Why are there 400 cc implants that look huge, sometimes even bigger than, for example, 550 cc implants; and vice versa? I'm about 5'7 and 135 lbs. I'm a 32B and I would like to be a 32 D- 32DD but I'm not sure of what size implants I would need to achieve that while still keeping things natural looking. I'm looking to get round, high profile, silicone, under the muscle with incisions in the crease.
Answer: Choosing breast implants We have found that a combination of 3D imaging (Vectra) and use of bra sizers allows women to accurately choose implants to achieve their goals. Since no two women have exactly the same breast shape, chest anatomy, etc, an in person assessment is essential.
Helpful 1 person found this helpful
Answer: Choosing breast implants We have found that a combination of 3D imaging (Vectra) and use of bra sizers allows women to accurately choose implants to achieve their goals. Since no two women have exactly the same breast shape, chest anatomy, etc, an in person assessment is essential.
Helpful 1 person found this helpful
October 30, 2017
Answer: Sizing tips Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. With regards to your specific concerns, different implants look different on different frames. One must also consider the pre-operative volume of the native breast. Bigger breasts will get bigger as the result is additive. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Helpful
October 30, 2017
Answer: Sizing tips Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. With regards to your specific concerns, different implants look different on different frames. One must also consider the pre-operative volume of the native breast. Bigger breasts will get bigger as the result is additive. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Helpful
October 30, 2017
Answer: Implant selection Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Your goal of a 32b to 32 D/DD is likely very reasonable. 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
Helpful
October 30, 2017
Answer: Implant selection Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Your goal of a 32b to 32 D/DD is likely very reasonable. 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
Helpful
October 30, 2017
Answer: Implant sizing for breast augmentation Hi great question. Each patient has a different body makeup which affects the way the volume in the implant is perceived when implanted. In other words, a heavier woman needs a larger implant to look like the same size increase as a skinny woman. Your surgeon should be helping guide you in your implant selection. Best
Helpful
October 30, 2017
Answer: Implant sizing for breast augmentation Hi great question. Each patient has a different body makeup which affects the way the volume in the implant is perceived when implanted. In other words, a heavier woman needs a larger implant to look like the same size increase as a skinny woman. Your surgeon should be helping guide you in your implant selection. Best
Helpful
October 30, 2017
Answer: 32B to 32D/32DD? What size implants would it take to achieve this? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 DD and a 38 DD are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful
October 30, 2017
Answer: 32B to 32D/32DD? What size implants would it take to achieve this? The best cosmetic result in any particular breast augmentation patient depends on a variety of factors, including: your individual anatomy, realistic expectations, a thorough discussion with the plastic surgeon about the options, and an understanding of the pros and cons of any particular implant choice. Proper sizing is not just about the number of cc’s. The thickness of your tissue, breast dimensions which include the width, height, and projection, as well as chest wall width all need to be considered when choosing an implant. Trying on implant “sizers” of various shapes and volumes while wearing a tight t-shirt, bra, or bathing sit at a preoperative visit will help you and your surgeon choose the optimal implant. There are no manufacturers' standards for cup sizing in the bra industry. The cups of a 32 DD and a 38 DD are significantly different. Cup size varies from manufacturer to manufacturer and even within styles from any particular manufacturer. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
Helpful