I’m looking to get 630cc Mentor Moderate profile Xtra Fill. I want to be a full D. Is this size too big for my body? (photo)

Question

I’m 5’4 167lbs size 36b right now. I’m looking to get 630cc Mentor Moderate profile Xtra Fill. I want to be a full D. Is this size too big for my body? Will I regret it later due to sagging or back pain? Are Mentor implants considered gummy bear or silicone?

Ronald J. Edelson, MD · Answer

We get so many questions from women who regret going that large. I advise no more than 500 cc max. It’s your body and obviously many surgeons will have no problem using 650 cc. Just think it’s worth giving a different perspective.

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you. Also, just FYI, each surgeon's measurements are slightly different, so numbers, experience, and overall aesthetic from one surgeon aren't necessarily the same as those from another surgeon!

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Donald R. Revis Jr, MD · Answer

Good afternoon!I perform over 200 XL augmentations a year- you won't find anyone who does more! Mentor implants are indeed silicone, and cohesive, and the street term is gummy bear- it all means the same thing- all silicone gel implants in the U.S. are cohesive gel, the liquid ones were removed from the market long ago. There are varying degrees of cohesiveness, but in my opinion the more cohesive an implant the more stiff and unnatural it is, without true added benefit when it comes to rupture, etc. Patients with XLs rarely complain of back pain down the road (my first XL patient was in 2001 and she still has the same pair and loves them).

Connie Hiers, MD, FACS · Answer

The size you have selected is a larger heavy implant that does carry more risks, especially of sagging and thinning tissue over time. I would suggest going back to your surgeon and try on that size so you can feel the weight. For most women who are only 5'4", 650cc implant is too large.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry. 
For larger sized implants, you could benefit from getting an internal mesh bra for added support upon getting your new implants.  
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually. 
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results. 
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure. 
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively. 
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures! 
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only. 
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. 
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

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