Will 350cc saline moderate profile be too big on me? (photos)

Question

I can’t seem to wrap my head around the sizing procedures. The try on garment is so hard to invision true results. I know drs aren't a crystal ball and everyone differs… perhaps you all can shed some light?? I am 137 lbs 46 yrs old 5’5 currently a saggy 34d dr says i have great breast tissue… initially chose 300cc BUT do not want to make the mistake of too small and regretting it- pre op consult stated with lift and augmentation i would lose 10% of size anyway???? I CHOSE 350. What is the real difference between 300cc’s to 350cc’s - ????

Ronald J. Edelson, MD · Answer

Anything from 300 to 350 would be fine. As long as you're getting a lift at the same time.    I think you will get an excellent result with any of those sizes

Kenneth Hughes, MD · Answer

You are unlikely to see much of a difference with a 50cc increase. Most women regret not going larger, so I would recommend that you go with a 350cc.

Leila Kasrai, MD, FRCSC · Answer

Sizers are an effective way to predict how you’ll look after surgery. Put them into your bra and put on a form fitted shirt. You’ll be able to see how you may look, and get a good idea of how you may feel with them as well. Your surgeon should also have given you a range of sizes to choose from, based on your goals and body measurements.

Gary M. Horndeski, MD · Answer

Your breasts are too low on the chest wall. You need a lift and the technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

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 and style breast implants and they choose what looks right for them. 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 size and style breast implant is right for them. Unless your friend measured you, how could she suggest what is right for you. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for breast augmentation and breast lift. The implant size you chose will suit you well and give you a full, youthful result.

Daniel Barrett, MD · Answer

Dear dreeemgurl,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The difference of 50 cc's is about 3 tablespoons of volume.  Both sizes should increase you up to two cups higher.

Douglas Taranow, DO, FACOS · Answer

You are a great candidate for an augmentation mastopexy (breast lift and augmentation)   The sizing should be discussed in detail with your board-certified plastic surgeon. Make sure to give your surgeon wish pick photos of the size and shape you desire. During surgery, I use Sizer‘s which we fill and deflate to best estimate the correct implant volume to place. Patients are placed in a 90° seated position and the breasts evaluated for both volume and shape. Only then do I choose the implant that best mimics your wish pic photos which I post on the operating room wall. 
Best wishes with your upcoming surgery. 
Dr. Taranow