What's the size and profile of implant whose BWD is 14cm and ribcage is 27? (Photo)

Question

My BA is in a month and I'm freaking out now. My PS said I have very little breast tissue, bwd= 14, RC= 27, weight~ 118-120 lbs, height~ 5'9, and breast are symmetrical. I originally choose 350-375cc under the musclebut after reading so many post I was thinking about going up to 400cc under the muscle but I don't want to be too big and I feel like DD and Reg D will be way too big and a full C or small D would look perfect. However I have a really wide bwd! What should I do and what profile?

Jonathan Amspacher, MD · Answer

There are a variety of implants available that would fit that breast diameter. If you choose in the 375 cc implant you should end up around a D cup. However the breasts in the picture are DD breasts. If you want to see a of with 375 cc implants look at the example on my site and consider how much breast tissue you have compared to you because she has a similar height. I also have some excellent educational videos regarding breast aug.

Asif Pirani, MD, FRCS(C) · Answer

There is no way to guarantee a particular bra size. Bra sizing varies greatly between bra manufacturers and a C in one bra will be a D in another. What matters more than the assigned bra size is the way the implant looks on you. The best option for your body and aesthetic goals can be determined in a thorough implant sizing session.Implant sizing depends on several factors. One of the most important factors is your breast width. Generally, your surgeon will measure your breast width, and then provide you with a range of implant sizes appropriate for your native breast size. There are more nuances to it than just what I've described, but this approach works for most women.I usually have my patients bring in a large bra and a tight t-shirt to do sizing. I'll then choose 3-4 implants that I feel are appropriate, and have my patients place them in the bra under the tight t-shirt. My patients can then look in the mirror and get a good sense of what they will look like with the provided implant sizes. My patients like this approach and get a great idea of how they will look.By using this technique, your surgeon can outline a range of appropriate implant sizes that will be aesthetically pleasing, and you make the final decision.I hope this helps. Good luck!

Gregory T. Lynam, MD · Answer

The pics you show are a DD and are no way a C cup. The pictures you like  and what you say you want are not on the same page so I would imagine that your doctor is going with his or her best judgement. I would think a 400 - 425cc moderate plus silicone would be about right. Good Luck!

John L. Burns Jr., MD · Answer

In my opinion, 3D imaging helps narrow down the choice between implant sizes.  With 3D imaging you can view the difference between 350 and 400 from different angles.

Jed H. Horowitz, MD, FACS · Answer

This question is best discussed and figured out during a consultation with a plastic surgeon. We cannot give you specific recommendations based on dimensions alone. Most of the time, patient's that end up going with the larger size are happier but it all depends on what you are looking for. I encourage you to seek consultation with a board certified plastic surgeon and discuss all your options and which one works best for you. Good luck! #PlasticSurgery #BreastAug #Implants #choosingimplants #surgeryprep

Alexander G. Nein, MD, MS, FACS · Answer

Based on your build (5'9", 120 lbs), I think that your implant volume selection may be very appropriate. Please note that the difference between 375cc and 400cc is less than 10% and less than 1 oz, so the difference is not great. You should have the opportunity to try the different implant sizes in your bra just to get an idea of what kind of volume change to anticipate. This technique is not precise but it can give you an idea of what to expect.For more information about choosing breast implant size please check the link below.In addition, I might consider being remeasured, particularly bwd. In my experience most women of your height/weight usually have a smaller bwd (closer to 12cm). This may influence the decision as to what size/shape/style of implant would give you the prettiest result.Best wishes!

Robert S. Houser, DO · Answer

There is nothing "natural" about your "wish pic."  There's nothing wrong with that, but realize that when that girl goes to buy a bra, it's a DDD cup at least!  Don't fixate on the cup size so much. With your dimensions, a 400cc high profile implant should work just fine.  Yes, you will draw a lot of attention.  Personally, I think it's too much, but it's not a bad decision.  Remember too, the difference between 375 and 400 is a tablespoon -- that's nothing! If you were to do 375cc and you aren't happy, you'd have to go to 500 to make a difference!  Please, don't do that... Good luck!

Robert Singer, MD · Answer

The best
cosmetic result in any particular breast augmentation patient depends on a
variety of factors, including: Your individual anatomy, realistic expectations,
a thorough discussion with the plastic surgeon about the options, and an
understanding of the pros and cons of any particular implant choice. Proper
sizing is not just about the number of cc’s. The thickness of your tissue,
breast dimensions which include the width,
height, and projection, as well as chest wall width all need to be considered
when choosing an implant. Trying on implant “sizers” of various shapes and
volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative
visit will help you and your surgeon choose the optimal implant.

There are no manufacturers' standards for cup sizing in the bra industry. The
cups of a 32 D and a 38 D are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer. There is also no
direct correlation between an implant size or shape and resultant cup
size.

Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest that your plastic surgeon
be certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

C. Bob Basu, MD, MPH, FACS · Answer

Thank you for your question.  There are several factors that plastic 
surgeons consider when recommending implant sizes. I consider two 
factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional
 planning – The measurements of your chest wall are taken. Also, the 
breast dimensions including the height, width, and current dimensions of
 each breast form the basis of dimensional planning. Based on these 
measurements, the implant size is recommended. This will give you a 
unique breast implant that is suited for your body frame. However, there
 are some limitations of what size we can recommend. For instance, some 
implants may just be too big for a narrow chest wall. Your surgeon can 
review this with you during the consultation.Gel Implant Sizing 
system – During the preliminary breast implant consultation, you will be
 provided with an option to “try on” a variety of implant shapes and 
sizes. You can also visualize the possible outcomes of your surgery 
which helps you to get that perfect size to give you the shape that you 
longed for. This way your preferences are known and you can then pick a 
range of implants that will “fit” just right to give a soft natural 
fuller look. Hope this helps.Dr.BasuHouston, TX

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

Congratulations on your future procedure and thanks
for sharing your question. I can appreciate your concern.
The breast with is relevant for the selection of the
diameter of an implant. Depending on the look (natural vs done) the surgeon can
select various types of profiles. In the Mentor implant family 14 cm could be
up to 500 cc in a High profile. And close to 600 cc in an Ultra high profile. 
However, the bigger the implant the worse the complications
that you may have in the future. The bottom line is that a number is
meaningless with out the evaluation of the patient. In addition, the pictures
of the examples that you gave us are patients that have good amount of breast
tissue before the augmentation. This is difficult to recreate with just silicone.
The best advice is to go back to your plastic surgeon. See
examples of patients that look similar to you, and see how much silicone he
used to recreate the outcomes that you envision for you.

If you can not get this from him, is
never too late to find somebody that can give you understanding of what you
want.

Wishing you the best in your journey

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