Which Would You Reccommend 475 Cc Gel Implant or 500 Cc Gel Implant Help?

Dear prettyB

Thank you for your question!  Breast implant sizing is the most challenging part of the decision process in elective Breast Augmentation.  The larger the implant- the more you will see implant shape instead of your breast shape.  The larger the implant - the more changes to your breast tissue- and possibly more rippling being visible.  Ideally the width implant  should be within the width of your own breast.  High profile implants are better for individuals with more breast tissue. That being said- the difference in implants that you are considering is 5%- which will be very difficult to discern any difference after your surgery.

With Warm Regards,

Trevor M Born MD

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 425 cc implant to make her go from a “A” cup to a “C+” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below.

I would not recommend either 475 cc or 500 cc.  If you are 34 A each 100 cc’s of implant corresponds to 1 cup size change.  To achieve a C you would require 200 cc implants.  Since you describe yourself as petite, I doubt 475 cc or 500 cc implants would fit in the retro-pectoral position.  The implants would extrude inferiorly and laterally requiring revision.  Unfortunately, you have not provided any photographs but it is possible that you may benefit from a simultaneous lift if you have breast ptosis. 

 

Best Wishes,

 

Gary Horndeski, M.D.