I'm scheduled in 3 weeks to get large silicone breast implants . 550cc to be exact. Under the muscle , through the armpit ?? I'm 5'7 130 & I don't have very much boobie left after 2 kids & 32 years of fluctuating. I'd say im a big A small B. Anyway after reading some stories on real self I'm worried that will be to big & they'll ripple or look bad. My breasts are already uneven & I don't want them looking worse. How big do you think I can go without rippling. 500? I also don't want em to small
Answer: Is 550 CC & 500 CC of silicone a noticeable difference? There is a minimal difference in the clinical appearance of the 2 sizes.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, breastdimensions 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 36 D are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and cup size. 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
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Answer: Is 550 CC & 500 CC of silicone a noticeable difference? There is a minimal difference in the clinical appearance of the 2 sizes.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, breastdimensions 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 36 D are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Nor is there a direct correlation between implant shape or size and cup size. 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
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June 29, 2015
Answer: Implant and Surgery Options The difference between 500 cc and 550 cc is very minimal. The bigger issue, in my mind, is the different shape and nipple positions of the breasts. The left nipple is lower, and that breast has more skin laxity/excess. You might want to consider a minor lift on the left to bring the nipple heights to a similar level, and to equalize the skin laxity. You could use the same size implant on each side, with expectations of improved symmetry. If you simply try to put a bigger implant on the smaller but tighter side, and a smaller implant on the larger but looser side, your asymmetries will likely persist. I think you're better off making the skin and soft tissues more similar, then using the same implant volume on each side. Yours is an ideal situation for a circumareolar lift with an interlocking suture, resulting only in a scar around the areola. That is an excellent lift when the nipple needs to be raised 1-2 cm with mild skin tightening, as in your situation, but not a good lift for more significant drooping.Best wishes!
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June 29, 2015
Answer: Implant and Surgery Options The difference between 500 cc and 550 cc is very minimal. The bigger issue, in my mind, is the different shape and nipple positions of the breasts. The left nipple is lower, and that breast has more skin laxity/excess. You might want to consider a minor lift on the left to bring the nipple heights to a similar level, and to equalize the skin laxity. You could use the same size implant on each side, with expectations of improved symmetry. If you simply try to put a bigger implant on the smaller but tighter side, and a smaller implant on the larger but looser side, your asymmetries will likely persist. I think you're better off making the skin and soft tissues more similar, then using the same implant volume on each side. Yours is an ideal situation for a circumareolar lift with an interlocking suture, resulting only in a scar around the areola. That is an excellent lift when the nipple needs to be raised 1-2 cm with mild skin tightening, as in your situation, but not a good lift for more significant drooping.Best wishes!
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June 29, 2015
Answer: Breast Asymmetry One must be careful using different sized implants to correct breast asymmetry. Unless one addresses the soft tissue breast asymmetry, it will persist and often worsen. For example, your right breast is smaller and if one places a larger implant it it, without lowering the inframammary fold, it will be higher, seem larger, and more protuberant out of the top of the bra/clothing. Conversely, if one lowers the fold, then the nipple will seem too high and face upwards from the implant mound. So I urge you to really discuss the asymmetry with your board certified plastic surgeon so that your expectations are reasonably achieved.
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June 29, 2015
Answer: Breast Asymmetry One must be careful using different sized implants to correct breast asymmetry. Unless one addresses the soft tissue breast asymmetry, it will persist and often worsen. For example, your right breast is smaller and if one places a larger implant it it, without lowering the inframammary fold, it will be higher, seem larger, and more protuberant out of the top of the bra/clothing. Conversely, if one lowers the fold, then the nipple will seem too high and face upwards from the implant mound. So I urge you to really discuss the asymmetry with your board certified plastic surgeon so that your expectations are reasonably achieved.
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June 28, 2015
Answer: Choosing between 500 and 550cc implants Hello, there is only about a 10% difference in the size of the two implants you are considering, so the final result with either implant would likely be fairly close. Your PS is in the best position to advise you about your implant selection because they have your breast dimensions.
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June 28, 2015
Answer: Choosing between 500 and 550cc implants Hello, there is only about a 10% difference in the size of the two implants you are considering, so the final result with either implant would likely be fairly close. Your PS is in the best position to advise you about your implant selection because they have your breast dimensions.
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June 28, 2015
Answer: 500 Or 550 cc Breast Implant - Which One Would Be Right For Me? 50 ccs is such a small amount of silicone that it won't make a big deal of difference, whichever size you choose.That being said, it sounds like you have chosen an excellent plastic surgeon since I totally agree with your plastic surgeon, you would be best served by putting a silicone breast implant in through the armpit partially under the pectoralis muscle. From the excellent picture you sent to RealSelf, it would appear that you need an implant of a reasonable height to not only fill up the bottom of your existing breast, but also be high enough to allow the nipple to fall at about 40-45% of the height of the implant once it settles into your breast pocket. Rippling of an implant is related to the thickness of the implant shell, the thickness of your skin, subcutaneous tissue, and pectoralis muscle. If these are all thick, then any implant of any size large enough for the pocket would be appropriate. Since the shell of the Mentor implant is thinner, I tend to avoid using that implant in people with minimal breast tissue who have had multiple pregnancies. Also, I shy away from moderate plus implants since they are underfilled by both American manufacturers, and therefore tend to show traction rippling no matter what size implant one uses. My not so short answer to your question is, if you were my patient, I would tell you not to worry about the difference between a 500 and 550 since the difference is miniscule, and as far as rippling is concerned, I would recommend a second consultation with your plastic surgeon to determine the thickness of your tissue and to discuss the thickness of the implant that you are going to have used in your augmentation.
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June 28, 2015
Answer: 500 Or 550 cc Breast Implant - Which One Would Be Right For Me? 50 ccs is such a small amount of silicone that it won't make a big deal of difference, whichever size you choose.That being said, it sounds like you have chosen an excellent plastic surgeon since I totally agree with your plastic surgeon, you would be best served by putting a silicone breast implant in through the armpit partially under the pectoralis muscle. From the excellent picture you sent to RealSelf, it would appear that you need an implant of a reasonable height to not only fill up the bottom of your existing breast, but also be high enough to allow the nipple to fall at about 40-45% of the height of the implant once it settles into your breast pocket. Rippling of an implant is related to the thickness of the implant shell, the thickness of your skin, subcutaneous tissue, and pectoralis muscle. If these are all thick, then any implant of any size large enough for the pocket would be appropriate. Since the shell of the Mentor implant is thinner, I tend to avoid using that implant in people with minimal breast tissue who have had multiple pregnancies. Also, I shy away from moderate plus implants since they are underfilled by both American manufacturers, and therefore tend to show traction rippling no matter what size implant one uses. My not so short answer to your question is, if you were my patient, I would tell you not to worry about the difference between a 500 and 550 since the difference is miniscule, and as far as rippling is concerned, I would recommend a second consultation with your plastic surgeon to determine the thickness of your tissue and to discuss the thickness of the implant that you are going to have used in your augmentation.
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