150cc-190cc for subtle change with pectus carinatum? (Photo)

Question

I am 5’5”, 110lbs, 11cm breast width. I barely fit a 30A without gaps. I really want to maintain small breasts, and am really only looking to fill out an A cup, or at most small B. I like the look of 150cc that I’ve seen, but was told at a consultation that i should go with 190-210cc high profile silicone unders. I’m afraid this will be too big for me and too much of a change, and am also not sure about high versus moderate profile. Any recommendations would be appreciated!

Leo McCafferty, MD · Answer

You pose a good question.  I would urge you though to concentrate on the final appearance and not concern yourself too much with the exact number in cc's of the implant.  The most important thing you can do is see a board-certified plastic surgeon experienced in breast augmentation.  Appropriate measurements will be obtained and often the exact implant size can only be determined intra-operatively.  A number of factors determine the exact shape you want with implant size being just one of them.

Tom J. Pousti, MD · Answer

My initial thought, based on the description of goals, is to choose the smaller of the implant choices.  One question that might be helpful to patients in your situation: would you be more disappointed if you are slightly too large or slightly too small? 
My best advice: more communication.
It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, 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.
Ultimately, 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.
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 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 "A or B cup” 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.

Trevor M. Born, MD · Answer

Dear Vanessa343Thank you for your question and photos!  The implant size is a difficult choice.  I would advise that you stay with the smaller size - and a lower profile , as your right breast is fairly lateral on your chest wall and the chest is angled lateral - relative to the left breast.With Warm RegardsTrevor M Born MD

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  You do appear thin, so a relatively small size implant is a good idea.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Adam Tattelbaum, MD · Answer

Thanks for your question. You should definitely pick an implant that you are comfortable with. Width is important, so that the implant fills the diameter of your chest and breast, but projection, how much you want to stick out is up to you. I always recommend you look at actual implant sizers on your frame before you make any decisions. I have included sizing FAQ below and I hope they help.Best wishes.

150cc-190cc for subtle change with pectus carinatum? (Photo)

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Answer: Breast augmentation, 150-190cc

Answer: Breast augmentation, 150-190cc

Answer: What size?

Answer: What size?

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Everything you need to know about Breast Implants

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150cc-190cc for subtle change with pectus carinatum? (Photo)

Answers (10)

Answer: Breast augmentation, 150-190cc

Answer: Breast augmentation, 150-190cc

Answer: What size?

Answer: What size?

Browse related questions

Recommended reading

Everything you need to know about Breast Implants

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