I am 5'5 and 120lbs and I'm 23 years old. I am just wondering if the 485 will look TOO FAKE?? I know they aren't going to look 100% real but I want them to be as natural as possible while still getting the shape and size I desire. The nurse I had the consultation with did mention sizing up because my breasts are lateral and the bigger implant will push them together a little to achieve a little bit more cleavage.
April 13, 2018
Answer: Too large? Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. A 485 cc HP augmentation is on the larger end of things but not necessarily inappropriate. However, it is difficult to say for certain without measurements. Your wish pics are biased towards a more dramatic look and a nearly 500 cc augmentation should provide that drama. However, smaller framed individuals do not tend to "naturally" have that sort of volume. Additionally, it is important to remember that your anatomy defines your cleavage. Going wider will not force the implants to the midline as the muscle limits this sort of migration. Alternatively, excess width will end up in your axilla/arm pit. As always, discuss your concerns with a board certified plastic surgeon (ABPS)
Helpful
April 13, 2018
Answer: Too large? Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. A 485 cc HP augmentation is on the larger end of things but not necessarily inappropriate. However, it is difficult to say for certain without measurements. Your wish pics are biased towards a more dramatic look and a nearly 500 cc augmentation should provide that drama. However, smaller framed individuals do not tend to "naturally" have that sort of volume. Additionally, it is important to remember that your anatomy defines your cleavage. Going wider will not force the implants to the midline as the muscle limits this sort of migration. Alternatively, excess width will end up in your axilla/arm pit. As always, discuss your concerns with a board certified plastic surgeon (ABPS)
Helpful
April 13, 2018
Answer: Breast augmentation, 485cc Hello and thank you for your question. You are a great candidate for a breast augmentation. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. This entire surgery can be performed with a small incision technique. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful
April 13, 2018
Answer: Breast augmentation, 485cc Hello and thank you for your question. You are a great candidate for a breast augmentation. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. This entire surgery can be performed with a small incision technique. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful