Too petite, is 300cc high profile silicone too big?!? Is 320ccs ultra high to unnatural !?!? (photo)

Question

Hello Docs, So here are my stats.. 4'11, 105 weight, and 10bwd. I am pear shaped. My PS recommended 230 cc high profile to 300cc high profile silicone Natralle. My question is whether or not it is too big or too small. I am trying to achieve a natural but full size .. Like a full C. However, I am aware that I shouldn't look at cup sizes rather look at how it will look on my body. I would like projection but not where it is unnatural. I will post a pic of me and a pic of what I hope to achieve.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. I think that you can have a nice result about 300 cc plus implant. This will not achieve the same result as your wish pictures.

Ram Kalus, MD, FACS · Answer

although this is the question women considering breast augmentation wrestle with most often, it is a mistake for you to get bogged down on the actual implant size that is most appropriate for you. Instead, you need to have as much of a "visual" conversation with your plastic surgeon sharing with him or her photos of what you are hoping to look like as a result of your breast enhancement surgery. It is the job of the plastic surgeon, after a careful evaluation of you, to determine which implant is most likely to achieve your desired outcome. In surgery we routinely use sizers which are temporary implants to see how your appearance with that particular size compares with the pictures of your "favorites", which we bring to the operating room with us. Only then do we make the final implant selection and complete the operation. This technique has proven to be highly successful for us in achieving the patient's ultimate goals. Make sure that you are confident that your plastic surgeon's aesthetics align with your own, and that he or she is experienced in breast enhancement surgery, and that they are board certified in plastic surgery, and members of the American Society of Plastic Surgeons, and ideally also members of the American Society for Aesthetic Plastic Surgery. Best of luck to you.

Shim Ching, MD · Answer

Based on the information you provided 230 to 300cc should work well with you. You are a great candidate for surgery and you should have a great result. I wouldn't recommend an ultra high profile. You would benefit from a wider implant and a high profile implant should be able to give you the look you desire.

Peter Kreymerman, MD, FACS · Answer

I have never had a patient say, "I wish I went a little smaller" but 1-2 times a month I hear patients say "I wish I went a little bigger".  I recommend 300-350 cc implants.  HIgh profile will probably give you a better look, but I also often use ultra high in patients such as yourself and these patients are happy.  An in person consultation would be best to discuss the specific differences in the look each of the options will give you.

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 suit 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 C and a 38 C are significantly different. Cup size varies from
manufacturer to manufacturer and even within styles from any particular
manufacturer.

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 you find a plastic surgeon
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

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and posting appropriate pictures. You seem to be a very good candidate for breast augmentation surgery. Based on your pictures and description, you're better off with the larger size that you have mentioned. I would recommend undergoing another consultation with your plastic surgeon to discuss sizing and undergo Vectra 3-D imaging to simulate your postoperative results.

Darryl J. Blinski, MD · Answer

Thanks for using RealSelf. It is a very personal decision that using over the internet responders could be confusing. I always say go larger by one size. So for you I would use 325 to 350 cc UHP.

Robert L. Kraft, MD, FACS · Answer

Ultra high implants will not achieve a natural look. A moderate to high profile implant would be enough.  Sizing really needs to be an interactive process with your plastic surgeon.  It is highly personalized.  If you have confidence in your surgeon, I encourage you to rely on his experience, expertise and judgment.

Michael Law, MD · Answer

You could get a wonderful result from breast augmentation. A plastic surgeon using biodimensional planning techniques can help you determine the ideal size, shape, and position of breast implants in order to have a natural looking results. The size of the breast implant is important in creating a natural result, but that is only one factor. The expertise of the plastic surgeon in creating the ideal placement is also part of what make implants look natural, or not. We all have seen even small breast implants that look unnatural because they are too high on the chest wall, too far apart, uneven, or hard-looking.Take your time finding a plastic surgeon with expertise in providing natural looking breast implants.

Tom J. Pousti, MD · Answer

Thank you for the question and photographs.  Based on your photographs demonstrating asymmetric breast hypoplasia, I think that you are starting at a good place and should have a very nice outcome with breast augmentation 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. I have found that the use of words such as  “natural” or "full C 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, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of pre operative computer imaging may be very helpful.  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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.I hope this ,and the attached link (dedicated to breast augmentation for petite patients), helps.

Too petite, is 300cc high profile silicone too big?!? Is 320ccs ultra high to unnatural !?!? (photo)

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