Will Mentor CPG 321 315cc be too Big? (Photo)

Question

I am completely flat and want small and natural increase. Went to my first appointment and the doctor measured my non existing breast’s to be 12.5cm wide. Because of that width he said the smallest he would go is mentor cpg 321 315cc. I have booked the surgery in November but I’m starting to freak out it’s too big. I have friends with 245cc who has the look I want to achieve. I called the doctor and asked if I could Go down to 280 but he won’t let me cause it’s 11,5 cm and it would look weird:(

Jordan Kaplan, MD · Answer

This is a tough question and ultimately circles back to what I believe is the most important piece to any surgeon patient relationship, trust. I recommend that you work with a surgeon who you see as a good fit for your needs and someone who you resonate with.
Breast base width is a very important measurement when selecting breast implants. That said, base width is one measurement amongst others that go into implant selection. I personally do not rule out a breast implant size on base width alone. It also depends what projection you plan to use because you can have a similar base width implant that is smaller volume by using a less projecting implant. Most important is that what you see as your desired breast size after surgery is the same that your surgeon sees. For example what you think is a "C" cup breast is also what your surgeon sees as a "C" cup breast. All this said, your surgeon is doing a good job planning by using your natural body dimensions to help select breast implant size!
Another option if you are not looking for a large change in volume is to use your own fat, if available, to naturally increase the size of your breasts without the use of implants or with implants to soften the transition between the implants and your upper chest. This can be discussed on a case by case basis.

Daniel Barrett, MD · Answer

Dear Diligent174312,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

It all depends on how big you want to be; in order to achieve a full B cup, I believe that an implant in the range of 250 ml. would be appropriate. The moderate plus implant would, probably, achieve the result you want. However, that needs to be a decision between you and your surgeon. Second-opinion consultation may be considered. Breast implant sizers are helpful and should be used. Good luck.

Jeffrey Lisiecki, MD · Answer

First off, you don't know that 245cc will give you the look your friend has--she started with a different amount of breast tissue and a different chest wall than you to begin with (unless she is your identical twin!).  That being said, you shouldn't go into a breast augmentation not feeling confident about the sizing--you can decrease the size of the implant while still using an implant that is wide enough by choosing an implant with a lower profile.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Connie Hiers, MD, FACS · Answer

Either size should do well for you. However, I suggest calling and asking to try on both sizes so you can see and feel the difference.  Also, this surgery is for you and not for your surgeon.  If you want smaller, go smaller.  Going larger does not always work well.

Camille Cash, MD · Answer

It's difficult to compare you with your friends.  Each patient is unique and a given implant can look very different person to person.  You said this was your first consultation.  You may wish to visit with a few board certified plastic surgeons and hear varying opinions to help you make a more informed decision.

Mats Hagstrom, MD (license on probation) · Answer

When it comes to implant size, there are two things I’ve learned. Most women who want larger breast should generally go for a size, bigger, and women who know they don’t want really big breasts should be listen to.
Women who know they only want to go up a small amount should not have large implants.
Consider having a few more in person consultations with other providers. I generally recommend all patients have multiple consultations before scheduling cosmetic surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. your surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like or how many of these procedures the surgeon has done. It’s efficiently experienced surgeon should have lots of before and after pictures of patients with similar buddy characteristics to you around with various size implants. Sure you should have a good understanding of what your body will look like with any particular size implant.
Using a smaller implant that your natural breast diameter is not that big of a deal. The problem is more in the opposite of using implants that are larger than the base diameter of the breast. Generally speaking women who want a modest augmentation should use the lowest profile implants well women who want more aggressive augmentation should use hire a profile.
If your surgeon is concerned about using implants that are too small, then they should probably have some experience of this from past cases. Ask them to show you what those look like.
It’s always a good idea to have as many consultations as possible. The chance of finding the best surgeon always comes from having as many consultations as possible.
The biggest mistake patients make is having a one consultation and then scheduling surgery.
During the consultation, ask providers how many breast augmentation cases they do. They should have a collection of before and after pictures that reflects that number..
You should also ask them what their revision rates are, and what the most common revision problem is.
It’s also a good idea to know before surgery what your surgeons revision policy is should you need revision surgery in the future.
When, in doubt, slow down and schedule more consultations.
If you don’t want really big breast, then don’t get large implants.
Best,
Mats Hagstrom, MD

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