500ccs or 550ccs? (Photo)

Question

I'm 20 years old, 110-113 lbs, 5' 1, mother to a 10 month old. I had my first consultation yesterday with my doctor and I have scheduled my surgery for December 16, 2015. I am a little worried about the final outcome of my breast. I am currently a 32 B, My doctor suggested 550 ccs, silicone, under the muscle, areola incision. I believe 550ccs would be too much for my frame size, so I went with 500ccs. Would 500ccs give me my desired look?

Jed H. Horowitz, MD, FACS · Answer

You are very petite and 500 is probably as big as I would go to avoid your breasts touching in the middle. #PlasticSurgery #BreastAug #BreastImplants #Choosingimplants #surgeryprep

William Andrade, MD · Answer

Hello, if you are having a hard time choosing between these implant sizes I would recommend followup with your plastic surgeon prior to surgery.  The difference is fairly small but they will be able to help you make a final choice by discussing your breast measurements, helping you try on sizers, etc.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  I recommend that you clearly voice your surgical goals with your operating surgeon and ask to "try on" the implants to get a good idea of what the sizes would look like on you.  If you have already done so, you should trust the advice of your surgeon but ultimately it is your body and you will have to make a decision on what you feel would be best.All the best,Dr. ResultsMiami, FL

John Michael Thomassen, MD · Answer

You appear to want a very voluptous look based on your last wish pic.  You are quite thin however and based on your chest wall width, a 500 cc implant, even a high profile type, may be wide for you.  If you tried it on in the office and liked the look, then it is right for you.

David J. Wages, MD · Answer

Thank you for your question and photos.  There is minimal difference between the two such that one may not even perceive any difference.  One needs to evaluate the tissues to determine what your body can tolerate.  I would start with a face to face consult with a Board
Certified Plastic Surgeon who has experience in breast surgery. During your
visit your surgeon should be evaluating your health to determine if you are a
good surgical candidate and examining your tissues to get a sense of what type
of procedure your tissues will allow. Only with a hands on exam can this be determined.
During the consult you and the surgeon should be understanding of the goals and
realistic outcomes of your choices. Once an exam and opinion is rendered then
you can decide if surgery is right for you.   Good luck.

Peter J. Capizzi, MD · Answer

At your frame, if you would like to be DD+ then 500cc will get you there.  If you desire a natural appearance, try a shaped gel implant from Mentor or Sientra.  Something in the 370cc range will get you a C/D most likely, but a consult and thorough discussion will be needed before final sizing.

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.

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

Ralph M. Rosato, MD · Answer

Most patients cannot tell the difference between implants in the body until you have a 100 cc difference. A 500cc implant and a 550 cc implant differ by 2 to 4 mm or 1/8 or to 3/8's of an inch. Based on you bodies dimensions your doctor can give you a range of implants that fit you profile.  When a patient is not sure of what size to get then I ask them this question, What would make you less happy, being a little too big or a little too small? If you would be happiest being a little big then choose 550, if you are worried about being too big choose 500. Either way you should look great!

Connie Hiers, MD, FACS · Answer

A 500 cc implant is a large implant for your size. I would suggest going back to your surgeon and discussing sizes again. If possible, try on a 500 cc sizer so you can feel the weight and get an idea about the size. I do not recommend going past the size that best suites your frame and what your tissue will support.

Darryl J. Blinski, MD · Answer

Have you tried implant sizers yet? Maybe you should seek a few more in person opinions from private practice boarded PSs in Miami. Very hard to guess the correct sizing over the internet even with posted photos.

500ccs or 550ccs? (Photo)

Answers (12)

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