Natrelle 485cc or 535cc?? I'm 34b, 5'6, 145lbs, surgery in two weeks...

Question

I am a size 34B, 5'6 and 145lbs, lost a lot of fullness from breastfeeding, went for my consultation and I'm debating if I should go with the natrelle 485cc or 535cc.I want to have the fullness and cleavage of a full C but I don't want to be too big either, I thought going bigger would help ensure the cleavage I want but now I'm afraid that 535cc would be too big and I hate seeing pictures of breast implants where they are too far apart....

Leland Deane, MD, FACS · Answer

You need an experienced surgeon who will guide you into what larger implants can and cannot do. The most frequent 'trap' is to expect a larger implant to give you the shape that you want and not have the associated complications. Best of luck.

Robert M. Tornambe, MD · Answer

I appreciate your concern, because size does matter when seeking a natural looking result in breast augmentation. I ask my patients to bring in photos of breasts the size they desire, because there can otherwise be confusion because B or C cup can vary greatly by brassiere manufactures! I also utilize the implant in the bra technique, with several different implant sizes with a tighter fitting T-shirt to get an idea of what you will look like. Finally, I prefer to meet with my breast implant patients at least twice before surgery, so I am confident that I know exactly what her desires regarding shape and size are. I then have several sized implants in the patient's desired range available in the OR to allow me to tailor the operation to her needs. Be certain your surgeon understands your desires and you should do great as this operation carries a very high satisfaction rate. Good luck!

Richard Rosenblum, MD · Answer

The implants you are considering are less than 50cc's difference so very little visible difference.    The best way to determine size is to "try on" the implants. How much cleavage you have  how far apart the implants are depends on your anatomy.    It sounds like you need to have a rediscussion with your surgeon prior to surgery,  now it the time to ask questions.   Good Luck

Christopher J. Morea, MD · Answer

Thank you for your question. This is difficult to answer without knowing your breast dimensions, photos, and a physical exam. I would recommend you trust your surgeon to place whichever implant fits your chest best. I hope this helps.

Larry S. Nichter, MD, MS, FACS · Answer

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.#breastaugmentation#findingtherightsize#BA

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

Sergio Alvarez, MD · Answer

It is difficult to answer this question without seeing pictures or a full examination, but it is a topic that is very important. I think the volume of the implant chosen is important but it can also be dangerous to fixate sole on the number. There are a lot of variables when choosing the "right" implant. Without knowing which "Natrelle" were choses, whether it was a moderate or high or extra high profile implant, each has different characteristics on projection and width. I would say though being in the high 400s and low 500s you will typically be in the D range of cup sizes. This again is very general as we are limited to sole numbers and irregular cup sizes between brands. The other issue of implants being too far apart is also a question of where nipple position is to begin with. Sometimes its not possible to place the implants so close together. Good luck!

Sheila S. Nazarian, MD · Answer

Choosing the right size implant depends on any number of factors all of which require an in person exam. My best advise would be for you to try out the two sizes either with gel inserts from your surgeon or the at home rice method and go with one whose "look" you prefer. Keep in mind though with cleavage that it is dictated by your anatomy as the implant, no matter which size, must be centered behind your nipple. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Michael M. Omidi, MD, FACS · Answer

Thank you for the question and photos. The
choosing of implants is very crucial and is one that should be done through an
in-person exam.  Various aspects could affect the choice of implants like
breast tissue, body measurements, desired end result and the like.  A 50 cc difference is not that big of a change in the size. It is always best
to visit a board-certified plastic surgeon and have a full evaluation for your
concern. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic
surgeon is the best way to assess your needs and provide true medical advice.

Bryan Correa, MD · Answer

Thank
you for your question - it is a very common concern! In general, it is the
profile of the device that will determine your final outcome. Small changes can
be seen between different sizes in the same profile but nothing that would
change a cup size. So for example, the difference between a 310cc high profile
device and 340cc high profile device is only 30cc - this is approximately a sip
of coke and would contribute significantly to the overall final size. If you
felt your surgeon understood your goals then I would have confidence in
his/her judgement and recommendations. I hope this is helpful.

Natrelle 485cc or 535cc?? I'm 34b, 5'6, 145lbs, surgery in two weeks...

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