Can't decide 450cc or 500cc?

Question

My surgery after two days,, I'm soooo excited but still can't decide how many cc's I should get ;( i have flaaaaaaat chest I'm 25 5'6 170 weight, 1 child, i started with 450cc and it seems good but I'm afraid that I regret for not going bigger. Anyone with similar shape of my body

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. You should choose a board certified plastic surgeon that you trust to help guide you in this decision.

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

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Richard Hainer, MD · Answer

Typically volume is only one of the considerations in choosing the correct breast implants. Base which is also important in terms of making sure theimplant dimensions fit your breast dimensions . Typically however a 50cc difference is typically imperceptible and therefore I usually tell  my patients that if they are undecided to simply choose the slightly larger size mostly for the psychological aspect so that in the future they don't regret their decision. Good luck. Hope this helps.

Nelson Castillo, MD · Answer

Thank you for sharing your question and congratulations on your upcoming surgery.  Assuming your surgeon has cleared both sizes based on your breast dimensions and goal outcome, I would recommend trying on several of the implants in your surgeon's office so that you can have a better visual representation as to what the two look like in clothing and choose the one that you like best.

Scott W. Vann, MD, FACS · Answer

Both of these implants are fairly large, but with your 5'6" height you can probably handle them. If you are undecided then go retry on the implants again. If still not sure between these two then try a 475cc.  Good luck.

Steven Wallach, MD · Answer

I think that you need to be seen in person to determine what implants size would be best for you, This is based upon your goals and overall anatomy.

Tom J. Pousti, MD · Answer

Thank you for the question. Online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, 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.Given that your surgery is coming up soon, I would suggest that you spend additional time communicating your goals/concerns directly with your plastic surgeon, preferably prior to the date of surgery.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 know words such as “natural” or "D or DD 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/video, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Daniel Sherick, MD · Answer

If your plastic surgeon thinks both of these would be acceptable implants for you I agree with the other plastic surgeons that both will likely look great!.  You might ask your plastic surgeon if they would let you take a pair of 450 cc and 500 cc sizers home for a trial.  Buy an appropriate sized bra and try on multiple outfits.  See what makes you feel the most comfortable!  Good luck with your choice.

Brooke R. Seckel, MD, FACS (retired) · Answer

Both are large implants and there is not much difference. The key issue is your breast base width which your surgeon should have measured. Check with your surgeon to see if your base width will accomodate the additional 50 cc"s.

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