What would be the ideal silicone cc size needed to maintain breast size? Scheduled for augmentation and full anchor lift.

Dear Ms. Laura94,Thank you for your, photos, story and questions. Nothing substitutes for a personal evaluation and a face to face discussion of your options.Unfortunately without a examination I can advise you in general terms, however I hope you will find them helpful.My responses are the following:I. SIZEMy responses are the following1)size of breasts is a personal choice. 2)using the formula 1oz. = 30cc ....take 8 and 1/3 oz of rice = 250 cc or 10 oz. = 300 cc and place in a nylon stocking to create your own "sizers". Then place in a full bodied non padded bra and try on some form fitting clothes.Caveat: The bigger you go the faster you will potentially again sag.II. SHAPE1)the reason your breast hang/sag is that your current "skin bra"is larger than your breast tissue.2)there are three main types of breast lifting proceduresa) periareolar (doughnut scar)b)vertical (lollipop scar) a combination of both a & bc)inverted t (anchor scar) a combination of a,b & cBased on the limited photos of you most likely will need option 2-c (the anchor scar mastopexy) to achieve the upper pole fullness you desire.3)implant selection/profile of implant:a)for the same volume the higher the profile the narrower the base width.and thus the rounder the implant with the higher projection.b)there are slight difference in projection between a moderate to high profile implant. However the ultra high profile breast implant is definitely the "roundest"implant available. c)ideally the base width of the breast should equal the base width of the implant. Would need your breast width measurements to pick the best implant, thus I personally chose the profile based on the patients chest measurements (a high profile on a wide chest may not result in the cleavage desired and conversely a low profile on a narrow chest may result in implant in the outer chest/arm area)d) on occasion to achieve the "round look" I will select a normal saline filled breast implant and overfill to achieve a more rounder appearance. However, the breasts may feel more firm.CLEAVAGEIs mostly determined by your anatomy.It can be improved by:1) with accurate placement of the implants, if aggressive surgery to increase cleavage a condition called Synmastia could occur (uni breast or breast loaf deformity)2) post operative massage.MODEL PHOTOSSelect several nude photos of your ideal breasts and bring with you to your appointments.I advise you make several consultative appointments with several experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally member s of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes and success, R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Thank you for the question and pictures. Online consultants will not be able to provide you with very specific advice regarding breast implant size and/or ultimate breast size achieved.

Ultimately, careful measurements, dimensional planning, and careful communication will be key.Generally speaking, patients undergoing this combination operation should understand that it is significantly more complex than breast augmentation surgery only and that it is associated with a significantly higher risk of complications and need for additional surgery. Also, patients undergoing the combination breast augmentation/lifting surgery should understand that there are limits as to how large of an outcome can be achieved, given that breast lifting surgery does involve breast skin removal. On the one hand, breast augmentation surgery is expanding the breast skin “envelope” while breast lifting is (by definition) tightening up the breast skin envelope. These 2 forces are counteracting each other. Therefore, it becomes important to remove the appropriate amount of breast skin and to use the appropriate size/profile of breast implants to balance these 2 forces appropriately and to allow for achievement of the patient's goals while minimizing risks of complications. Also, generally speaking, the best online advice I can give to ladies who are considering breast augmentation/lifting 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. Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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 "C or D cup" or "ideal" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during this communication phase.

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. The use of temporary intraoperative sizers with the patient in the upright position makes selection of the best breast implant size/profile relatively easy.

I hope this, and the attached link, helps. Best wishes.

Hello dear, thanks for your question
and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A
breast lift restores a firmer, perkier, and more aesthetically pleasing shape
to sagging breasts. This not only can improve a patient’s appearance by
restoring her youthful, feminine proportions, but also help bras and
swimsuits fit more comfortably and attractively. By removing excess, stretched
out skin, reshaping the breast tissue, and raising the nipple & areola into
a more forward position, a cosmetic surgeon can create a more youthful breast
contour. Stretched, large areolae can also be reduced during breast
lift surgery, creating an overall better proportioned, natural looking breast,
your surgeon will determine on a personal consultation how your scar’s going to
be and where. Hugs!