Revision from 245cc textured implant to 360cc Motiva Ergo Demi?

Question

Im removing 245cc textured implants and replacing with Motiva Ergonomix. My breast width is 11.5cm. Im wanting 360cc Demi which has a base diameter of 12.25cm. Its minimal. So my questions are - is this going to be too wide & what issues might that cause? Im not too concerned about an un-natural look. I prefer the Demi rang but wondering if i should stick with current BWD and go for the 355cc full profile. Would love some input xo

Daniel Barrett, MD · Answer

Dear MadAnd89,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I would suggest going with the 355 full or high profile implant than with an implant that is too wide for your chest. Long term, this will look better.

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