. I recommend you consider a smaller implant if you want to avoid being a D. Best Wishes,Gary Horndeski, M.D.
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Answer: Breast Implants Hi there! It's difficult to advise patients on implant volume without a formal sizing appointment, however, if you're concerned about "going too big," then a smaller implant would make the most sense. During your consultation, a board-certified plastic surgeon will give you a range of implant options (including volume and projection) to accomplish your desired look. In terms of technique, at my practice, we perform subfascial placement for more natural results and reduced breast animation. We also opt for smooth, cohesive gel implants because they're currently the best and safest option in the market when compared to textured implants. That being said, it's your surgeon's responsibility to advise you on any risks and potential complications with breast augmentation surgery.
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Answer: Breast Implants Hi there! It's difficult to advise patients on implant volume without a formal sizing appointment, however, if you're concerned about "going too big," then a smaller implant would make the most sense. During your consultation, a board-certified plastic surgeon will give you a range of implant options (including volume and projection) to accomplish your desired look. In terms of technique, at my practice, we perform subfascial placement for more natural results and reduced breast animation. We also opt for smooth, cohesive gel implants because they're currently the best and safest option in the market when compared to textured implants. That being said, it's your surgeon's responsibility to advise you on any risks and potential complications with breast augmentation surgery.
Helpful
September 11, 2024
Answer: Breast Implant Size Many women have difficulty choosing a size implant. If you are already a B cup, and don't want to be too big, I recommend an implant size of approximately 300cc. You should consult with a Board Certified Plastic Surgeon and try on sizers with a bra and tee-shirt.
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September 11, 2024
Answer: Breast Implant Size Many women have difficulty choosing a size implant. If you are already a B cup, and don't want to be too big, I recommend an implant size of approximately 300cc. You should consult with a Board Certified Plastic Surgeon and try on sizers with a bra and tee-shirt.
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March 2, 2018
Answer: Breast augmentation, 300-400cc Hello and thank you for your question. You are a great candidate for a breast augmentation. I prefer smooth silicone implants over textured. 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. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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March 2, 2018
Answer: Breast augmentation, 300-400cc Hello and thank you for your question. You are a great candidate for a breast augmentation. I prefer smooth silicone implants over textured. 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. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 2 people found this helpful
March 2, 2018
Answer: Breast augmentation implant selection: I’m really scared of going too big. 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. There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry. It is not possible to accurately determine how many ccs (if any) a patient would “lose” when undergoing sub muscular breast augmentation surgery. I suggest patients do not make decisions based on statement such as: “you will lose 25 or 50 cc of volume when breast implants are placed under the muscle”. These statements are simply not reliable enough to utilize clinically. 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. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice. 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. I have found that the use of words such as “natural” or "C or D cup” etc may mean 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, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”. 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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions. I hope this helps. Best wishes for an outcome that you will be very pleased with.
Helpful 2 people found this helpful
March 2, 2018
Answer: Breast augmentation implant selection: I’m really scared of going too big. 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. There seems to be is a moderate amount of breast asymmetry and the use of different sizes of breast implants may help to improve overall breast symmetry. It is not possible to accurately determine how many ccs (if any) a patient would “lose” when undergoing sub muscular breast augmentation surgery. I suggest patients do not make decisions based on statement such as: “you will lose 25 or 50 cc of volume when breast implants are placed under the muscle”. These statements are simply not reliable enough to utilize clinically. 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. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice. 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. I have found that the use of words such as “natural” or "C or D cup” etc may mean 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, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”. 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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions. I hope this helps. Best wishes for an outcome that you will be very pleased with.
Helpful 2 people found this helpful