I wear a size 40D braw, I'm having a breast lift and silicone implants. The doctor said 400 CCs but now i think i will end up looking too big with 400 ccs. He said my rigth boob is smaller then the left one and i will lose some tissue with the lift.
November 4, 2014
Answer: Present breast size plus implants (minus an ounce of skin per side for the breast lift) = final breast size. A properly-performed breast lift will entail the removal of no more than an ounce of skin per breast. It remains a mystery to me that some surgeons actually recommend removal of normal breast tissue in order to use large(r) implants. If your breasts are the size you want, a full breast lift will require the removal of no more than one ounce (30g) per breast, and no implants would be needed. But if you want to go up in volume with your lift, realize that there are anatomic limitations since the skin removal necessary to lift and shape your breasts will now be asked to "contain" even more volume. This can be potentially disastrous, if too large and too tight causes wound breakdown, inadequate circulation leading to dead skin, or loss of implant due to exposure! (All major problems).I believe that adding 400cc (anatomy allowing) will add about 1 1/2-just under 2 bra cup sizes to what you already have at the present, assuming your surgeon removes just that ounce of skin to do your lift. Asymmetric breast sizes can be dealt with via different size implants. If the discrepancy is visible in a bra, this is at least 60cc; if it is about half a bra cup size, then it is more like 100-125cc. Make sure this estimate is as accurate as possible or the implant difference will not adequately deal with this.To decide if you will "look too big," first ask your surgeon how much tissue he typically removes during breast lift, whether or not he plans to remove more tissue from the larger breast to accommodate the asymmetry, or if he plans on two different implant sizes. Then try on implants in a bra and stretchy top and see how you look. Choose carefully! Then realize that your surgeon should use about 10-15% larger implant than the ones you chose, in order to accommodate for submuscular compression that will make you look smaller than you sized. Best wishes! Dr. Tholen
Helpful
November 4, 2014
Answer: Present breast size plus implants (minus an ounce of skin per side for the breast lift) = final breast size. A properly-performed breast lift will entail the removal of no more than an ounce of skin per breast. It remains a mystery to me that some surgeons actually recommend removal of normal breast tissue in order to use large(r) implants. If your breasts are the size you want, a full breast lift will require the removal of no more than one ounce (30g) per breast, and no implants would be needed. But if you want to go up in volume with your lift, realize that there are anatomic limitations since the skin removal necessary to lift and shape your breasts will now be asked to "contain" even more volume. This can be potentially disastrous, if too large and too tight causes wound breakdown, inadequate circulation leading to dead skin, or loss of implant due to exposure! (All major problems).I believe that adding 400cc (anatomy allowing) will add about 1 1/2-just under 2 bra cup sizes to what you already have at the present, assuming your surgeon removes just that ounce of skin to do your lift. Asymmetric breast sizes can be dealt with via different size implants. If the discrepancy is visible in a bra, this is at least 60cc; if it is about half a bra cup size, then it is more like 100-125cc. Make sure this estimate is as accurate as possible or the implant difference will not adequately deal with this.To decide if you will "look too big," first ask your surgeon how much tissue he typically removes during breast lift, whether or not he plans to remove more tissue from the larger breast to accommodate the asymmetry, or if he plans on two different implant sizes. Then try on implants in a bra and stretchy top and see how you look. Choose carefully! Then realize that your surgeon should use about 10-15% larger implant than the ones you chose, in order to accommodate for submuscular compression that will make you look smaller than you sized. Best wishes! Dr. Tholen
Helpful
November 4, 2014
Answer: Remember form trumps size in Breast Augmentation The most important part of your procedure is a well executed lift and appropriate planning with the augmentation. My strong preference would be a vertical lift with a Cold-Subfascially placed form stable anatomic implant. the exact size and shape needs to be selected by a surgeon experienced with these techniques and devices. I would guess somewhere around 500 cc would be appropriate but would need more information to comment exactly. I hope this helps!All the best,Rian A. Maercks M.D.
Helpful 1 person found this helpful
November 4, 2014
Answer: Remember form trumps size in Breast Augmentation The most important part of your procedure is a well executed lift and appropriate planning with the augmentation. My strong preference would be a vertical lift with a Cold-Subfascially placed form stable anatomic implant. the exact size and shape needs to be selected by a surgeon experienced with these techniques and devices. I would guess somewhere around 500 cc would be appropriate but would need more information to comment exactly. I hope this helps!All the best,Rian A. Maercks M.D.
Helpful 1 person found this helpful
