Which would you recommend; 750 cc or 800 cc?

Question

I'm a 36 A, 5 5' tall 162 lb I had two consults one doctor said 750 cc saline and the other one 800 cc I'm scared about this implant size but both doctors said I'm big enough for it! I'm worried because I don't wanna look like a [RS bleep] star any suggestions I appreciate it thank you

Jose Perez-Gurri, MD, FACS · Answer

Hi, without your photos , it's impossible to accurately assess your implant requirements. Suffice it to say that a 50cc difference is negligeable when you spek of implants that large. If i doubt, seek yet another opinion. Good luck, Dr. PG

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question. In general, implant size does not correlate with bra cup size. The cup size itself will vary from manufacturer to manufacturer as well as who is doing the actual measurements. Thus, cup size is never a reliable indicator for your breast size. I typically encourage my patients not to communicate her desires in cup size but more on the actual look and appearance. Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc.  A preoperative sizing kit is helpful in my practice. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.  Those are very large implants, regardless, a 50cc difference will likely not make an appreciable difference for you. Hope that this helps! Best wishes for a wonderful result!

Nelson Castillo, MD · Answer

Thank you for your question.  Though nothing replaces an in-person examination, a 50cc difference will not make a material difference in overall breast appearance following augmentation.  My greater concern is your skin and chest muscles ability to carry this size implant and i would counsel you to see at least 3 board certified plastic surgeons in consultation before pursuing surgery.

Jerome Edelstein, MD · Answer

Hello,
Thank you for your question.
It is difficult to make recommendations without
a full assessment and without your full measurements. I'd recommend booking another sizing appointment with your Board Certified Plastic Surgeons to determine what your
options would be to achieve your desired aesthetic goals. 
Take care.

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

Jonathan Saunders, MD · Answer

hard to say without pictures but at that size an extra 50 cc not a big deal. I always tend to err on the bigger size if not sure. such a large amount of women come back six months later and say they wish that they had gone bigger

Tania Medina de Garcia, MD · Answer

Hello dear, thanks for your post and provided information as well. The thing about size is...Did
 You Know? Implant size (measured by cubic centimeters, or “cc”) only 
matters as far as it will help you get the look you want. In these 
photos, can you guess who has the larger sized implants?What limits how big you should go?1.
 Your current breast size. This matters because you’ve got to have 
enough existing breast tissue to cover the implant. If you haven’t got a
 lot to spare, some implants may just be too big to fit.2. Your 
chest and shoulder width. Fortunately, implants come in different base 
widths so you can get a size that works well with your frame.I recommend to make an appointment with a board certified plastic surgeon for a person evaluation and to talk about your goals. Good luck :)

Lawrence Scott Ennis, MD, FACS · Answer

The best way to pick implant size is based on your breast and chest width and not the volume. As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look.This can be done by picking a different implant profile. The higher the profile, the narrower the base width of the implant. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they do not want to be too big but want to avoid the gap and still have cleavage without projection, they should consider a lower profile implant such as a moderate. There are options in between these such as the moderate plus.  I prefer the underarm approach so there is no scar on your breast. The new silicone is the only way to go as far a rippling as the new silicone ripples much less than saline, especially in the larger implants.

Barry L. Eppley, MD, DMD · Answer

There is virtually no difference between 750cc and 800cc breast implants. That is a 6% difference in implant size which can not be seen externally. The real question is whether this size implant would be considered by you as too large. I assume that this size has been chosen using some method of implant sizing for your visual assessment.

Robert Singer, MD · Answer

The best cosmetic result in any
particular breast augmentation patient depends on a variety of factors,
including: Your individual anatomy, desired outcome, realistic expectations, a
thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width, height, and projection, as
well as chest wall width all need to be considered when choosing an implant.
Trying on implant “sizers” of various shapes and volumes while wearing a tight
t-shirt, bra, or bathing sit at a preoperative visit will help you and your
surgeon choose the optimal implant.
There are no manufacturers' standards for cup sizing in the bra
industry. The cups of a 36 DD+ and a 40 DD+ are significantly different. Cup size
varies from manufacturer to manufacturer and even within styles from any
particular manufacturer. Nor is there a direct correlation between implant
shape or size and cup size.While the appearance that each patient wants to achieve is very individual, either a 750 or a 800 cc implant is generally considered extremely large for a cosmetic breast augmentation.
Keep in mind that following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of each operative
procedure would not be in your best interest. I would suggest that your plastic
surgeon be certified by the American Board of Plastic Surgery and ideally a
member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, MD FACS
La Jolla, California

Which would you recommend; 750 cc or 800 cc?

Answers (15)

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