360cc enough to go from 34a to full c or d cup with saline implant moderate profile?5'8,130lbs-34-26-36. (Photos)

Question

I got fitted for implants and my PS said 330 cc will fit me well , I also got fitted for 360cc and liked that look better. I have been looking at women results on here with same ht/weight as me that went as big as 400cc and I liked their results. I don't want to go to small but do not want to be to big either and for them to be proportionate to my body frame.

Ron Soltero, MD, FACS · Answer

dear Patient
Thanks for your photos and question.  According to what you're expressing you should be considering the 360/400 range.  You should go to your ps and try sizers to feel comfortable with your decision. Hope this helps!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question!
  
After performing hundreds of breast augmentations, I have found that the size of implant best for you is dictated by your chest wall measurements. Once we determine that we can choose the profile based on what you want or need to achieve.  If you are seeking a natural look, then the diameter of the implant should be equal to or, more ideally, smaller than the width of your breast. The breast width is a measurement of how wide your breast is at the base, which should be measured at the level of the nipple. Choosing an implant that is smaller in diameter than your breast width will avoid the "side breast" fullness that is often associated with a more artificial appearance. Other than that, you should choose the implant based on volume, not on the dimensions of the implant. You should choose a board certified plastic surgeon that you trust to help guide you in this decision. Bringing photos as well can help us to finalize, but please understand that these are of other people’s bodies and your results will probably be different.
  
Silicone will give you fullness at the top (upper pole fullness). Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a softer silicone (less cross-linked), if this implant should rupture, it may leak but only into the scar capsule formed. However, the newer silicone in these implants may not leak even when the implant shell is ruptured.
  
Anatomic gummy bear implants might be a good choice to give you a more natural look. These highly sought after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, is a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
  
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers. I also use a 3D imaging system to allow you to try on a variety of shapes and sizes. I prefer this method over adding volume due to implants being under the muscle.
  
We will also discuss the possibility of needing a lift along with an implant. This will depend on the amount of ptosis (nipple position) as it relates to your breast, inframammary crease and chest wall. Needing a lift or not will also determine where to place the scar for the incision.  In some cases if the breast and nipple is really ptotic (low) it might be best to stage the procedure by performing a lift first and then doing an implant at a second stage. This will also allow you to have a better understanding of the true size and shape of your breast.
  
The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon 
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. There is no magic formula to determine breast size and the best way to do it is in a consultation with a board certified plastic surgeon. If you had that consultation and are considering something in the 360 cc range and you were happy with that size, then that is what you should go with. In moving up in size, usually something in the range of 150-200 cc is about a cup size but given your slim body habitus, I would say moving from an A to a C would be somewhere in the 300 range, with the 360 pushing you into C+/D range, so I think this is a decent choice. My only other piece of advice is in regards to your implant choice. In some small breasted and thin as you are, a saline implant is going to have a high risk of producing some implant rippling which may be palpable or even visible. I would encourage you to consider a silicone implant for improved outcomes.Best of luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  It would be helpful to know your individual breast measurements in assessing if 330-400cc would be ideal for you.  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.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Urmen Desai, MD, MPH, FACS · Answer

The difference between the two implant sizes that you mention is only 2 tablespoons (tablespoon = 15cc).  The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Keith Hodge, MD · Answer

I think that the 360 cc's implants will give you at least a C cup. Regarding larger implants, you don't want an implant wider than your natural breast width. Good Luck!

Daniel Barrett, MD · Answer

Dear NewTetas2017,Determining the ideal breast size and matching that goal for the patient is the most difficult part of breast augmentation. It starts and ends with the patient. 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 its 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, everyone of them have 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.                                                
It looks like you should spend some time with your plastic surgeon to discuss the best option for you. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. "Tissue based planning" relies on your chest and breast measurements and is the safest way to ensure good long term results. Your surgeon should determine what size and projection are necessary to give you your desired result based on your body's measurements. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast surgery. Hope this helps and good luck with your surgery.

Ralph M. Rosato, MD · Answer

The difference in size between these three implants is about 6 mm  or 1/4 inch. There are sizing systems that you can use to see how you will look with the implants in place. All of these implants will fit into you body frame, the choice is up to you. I will ask my patents that are on the fence this question.What would make you the most disappointed,  too large or too small?If it is too large go with 330, if it is too small go with 400. If still cannot decide use the one in the middle.  Good luck

Benjamin Chu, MD, FACS · Answer

It sounds like you wish to go bigger but don't really know how this will look.   I would suggest you go to a surgeon who has a Vectra machine and you can see before the surgery how each different size will look.  Then you can decide.  I also have my patients wear the Mentor breast sizing system where you place nicely shaped breast sizers under a bra and then you can determine if the size you chose fits what you want.  Everything will depend on your breast measurements as you will have a maximum diameter implant you can fit and going wider than that can lead to an uniboob.  You also are very thin and small breasted.  I would recommend you use the new round gummy implants as these are least likely to ripple since you have very little tissue.

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