How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

Question

In the beginning I like big breast. Now closer into picking the right cc I’m thinking my first decision of 580cc is way to big and might hav problems in the future. . I think now I want more of natural size like a celebrity. I’m 5’8, 150 and plus I’m losing 20 pounds before surgery in April. How do I pick the right size or the right cc. Also I want go over the muscle I like the look.

Daniel Barrett, MD · Answer

Hi divagirl92, 
  
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. 
  
Implant profile is one of the important considerations to make. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This is associated with several problematic consequences. 
  
The first issue is that the patient loses width and therefore cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. 
  
High profile implants do have a role in symmastia repair (when I need to narrow the base width) but otherwise I try to avoid them.
  
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, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Luis A. Mejia, MD · Answer

hello thank you for your question and provided inforamtion as well;..based in your question its difficulted evaulate your case with this angle of a picture, its recommended to get a consultation in personal with a plastic surgeon.

Tom J. Pousti, MD · Answer

Thank you for the question.  Despite your good description of body type and goals, online consultants will not be able to provide you with specific enough advice to be truly helpful.  Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging)  as well as careful measurements (dimensional planning) will be critical.
 
***Given your concerns, it is definitely worth spending more time (preferably prior to the date of surgery) with your plastic surgeon to discuss further.  One question that might be helpful to you: will you be more disappointed if you are slightly too small or slightly too big?  It will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.Make sure that you carefully consider the pros/cons associated with sub muscular versus sub glandular breast augmentation surgery.  I think it is in the best interests of most patients seeking breast augmentation surgery to have implants placed in the “dual plane” or sub muscular position.  This positioning allows for more complete coverage of the breast implants leading to generally more natural feel/look  of the implants in the long-term. This position will also decrease the potential for rippling and/or palpability  of the implants (which may increase with time, weight loss, and/or post-pregnancy changes). The submuscular positioning  also tends to interfere with mammography less so than breast implants in the sub glandular position. The incidence of breast implant encapsulation (capsular  contraction)  is also decreased with implants placed in the sub muscular position. 
On the other hand,  sub glandular breast implant positioning does not have the potential downside of “animation deformity” ( movement/ distortion of the breast implants  seen with flexion of the  pectoralis major muscle) that can be seen with breast implants placed in these sub muscular position.  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation 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 the morning yes thank you work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining 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. For example, I have found that the use of words such as “natural” or "C or D cup" or "like a celebrity" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Daniel A. Medalie, MD · Answer

HI,I will be honest with you. 580 is much too big for someone your size. I don't know how much natural breast tissue you have, but in all events it is too much. I would recommend in the 375-425 range (but agin this depends on how much native tissue you have). Also I do not recommend going above the muscle. It looks good for a couple of years and then gravity relentlessly pulls the implants lower on your chest wall and stretches out the skin.You may get stretch marks and the implant will be palpable. I also don't recommend losing weight just for the surgery. Eat well, exercise and be healthy but don't make a special effort just for surgery, because if you don't maintain that lifestyle then the weight will come back. All of these choices need to be carefully discussed with a board certified plastic surgeon.Good luck.All my best,Daniel A. Medalie, MD

Kenneth Hughes, MD · Answer

The average volume in the US is 350 cc. So a 580 cc implant may be too large for you. The best way to determine what you would like would be to try on sizers in the office.   Choosing an implant based upon an aesthetic goal that exceeds your anatomic capacity may lead to complications and possible revision.   I think for those people in whom the living is made by athletic performance, the implant can be placed above the muscle.  Other patients will be happier long term with submuscular placement.My patients bring a few garments with them to the exam so that they can actually see how the sizers look under a tight sweater, bathing suit, blouse, work-out tops, and clothes they wear most often. I would recommend that you go with the size that boosts your self-esteem, and fits your anatomy.Consult with a board certified PS who can help you determine the best size for you. 
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

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Answer: How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

Answer: How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

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How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

Answers (9)

Answer: Picking the right volume for your breast implants

Answer: Picking the right volume for your breast implants

Answer: How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

Answer: How to pick the right size or cc? I’m 5’8 and currently 150 pounds. Thinking about 580cc. (photos)

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.