5'5", 195, 38B. Wanting 38DD or DDD. Should I go for 650cc silicone HP or 700cc silicone UHP as my surgeon suggested? (Photo)

Question

Hi everyone, so here's my story. I am 195lbs about 5'5 38B sometimes 40B depending on the brand. I have kids so my breast aren't completely sagging but partial sagging, so my surgeon suggested areola lift with 700 cc UHP silicon implants under the muscle. I am a little scared because I don't want exaggerated breast but I do want to be a DD to DDD. I have a wide back and big hips along with big buttocks. So please please give me some feedback before my final appointment before sx. Thank you Kindly

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. 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.

William Andrade, MD · Answer

Thank your for posting your question.  It sounds like you have already had a detailed assessment by your surgeon and you have come up with a plan together.  Your surgeon will be the best source of advice when finalizing your implant selection.  I hope it goes well.

Tom J. Pousti, MD · Answer

Thank you for the question. Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, 
I have found that the use of words such as “natural” or "DD or DDD cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes.

Darryl J. Blinski, MD · Answer

Without unclothed posted photos best option is additional in person consults with boarded private practice PSs in MIAMI...

5'5", 195, 38B. Wanting 38DD or DDD. Should I go for 650cc silicone HP or 700cc silicone UHP as my surgeon suggested? (Photo)

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