Mixed feelings about implant size. 475cc or 495cc. BWD: 13cm wide, 4"11, 150 pounds. (Photo)

It seems that you are making a great choice with the 475-495cc implant size range.Various methods important to discuss with your surgeon
include:1.Goal photographs to demonstrate potential size
and shape. This gives your surgeon an idea of “the look” you are going after.2.Trying on sizers in the office. Sizer will give
a physical/PALPABLE demonstration of how the implants will change the volume of
your breasts. See yourself in a full size mirror while trying on these sizers.
We have tight fitting t-shirts to wear over the sizers to show how you will
look with the implants.3.Using 3D imaging (offered in my office) to
provide a VISUAL demonstration of how the implants will change your breasts and
the look that you will likely achieve. The software is super cool (CRISALIX)
and actually allows me to select the implant manufacturer and size.

Be open with your surgeon and it never hurts to go back a
second time with a loved one to confirm the implant size before surgery.

I hope this helps.-Dr. Bryson Richards (Las Vegas Plastic Surgeon)

Thank you for your question. There is very little difference between the implant sizes you have mentioned in the size range you're considering.  I would most likely recommend going with the larger of the two so that you don't have size regret after the procedure. You may want to have another consultation with your plastic surgeon and preferably undergo Vectra 3-D imaging and simulation of your results.  Breast of luck. 

Hi BA,There isn't much difference between these two sizes, so I wouldn't fret too much, and your PS is ordering both!  That's nice.  Without examining you I can only give you some general suggestions.  First and foremost the implant should fit the dimensions
of your breast and tissue cover. But you already have this figured out!  WTG.  As you can see from what I say below, you are going pretty big.Here are a few tips for you because this is perhaps
the hardest decision for a patient to make, as well as the surgeon. Also see
the video attached to my answer. Balancing
the implant to your over-all body shape and tissue cover is essential.The
main thing is to have the diameter of the implant fit the diameter of your
breast "foot print". Cup size estimates can
be misleading, but I generally advise patients that they will experience an
increase of approximately one cup size per 200 cc. You can try on implants in
the office by placing them into a special bra.The implant is also flattened
somewhat when under the muscle, so it is a good idea to bump it up a bit. Approximately 50 cc (1-2 oz.) is added to the final volume to account for
flattening of the implant in the partial sub-muscular pocket. Once you decide
on a size you like, then add on about 25-50 cc, because in real life the
implant will be flattened slightly by your tissues.Multiple measurements need to be taken to fit
an implant to your exact anatomy. Have your surgeon's office show you the
charts of the implant dimensions for the various profiles of silicone and
saline from the manufacturer. Then you and your surgeon can piece
together the puzzle by matching your measurements, with your wishes, versus
your tissue cover and the available implants to arrive at a surgical
plan.Keep in mind larger implants tend to
have more problems over the years.Since
silicone implants wrinkle less than saline implants, they might be your best
bet.You can
also approximate this at home by measuring out an equivalent amount of rice
placed into a cutoff foot of old panty-hose, and put this in your bra.Wear this around the house for a while, and
see what you think.Implant size must
square with assessments of tissue cover, breast diameter, and chest wall width.
Multiple measurements of your chest wall are taken (seven in total). Implant
size selection has been an issue of much discussion. Therefore, I use a wide variety of methods, but the implant size is
always established preoperatively.Also,
patients are advised to bring reference photos demonstrating their ideal size
and shape. A photo album of patient pictures is maintained to assist them.
These photos ultimately help in determining where the implants will be placed,
since they can be shifted inside (to provide more cleavage), to the outside, up
or superiorly, and down or inferiorly during surgery. In determining the final
size selection, I always place the highest priority on the preoperative
measurements and potential tissue cover. Then, the patient’s verbal requests
are factored into the analysis.Our
average size over the last 7,000 implants was 350. 90%
of our patients wish they were bigger a year after BA.I t is like your mind
incorporates the "new you" into it's self-image over a period of
time. We use
the quick recovery approach, so click on the web reference link below to have
this explained and you can see the list of Quick (Flash) Recovery Breast
Augmentation articles from peer-reviewed surgery journals.All the
best, “Dr. Joe”