I'm 5'10-5'11, Transgender. ACup - 800cc Moderate Plus Profile, Too Big? (photo)

Question

I'm 5'10-5'11, Transgender. ACup. 42inch Around My Chest, My Nipple Are 10inch Apart, Is 800cc Mod+ Too Big For My First Breast Augmentation Surgery??

Tom J. Pousti, MD · Answer

Thank you for the question.  Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful.  Ultimately, careful selection of plastic surgeon and 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 "D or DD cup" or "too big" 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 helps. Best wishes for an outcome that you will be very pleased with.

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

In general it is best to be part of a formal transgender program and already be on female hormones with your breasts plateauing in size prior to implant placement. The fact that you have been on HRT for 3 years satisfies this guideline. I never recommend silicone shots as they can be dangerous and result in severe complications.Re: number of cc's per cup size: It is not that simple. 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 with experience in transgender surgery. 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 750 cc implant to make her go from a “A” cup to a “D” 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 link below.

Gary Lawton, MD, FACS · Answer

If you like the way the sizers look, based on your height this should not be too large.  Find a surgeon that specializes in  transgender surgery.

I'm 5'10-5'11, Transgender. ACup - 800cc Moderate Plus Profile, Too Big? (photo)

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I'm 5'10-5'11, Transgender. ACup - 800cc Moderate Plus Profile, Too Big? (photo)

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Everything you need to know about Feminizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.