I'm 5'5, weigh 125/130lbs & a 34A. My BA is scheduled for July 15th. What should I do?
Doctor Answers 16
Choosing implant size
Although it is impossible to say without measuring your chest wall and assessing your breasts, for most patients of your height and weight a 350 or 375cc implant will produce a significant increase in size. Please keep in mind that larger implants have more problems long term. Talk to your surgeon about why he or she is recommending this size for you.
Best wishes, Dr. Meghan Nadeau, Seattle, WA
Picking the Right Size Implant
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Implant Size Suitable for Your Body and Frame
The #profile is determined by the amount of #projection versus roundness that the you desire, as well as the #size of the implant and size of your chest. Also, the placement or incision location will also have an effect on profile.
This may also provide some insight. If a woman wears a size 36 AB bra and would like to be a C cup, which is the average size that women wear and the average size bra that is sold, she needs a volume of approximately 350 to 390 cc to make that change. This becomes less if she's wearing a 34 bra, because it has a smaller strap size and the cups have a smaller diameter. A smaller diameter implant would then be a volume of approximately 300 to 350 cc. In the same way if she was more petite, maybe a double zero or size one and wore a 32 AB bra, then to become a 32C cup she would only require about 250 to 300 cc. The profile is determined by the amount of projection versus roundness that the you desire, as well as the size of the implant and size of your chest. As much as it's important to know what size bra you currently wear, the strap size is important to know as well. It affects the diameter of the cup and subsequently the diameter of the #breast implant that you choose. In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.
#Subpectoral or #submuscular implants refer to placement under the muscle which still remains the most common placement in the United States. #Submammary or #subglandular implants are the placement under the breast tissue in front of the muscle. This tends to more common in Europe and South America. General guidelines suggest that women with larger drooping (ptosis) breasts that do not want a breast lift often have the implant placed above the muscle, although another option, #DualPlane, has become more popular. In the Dual Plane method, the implant is placed under the pectoralis muscle but the breast tissue is also release, in part, from the muscle. Those patients with minimal breast tissue should usually have the implant placed beneath the pectoralis muscle for more soft tissue padding.
Your Plastic Surgeon will measure you to determine the best shape, size and placement of the #implants to be used. Lastly, another important element to a satisfying result of your #augmentation is realistic #expectations.
What should I do?
Make sure you are comfortable with your surgeon, first and foremost
Cosmetic surgery should be a time of excitement and anticipation, not worry. I spend a lot of time over 2 or more visits with my patients to be able to explain the surgery and expected outcome as well as describing the recovery as best I can. I take time and use 4 different techniques to pick the perfect implant to match my patients goals. If there is any concern I see them again prior to surgery. I think this really helps patients to feel comfortable and to do the best I can to always match the breasts that my patients want. Surgery should be fun for everyone. See your surgeon so they can set you at ease.
Dr Rodger Shortt
Oakville Plastic Surgeon
Breast Implants/ Breast Augmentation/ Anatomic Gummy Bear Implants/ Silicone Implants/ Breast Implant Revision Surgery
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!
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute
Unhappy with breast implant size surgeon recommends before breast augmentation surgery?
This is your body, and the size of implant you want is ultimately your final decision. Your surgeon is there to perform your surgery safely and recommend implants that would be way too small or way too big for your frame, but I would doubt that going into the 400cc+ range would be a problem for you. In my practice I use an implant sizing system that can really give an accurate idea to my patients. They try on various sized breast-shaped sizers and they can look in the mirror and decide what they like best.
If the surgery is already paid for, no problem as long as you are happy with your surgeon and you have made it clear the size you want. If you meet with your surgeon and you are still having a problem getting the size implant you want, then my advice is to determine your surgeon's refund policy and cancel your surgery as soon as possible to avoid losing a significant amount of what you have paid. Do not have a breast augmentation with a Plastic Surgeon who refuses to respect your wishes -- you will ultimately be unhappy and end up having another surgery to increase your implant size sooner than you think, which is just a giant waste of your money. Do it right the first time with a Plastic Surgeon you can trust to help you achieve your goals.
Best of luck!!!