I Am 5 Ft. 90lb Dr. Recommend 225cc Mentor Silicone, Under. Is This a Good Size for Me? (photo)

Question

I am really petite. Standing at 5ft, 90lb, with a ribcage of 26 and 30 bandwidth. My BA is in one week and my PS recommend me with 225cc Mentor silicone, under the muscle. I'm still very undecided about the size. Don't know if I should go bigger with a 250cc. Question is, will I be in a full B or Med B with a 225cc? And do you think I should go with 225cc or 250cc based on my body frame. Keep in mind, I am going for a natural look, no where like a C cup.

Stewart Wang, MD, FACS · Answer

Based on the photos, I think either one will work. Because you have very narrow chest wall and very little breast tissues, selecting the right fit and profile of the implant is more critical than the volume of the implant. If you like really smooth upper pole profile then choose moderate profile implant and pick smaller of the two. If you are looking for fuller B cup then the larger one will do. Both will look quite nice on you, just a matter of personal taste and refinement of what you seeking.

	Best Wishes,

	Stewart Wang, MD FACS, Wang Plastic Surgery

Ryan Neinstein, MD, FRCSC · Answer

I think the difference between those two implants is so small you could never tell the difference so choose the bigger one!

Kenneth Hughes, MD · Answer

If there is a question about size go with the bigger size when the implant is placed under the muscle. 25 cc will not be noticeable at any rate. Kenneth Hughes, MD HughesPlasticSurgery, Los Angeles, CA

Aldo Guerra, MD · Answer

Thanks for this question. Both sizes mentioned are within the ballpark to achieve a solid augmentation. The bigger you go, then the less likely it will look natural, specially with your small breasts. The final cup is better determined after examination and seeing your natural shape. May I suggest you think about using a volume sizing system (VSS) will help you feel more comfortable deciding from your choices. Discuss this with your PS. Best wishes, Dr. Aldo.

Ali Sajjadian, MD, FACS · Answer

Hello.

	Thank you for sharing your pre-op photos.

	A difference of 25cc (225 or 250) is about table spoon and should not make a bold difference even on a small frame like yours.

	With that perspective, the subpectoral implants advantages are many especially if you are after the "natural" look.

	That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.
	I hope this helps and please feel free to check the website below. 
	Thank you for your inquiry.
	The best of luck to you. 
	Dr. Sajjadian

C. Bob Basu, MD, MPH, FACS · Answer

In terms of sizing, there are several factors that plastic 
surgeons consider when recommending implant sizes. I consider two 
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
 planning – The measurements of your chest wall are taken. Also, the 
breast dimensions including the height, width, and current dimensions of
 each breast form the basis of dimensional planning. Based on these 
measurements, the implant size is recommended. This will give you a 
unique breast implant that is suited for your body frame. However, there
 are some limitations of what size we can recommend. For instance, some 
implants may just be too big for a narrow chest wall. Your surgeon can 
review this with you during the consultation.Gel Implant Sizing 
system – During the preliminary breast implant consultation, you will be
 provided with an option to “try on” a variety of implant shapes and 
sizes. You can also visualize the possible outcomes of your surgery 
which helps you to get that perfect size to give you the shape that you 
longed for. This way your preferences are known and you can then pick a 
range of implants that will “fit” just right to give a soft natural 
fuller look. Hope this helps.Dr.BasuHouston, TX

Kris M. Reddy, MD, FACS · Answer

Cup size is an exact measurement as it ranges widely among bra companies and even within the same company. The size of the implants are based on a combination of a patient's goals
 and objectives and her anatomy. In order to provide a natural looking 
augmentation, the surgeon needs to evaluate many factors including soft 
tissue coverage, skin laxity, chest wall width, breast imprint width, 
the shape of the breasts and relative level of constriction to ensure 
that the breast implants are appropriate for your body. Consult with 3 
experienced and expert board certified plastic surgeons to understand 
your objectives.

Paul Gill, MD · Answer

Thank you for sharing your photos.  I think your implant range will put you in the B cup range.  Unfortunately, there is not a general rule of thumb or objective criteria to implant selection.

	Your plastic surgeon will perform several measurements of your chest wall and breast anatomy and determine a range of implants that both fit your chest wall and reach your desired goals.

	The next step is to try on this range of implants in the office with your doctor.   The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant.   It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you.

	I wish you a safe recovery and fantastic result.

	Dr. Gill

Tom J. Pousti, MD · Answer

As you can imagine, despite your good description of body type and goals, it is not possible to give you precise  advice online.  The best online advice I can give to ladies ( in regards to best breast implant size/profile) who are considering revisionary breast augmentation surgery 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're 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. I have found that the use of words such as “ natural”  or “B 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.   
	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 hope this (and the attached link) help.

Roger J. Friedman, MD · Answer

There are many ways to be sized. In my practice, I put actual implants inside a bra with no padding such as a Warner 1003 which you can get at Macy's. I then place you in a t shirt or tank top. When you find the size which you feel is proportionate to your frame I then add 25 to compensate for being placed under the muscle. This in my practice helps patients the most.

I Am 5 Ft. 90lb Dr. Recommend 225cc Mentor Silicone, Under. Is This a Good Size for Me? (photo)

Answers (17)

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