5'10, 135 lbs. - 355cc is too big, would 230cc be to small for me? (Photos)

Question

Im 5'10 135#. I have 355cc implants, which I find them to be too big. I wanted to stay small, but they convinced me to go big. Do you think 230cc would be an ok size for someone with my height and frame? (I like the small look).

Jacob Carlson, MD · Answer

Decreasing your implant size is certainly feasible, but there are a couple things I anticipate your surgeon will discuss with you. Prior to having your implants, it looks like you had some loose skin. The current implants are doing a nice job of stretching out the skin the to conceal that now. Decreasing the volume of the implant too much could result is the skin not being stretched out as much, so there may be some visible areas of loose skin that aren't seen currently. The other factor to figure out is if the 230cc implant will be wide enough to fit your chest. If the implant is too narrow, then it will be able to move around more and/or not fill out the pocket adequately. Choosing a smaller volume implant might mean that a different profile implant needs to be used; that would reduce the amount of projection you have even further.

Daniel Barrett, MD · Answer

Dear volcomstown,

breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. 
When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.
Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.
Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.
You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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