Preop: 350cc or 375cc? (Photo)

Hello,Thank you for your question and photos. You appear to be a great candidate for breast augmentation. After your Plastic Surgeon measures you to provide breast implant options depending on your desired look and dimensions, you may find it helpful to try breast implants on with a form-fitting T-Shirt in the office in order to get a good idea of what they will look like.All the best

Hello,You should know that bra cup size cannot be guaranteed, and there is no reliable formula between implant volume and cup sizes. You say you want a C/D, but your photos show women with much larger breasts.  This is not uncommon, and you should be sized in office with sizers and an unpadded bra.What you should and shouldn't do should be framed in the context of your anatomic capacity for a given implant. Surgeons and patients talk about breast width as though it is the only measurement.  This is not true, and does not fully assess your soft tissue envelope capacity.Breast augmentation is not infinite, and use of an implant that is too large for your anatomy will lead to increase risk of complications.Best of luck!

Looking at your photos and desired goals, I think what is important to make sure that you have enough width on your breast implants. Looks like from goal pictures that you want a close cleavage.  Your anatomy will tend t create a space.  A wider breast implant will help you achieve your goals.  350 will give you 1.5 increase in cup size.Best Wishes,Nana Mizuguchi, MD

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

You should have ample opportunities to return to your surgeon's office for sizing.  Whatever size you like using external sizers and unlined bras will provide you a baseline from where to start from.  In my practice, I always add 10% to that chosen look so if you liked the 400 cc sizer, your implant would be 440cc's.  You have a wide space between your mounds... is your surgeon going to address that too or pick implant styles that will not touch that at all (they teach surgeons not to exceed the natural bases of patients but sometimes you just have to do it to get the result that the patient wants).  And if your implant is moved medial to diminish the space, realize that your nipples will rotate outwards to some degree.  And if its truly just a 25 cc difference, my patients are always counseled to go with the larger implant.... and  there have been no regrets in my career.

I would use 390 or 420 cc saline high profile and fill them up to 450 or more to achieve the look you have posted. The pics you are showing to me seem bigger than  350. Closer to 500cc will get you to a full C  small D in my humble opinion.Good Luck with surgery!Andrew Cohen MD

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 very little clinical difference in appearance between a 350 and a 375cc. implant. If you are not comfortable with the idea of the 350 implant, get the 375.
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

You have a narrow frame which is why, given your desired outcome, the high profile implants were recommended. There is virtually a token distinction between the two sizes so, if producing volume is your goal, then the larger implant can be considered. You have also not stated whether the implants are going over or under the muscle, which is important in terms of the expected appearance of the breasts.

In truth the best implants for you would require an in-person exam and evaluation by a board certified plastic surgeon.  I would however say that I'd encourage you to go with the 375 cc or larger.  Remember that the difference between 350 and 375 is only 25 cc which is about a medicine cup of volume.  My point is that isn't much volume.  I'd say to consider 400 cc high profile if you decided to go larger than 350.  You don't want to have regret for not being as large as you desired.

Thanks for your question.You appear to be an excellent candidate for breast augmentation surgery.  The ideal breast implant for you is dependent on several factors including a discussion of your "wish pictures".  Ultimately you should visit with a board certified plastic surgeon that can discuss the specifics of your build and body type and how that may impact your final result.  A good consult with a board certified plastic surgeon that can review these factors with you is essential.  In my practice I have a detailed process that allows us to review photos and also size you with real implants and also 3-D imaging to give you an idea of your result with different implants. Visit with a board certified plastic surgeon with a dedicated interest in aesthetics and preferably a member of ASAPS- The American Society for Aesthetic Plastic Surgery.Best WishesSteven Camp MD#HappyCamperMD