Follow-up question: What are your size recommendations for me (petite, 5ft, 100lb)? (Photos)

Question

A surgeon recommended me 345cc Natrelle Soft Touch implants (ultra high profile). Will this achieve my goals? I am aware my nipples will be lower than most due to slight sagging. Would 365 or 385 look too big on my body? I have attached some wish photos.

Brian K. Reedy, MD · Answer

Thanks for your question! I would really need to see you in person to make the best determination. You are a bit more of a challenge in that your breasts are very widely spaced. I think that picking an implant with a bit more width could really benefit you. Again, an in-person evaluation is the best way to address this. If you aren't feeling 100% comfortable with the recommendation of your surgeon, you can always request another appointment to discuss further. Good luck!

Peter D. Geldner, MD · Answer

Thanks for your questions and photos. I am struck by one feature in your wish photos. All the patient have great cleavage. That means that the width of the implants are wide enough to fill the space from the outside edge of you breasts to where you want them to be. The implant sizes you mention are the SSF implants (full profile), not the SSX (ultra high profile). Without knowing all your measurements, I don't want to speculate if the cleavage will be what you seem to like. It seems like many numbers and details, but it's a question of how you could look. I'm a fan of the Vectra three dimensional photographic system which can give you a realistic view of how you could look with specific implants. Take your time with your decision. Details matter. The difference of 20 cc or 40 cc is not large, but you could well notice it.

Farbod Esmailian, MD · Answer

Although I do not have measurements on you, what I can say is that you have a moderate size gap between your breasts and the key to filling this in will be based on the correct sized implants.  You and your doctor have chosen ultra full implants which are the most narrow implants available for a given cc.  If the particular size you are looking at fills in your measurements then that would be great, but I would recommend going by measurements rather than particular cc to give you the best outcome.  Those cc's you have listed from a volume and size standpoint will all pretty look the same but the key there is that they have different width measurements which in you may be critical in reducing the space between your two breasts.Hope that helps.

Ronald J. Edelson, MD · Answer

Based on your goals an implant in the mid 300 range is a good size. There’s not really much difference size wise between the implants so you might as well go with the larger so you don’t later regret not going larger.

Frank Agullo, MD · Answer

I think that any of the sizes you mention would look great and achieve a look close to your wish pictures. You might want to consider a doughnut lift at the same time to center the nipple and areola on the breast. The implant can be placed through that same incision. Don't stress over a 20 or 40 cc difference, remember a tablespoon is 15 cc. #Staybeautiful #RealDrWorldWide

York Jay Yates, MD · Answer

Based on your petite size, a conservative implant will look relatively big on you.   Too big or too large is often a matter of opinion.   If you mean, will 365 to 385 cc look bigger than the goal photos, I think you are probably in the right ballpark.  Using all of the tools available in a plastic surgeons office including goal photos, trying on implant sizes and 3D imaging gives you a better idea of what is "too large" for you.    A second point that I'm sure your plastic surgeon has discussed with you but may need emphasis is that your intermammary (between the breasts) distance is on the wide side.  You have a nice starting point for breast augmentation but it is a different starting point than any of your goal photos.  The expected result will have more spacing between the implants than your goal photos.

Robert L. Kraft, MD, FACS · Answer

There is not a visible difference between 345 and 365. The profile is more important in giving you  the desired shape.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. 
You may be an excellent candidate for breast augmentation surgery.  
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually. 
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results. 
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure. 
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively. 
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures! 
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only. 
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. 
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Follow-up question: What are your size recommendations for me (petite, 5ft, 100lb)? (Photos)

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