Which would you recommend; 480 cc or 535 cc?

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.

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