Caught between Ideal structure implant mod + profile. 270cc / 305cc or 300cc /340cc (Photo)

Question

Greetings, I am caught between Ideal structure implant mod + profile. 270cc / 305cc or 300cc /340cc. Details about my body structure. 5'4, 114lbs bwd 11.5 ,34 a or aa Bf 4 children (4.5 years of combined bf) My goal is a natural looking breast with a slope. I wouldn't mind a larger breast but I'm fearful that my final results will look tight and artificial. My surgeon will put the implants under my muscle and the incision site is through the armpit. Will 35cc difference make a drastic appearance?

Ellen A. Mahony, MD · Answer

Congratulations on selecting an excellent implant!  My patients love them!Here is a simple way to help you determine size:  try on sizers that are 275cc, 300cc, 325cc and 350cc.  Use a simple cotton stretch bra with front clip closure.  I use Fruit of the Loom for this purpose in the office.Compare them and see which size meets your goals and expectations.  Based on your dimensions, ht, wt, photo and the post op pics you included, my guess is that the 270-305cc will look most natural and not too tight.  Keep in mind, you would be wise to choose a size that you'll be happy with for years to come and that will always look sexy, not boxy/heavy or matronly.  You're on the right track!In good health,Ellen Mahony, MD

Luke J. Curtsinger, MD · Answer

35cc is small, about the size of a "shot".  On the other hand, it is a 10% difference for a 350cc implant.  I find the best way to help patients decide is to have them try on both sizes in a bra.  This is not perfect, but gives them an idea what that volume will look like ahead of time.  I have used the Vectra, but I dont find it terribly helpful.  Most patients pick 'the big one' looking at the torso on the computer screen.

Jed H. Horowitz, MD, FACS · Answer

Good day! For your guidance, here is a list of generalized breast implant sizing for most patients:
32A      to 32C needs about 250-275cc
  34A      to 34C needs about 300-350cc
  36A      to 36C needs about 350-400cc 
 Contact your surgeon and discuss realistic goals and expectations when deciding which implants are the best for you. Best of luck! #RealSelf100

Michael Zwicklbauer, MD · Answer

The difference in the implants you're referring to amounts to about 2 tablespoons. One of the number one reasons to return for future surgery after implants is to go larger. If you're on the fence I would choose the larger implant. Good luck

Steven L. Ringler, MD, FACS · Answer

Hi Maryanne, Thanks for your question.  Many of our thin patients, such as yourself, are particularly happy with their results from IDEAL structured breast implants.  You can count on having a nice, natural result.  A 35cc difference in implant size is very small and would be imperceptible to most people.  Best of luck to you.

Ronald Schuster, MD · Answer

I think the difference in sizes you are describing are too small to get overly worried about. It sounds like either one will give you a great result. I leave you with this question that should help you o decide. In case you don't get the "perfect" result you are looking for with respect to size, will you be happier being just a bit larger or smaller? Good luck.

Jane M. Rowley, MD · Answer

In my opinion 35cc will not cause any significant size difference, and I am a big fan of the Ideal implant.  The implants will be tight initially, be patient with the results, good luck, Jane

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

Caught between Ideal structure implant mod + profile. 270cc / 305cc or 300cc /340cc (Photo)

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