Surgeon recommended I get 325cc moderate plus profile silicone under the muscle. Will this be proportionate to my body? (photos)

Question

So I have talked to my surgeon and scheduled my surgery and he recommended that I get 325cc moderate plus profile silicone under the muscle. I'm 5' 6" tall and weigh 125lbs, I wear a 34A in most bras snow and I'm hoping to be a C after the surgery. I know it's very hard to say it will be a certain cup size and I bet surgeons get so tired of hearing this but what are the chances of me be a C cup? And also will it be proportionate to my body?

Joe Gryskiewicz, MD, FACS · Answer

Hi For the Love of Sunshine!Yes I believe a 325M will fit you, but I kind of doubt you will hit a C.  Here are a few tips for you because this is perhaps
the hardest decision for a patient to make, as well as the surgeon.  Also see the video attached to my answer.  We spend up to two hours for our BA consults
to be sure there is careful communication. We do a full exam in front of a
full-length mirror taking six exact measurements.  We put your photos on a large computer screen
for imaging, and go over your “ideal-size” photos. We then save this
information to your password protected “web account.”

First and
foremost the implant should fit the dimensions of your breast and tissue cover.
 Balancing the implant to your
over-all body shape and tissue cover is essential.The main thing is to have the diameter of the implant fit the diameter of
your breast "foot print".  The average size
chosen over our last 7,000 breast implants was “350cc”.  BUT, 90% of our patients tell us they wish they were bigger a year after
BA.  (We will see you every year for
routine checks at no charge.) It’s like your mind incorporates the "new
you" into your own self-image over a period of time. Cup size estimates can be misleading, but I generally advise patients
that they will experience an increase of approximately one cup size per 200 cc.
 You can try on implants in the office by
placing them into a special bra.  The implant is also flattened somewhat when under
the muscle, so it is a good idea to bump it up a bit. Approximately 1-ounce (25cc) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket.  Once you decide on a size you like, then add
on 25cc, because in real life the implant will be flattened slightly by your
tissues.  Multiple measurements need to
be taken to fit an implant to your exact anatomy.  Have your surgeon's office
show you the charts of the implant dimensions for the various profiles of
silicone and saline from the manufacturer.  Then you and your surgeon can
piece together the puzzle by matching your measurements, with your wishes,
versus your tissue cover and the available implants to arrive at
a surgical plan.  Keep in mind
larger implants tend to have more problems over the years.  Since silicone implants wrinkle less than saline
implants, they might be your best bet.

You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.  Wear this around the house for a while, and
see what you think.  Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
 Multiple measurements of your chest wall
are taken (seven in total).  Implant size
selection has been an issue of much discussion.

Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.  Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape.  A photo album of patient
pictures is maintained to assist them.  These photos ultimately help in determining
where the implants will be placed, since they can be shifted inside (to provide
more cleavage), to the outside, up or superiorly, and down or inferiorly during
surgery.  In determining the final size
selection, I always place the highest priority on the preoperative measurements
and potential tissue cover.  Finally,
your verbal requests are factored into the analysis.

We use
the quick-recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick-Recovery (Flash-Recovery or
Rapid-Recovery) Breast Augmentation articles from peer-reviewed surgery
journals.  It is a surgical procedure that
uses special instruments and techniques to minimize tissue damage and avoid
touching the ribs. It causes far less trauma to surrounding tissue than traditional
approaches, and it dramatically reduces pain and recovery time. In published
studies of BA patients, 95-percent of women interviewed after the procedure
returned to normal daily activities within 24-hours. Quick-recovery BA is not a
“gimmick.”  These specialized techniques,
which actually speed recovery and get you back to your daily routine, kids and
work, are published in our plastic surgery journals.  Because these PS journals are “peer-reviewed”
and edited, they are the gold-standard in our field as being valid science.
Therefore, these are sound techniques, not marketing hype.

Be sure
to see only a board certified plastic surgeon (by ABPS - The American Board of
Plastic Surgery) who is a member of ASAPS (The American Society for Aesthetic
Plastic Surgery) and or a member of ASPS (The American Society of Plastic
Surgeons).  Also, ask if the PS has an
established, high volume breast augmentation practice, performing several
hundred breast augmentations each year.  Be sure the PS has been in practice for a
while, about 20-years might be a good gauge. 
Does the PS offer all three incisions? 
Discuss the implant type (gel or saline), shaped "gummy bear"
or non-shaped, smooth or textured, implant pocket (over or under the muscle)
and the "quick-recovery approach." 
Ask to see their before and after photos if you didn’t see any on their
website.  If they are experienced, they should have several 100 breast
implant patients for you to view.  I would also recommend that your doctor
offer you the chance to talk to past patients who would be happy to discuss
their experience with you.  You need to feel comfortable, so make sure the
environment is safe as in an accredited surgery center.  Also, ask a prospective surgeon if he or she
has ever published journal articles in professional peer-reviewed journals,
which they can provide you.

All the best, “Dr. Joe”

Nelson Castillo, MD · Answer

Thank you for your question and
photographs.  Breast implant selection is an exciting, but stressful part
of the breast augmentation process as there are so many choices. Unfortunately
it is impossible to recommend the best implant style, size or shape without an
in-person examination that allows for the measurement of key breast parameters,
as well as permits an in-depth discussion as to your desired goals and outcome.
Remember that it is more important to focus on the shape and size of your breasts rather than an anticipated cup size, as each bra manufacturer uses different sizing methods.  It sounds as if it may be wise for
you to "try on" several of the implants so that you can have a better
visual representation as to what they would look like.  Best wishes!

Vincent N. Zubowicz, MD · Answer

Final breast implant size is subjective and determined by the patient. There are very good breast implant sizing systems available to allow you to to make up your mind about which breast implant volume is best for you

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. 325cc moderate plus seems reasonable for you. 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 breast surgery. Hope this helps and good luck with your surgery.

David R. Alfonso, MD, FACS · Answer

That implant size seems appropriate for your body. Hopefully you had the opportunity to try on domr sizers in the office. That helps to get a sense of the size you will be after surgery. Cup sizes are variable depending on where you buy your bras.  Good luck

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

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Karol A. Gutowski, MD, FACS · Answer

Based on your pictures and information provided, you should have a nice and natural result, with a C cup beiing likely.

Robert S. Houser, DO · Answer

I think you are right on track.  A rough guide is that 150cc is a cup size for a 34inch chest.  So, 325cc should bump you up 2 cup sizes.  Based on your photo, you have a wide sternum (breast bone) and will not have a ton of cleavage after surgery, but there's not much you can do about that -- it's just the way you're built.  Good luck!

Florence Mussat, MD · Answer

Hi there,based on your height and weight, + your photos, I can guarantee you you will be a 34 C!make sure your doctor is a board certified plastic surgeon,good luckf. Mussat

Maakan Taghizadeh, MD · Answer

Thank you for your question and photo!  I think that you are definitely in the range of a C cup but it is very difficult to determine that just from a photo.  I think the more you discuss your goals with your surgeon and show him pictures of what you may want as well as sizing, the more comfortable you will feel that you are both on the same page with regards to your overall goals.  Good luck and best wishes!!!Dr. Tag

Surgeon recommended I get 325cc moderate plus profile silicone under the muscle. Will this be proportionate to my body? (photos)

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