Which would you recommend; 480 cc or 535 cc?

Question

I am 5'7'' 135 pounds, 34B and I picked out my implants yesterday of 535 cc but I am thinking maybe thats to large so I should drop down a size to 480 cc.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question.  If you have done your part in choosing a surgeon who is board certified in plastic surgery and is an expert in the breast augmentation procedure, then you should trust in his or her opinion regarding what would be both best and realistic for you.  If you are unconvinced, please ask to "try on" the implants in his or her office.All the best,Dr. ResultsMiami, FL

Tim Neavin, MD · Answer

Big implants can cause big problems like bottoming out, breast atrophy, rippling.However, some women are ok with this risk The size you desire should be solely up to you. As long as you understand the risks go going bigger I would place 535 if it could "fit" your breasts.  Putting implants in that don't fit can look terrible.  Be sure to see a board certified plastic surgeon.

Jerome Edelstein, MD · Answer

Hello, Thank you for your question.This is a very personal question and depends on your aesthetic goals and measurements. You should speak with your Board Certified Plastic Surgeon for their recommendations to help you achieve your desired results.All the best.

Elisa A. Burgess, MD · Answer

I always try to ask the patientt what their goals are for augmentation and what type of "look" they would like to achieve.  But size is always hard to envision. We have Crisalix 3D imaging that is only for fun, to see what patients may look like with different sizes of implants prior to surgery.  It gives a rough idea but I think it is more important to know what type of implant is being placed and your chest wall dimension.  For the cohesive gel (gummy bear) implants, it is important that they lie smoothly within the dimensions of the chest wall, so that one does not feel wrinkles or ripples. So with the gummy bear implants, bigger is not always better. Make sure to spend time with your board certified plastic surgeon for more guidance.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

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.

Silicone will give you a 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 more liquid
silicone (less cross-linked), if this implant should rupture, it will leak only
into the scar capsule formed around the implant but may cause some discomfort
or implant distortion.

Anatomic gummy bear implants might be a
good choice to give you volume.

These highly-sought-after, anatomic
implants offer a look that more closely resembles the natural silhouette of a
breast, and, therefore, are 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.

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

Curtis Wong, MD · Answer

and you can accomplish this easily with external sizers.  When choosing implants, my patient's choices of sizer is increased by 10% to provide the implant that is used.  So if you liked the look of a 430 cc sizer, the 485 would be great.  And if you liked the 475 sizer, then the 535 implant would be chosen.  Your surgeon can let you know if your preferred size makes you look top heavy if your concerned about how others may perceive you.  And that is the only time I will try to talk someone down in my practice.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. I would recommend that you speak directly with your plastic surgeon regarding the choice of implant size. It isn't possible for anyone on this site to give you reliable information regarding this issue. Best of luck!

Vincent P. Marin, MD, FACS · Answer

Without photos or an exam, it is impossible to tell you specifics about your situation. However, in general, you should look at choosing your implants in perspective below. There is no way to reliably pick which implant is right based upon your measurements alone and implant "CCs." Many things, such as skin quality, breast width, skin elasticity, existing breast tissue, chest wall shape, and implant size and implant fill, contribute to your ultimate "look" after augmentation. 
No physician can predict what each implant will do on your body until they are "sized in surgery." However, cup size is traditionally a very inaccurate measurement scale (you likely wear different cup sizes in different manufacturers now). 
The best way to achieve the look you want after augmentation is the first consultation with a board-certified plastic surgeon and adequate communication with your surgeon. This is accomplished through the consult, exam, measurements, anatomic assessment, and then in-office sizing. We also encourage patients to bring in photos of the "look" they are trying to achieve. Once all of this has been accomplished, the patient needs to trust their physician to make the "best choice" of likely imperfect options. Then, you will get your "version" of your ideal outcome.

Mark A. Schusterman, MD, FACS · Answer

If one of my patients can't decide between two sizes I always recommend getting the larger size since most women wish they gone bigger after surgery.  If you liked 535cc in the doctor's office then I would go with that.  Especially since you are tall.  Hope this helps.

Robert Singer, MD · Answer

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 suit
at a preoperative visit will help you and your surgeon choose the optimal
implant.

Keep in mind that following the
advice from a surgeon on this or any other website who proposes to tell you
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
that your plastic surgeon be 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.

Robert Singer, MD FACSLa Jolla, California

Which would you recommend; 480 cc or 535 cc?

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