180 cc gel breast implants?

Although impossible to state definitively without personal examination, measurements, or at least a photograph (plus goal photos), 180cc implants are going to add less than a full bra cup size to what breast tissue you presently have (not too much, by your description). This may be "enough," but you are right about submuscular compression making chosen implant volumes seems a bit "too small."You might want to try on implants in the 200-250cc range just to see what this looks like, and whatever size you feel looks best will need to have about 10% additional volume to compensate for submuscular compression. Submuscular placement is essential for maximal tissue coverage and ripple avoidance. Saline implants (even overfilled) would not be a good choice for someone with your anatomy. Make sure your surgeon plans on adding about 10% to your externally-chosen size (try on implants in a bra or stretchy top in your surgeon's office--this is a very good aid to choosing the implants you want, and better, IMHO, than rice bags or water baggies), and ask for higher-fill cohesive silicone gel implants like Allergan Natrelle Inspira implants, which will reduce the potential for visible rippling after healing is complete.If in fact you are satisfied that 180cc implants are what you and your surgeon are going to use, make sure they are the widest profile that fits your breast base diameter or you could end up with little round breasts and unattractive wide cleavage. For more information, you may want to read my Comprehensive Guide to Breast Augmentation by clicking on the web reference link below. Best wishes! Dr. Tholen

I appreciate your question.

The size of implant best of 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