Size recommendations? Struggling between moderate plus 250cc or high profile 275cc

Question

I am 5’8 and 130lbs. My bwd was measured at 10.5. I’m currently barely a 34a. I am struggling between getting a moderate plus 250cc or a 275cc HP (both the biggest implant the surgeon is comfortable giving me) All opinions welcome. He also will be having a textured round mentor implant

Steven H. Wiener, MD · Answer

There is a very small difference between a 250cc moderate plus and a 275cc high profile.  Review the dimensions with your surgeon.  If you are a 34a and 5'8, these are very small implants for your size.  Whate size breast are you desiring? I think you should see several Plastic Surgeons before you commit.  Also, avoid textured implants if possible.

Daniel Barrett, MD · Answer

Dear _cass7,
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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Connie Hiers, MD, FACS · Answer

Either size should probably work well for you. since there is a small difference between the two, go with the larger size.  I prefer smooth implants for breast augmentations because of fewer long term risks, and prefer placing them behind the muscle for better coverage and support.

Camille Cash, MD · Answer

Your board certified plastic surgeon is your personal expert when it comes to decisions like these.  She/He has had the benefit of examining you and talking with you about your surgical goals.  The higher profile implant will give you a bit more projection and upper pole fullness than the moderate plus.  Many surgeons have sample implants available that you can "try on" to help you get a feel for how you may look after surgery.

Mats Hagstrom, MD (license on probation) · Answer

Implant selection is best done with your provider.
Each plastic surgeon will have their own way of determining. What is or isn’t an appropriate size implant.
It’s not appropriate for us to tell you what implant size to use.
I would say that, considering the controversy with textured implants Consideration of using implants may be a better choice.
I personally see no advantage to using textured implants, and they have been associated with a rare form of lymphoma.
With the current information available I think they use of smooth implants may be slightly advantageous if for no other reasons than to diminish potential future anxiety, if you’re exposed to information About potential correlation with textured implants and this fairly uncommon condition.
I generally recommend patients have multiple consultations before selecting providers or scheduling surgery.
Having a few consultations allows you to compare and potentially choose the better provider for your needs.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had similar body characteristics to your own.
An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
 Being shown a handful of pre-selected images, representing only the best results of a provider career may be insufficient to get a clear understanding of what results look like in the hands of of each provider, what your results are likely to look like, or how many of these procedures they’ve actually done.
I also recommend you ask each provider what their most common indication for revision surgery, what their revision rate is, and what their revision policy is.
All plastic surgeons do revisions.
Having a 0% revision rate is certainly not ideal.
It generally indicates that people are not being honest, or they’re not offering the best possible outcomes for their patients.
 Ideally plastic surgeons should be honest and open about the need for revision surgery.
Individuals who only schedule on consultation in someways eliminate the ability to choose the better provider.
I generally also recommend avoiding virtual consultations and recommend meeting in person with plastic surgeons before selecting a provider.
I also recommend against traveling long distances for elective surgical procedures whenever possible.
Best,
Mats hagstrom, MD

Size recommendations? Struggling between moderate plus 250cc or high profile 275cc

Answers (6)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Breast Augmentation Questions

Do you consider I have glandular ptosis? Pseudoptosis, grade I? Should I need a lift combined with breast augmentation? (Photo)

400cc or 480cc boost implants? (Photo)

Would a tattoo on the rib area become distorted due to breast implants?

Do I have asymmetrical breasts? (Photo)

560(R) and 520(L) full profile look too fake?

Sizing- will this sit better once it's placed? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS