Is 290cc too small for the look I want? (Photo)

Question

was advised at my first consult that I should get only 290cc naturelle. I was disappointed because I want to be at least a 32dd. I am 5'1 100 lbs and currently wear a 32c. I've had 2 kids, I'm 35 years old, and I really admire the droopy look. I think it looks more natural and I want my shape I have now to stay, just bigger. Will asking for something larger be over doing it? How much larger can I go to maintain the shape I have now?

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  Please keep in mind that it is nearly impossible to predict cup size prior to surgery.  If you have been sure to choose a surgeon who is board certified in plastic surgery and is an expert in the breast augmentation procedure as well as communicate your goals to him/her then I suggest that you trust in what was suggested for you.  As an added measure, ask to "try on" the implants to get a good idea of what they would look like.All the best,Dr. ResultsMiami, FL

Sheila S. Nazarian, MD · Answer

If you want a bigger implant, go back and discuss it with your surgeon. You could go bigger, but it may look less natural. The right choice is really going to depend on your desires. Best, Dr. Nazarian

Jed H. Horowitz, MD, FACS · Answer

#Breastaugmentation: choosing the right implant after pregnancyYou can use a slightly larger implant, low 300 will get you a D but you will have less of a natural look

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. Your Plastic Surgeon examines and measures you in order to recommend the sizes which fit you best. Dimensional breast augmentation helps ensure that you appear proportionate while achieving the look you want. If your breast base width is fairly petite- the implant volumes available to you will be less than for a larger woman, however the end result could be comparable. CC's will not determine your cup size. I recommend that you ask what larger volumes might fit you and what the pros/cons of those may be for you. For instance, If larger implants which fit you, are an extra full projection, you may lose some of the natural upper pole slope you wanted. My patients find that trying on sizers in office helps them get a good idea of what the different volumes feel like in their clothing. All the best

Gerald Minniti, MD, FACS · Answer

Hello,No one can assure you a cup size with any given implant volume. The larger the implant you choose, the less your breast will keep its shape, and the more it will look overly full in the upper pole (fake). You are petite and a nearly 300 cc implant will give you plenty of augmentation.Best of luck!

Jonathan Saunders, MD · Answer

the 290cc will not make you a DD . the larger you go  - the less natural you will look.  of course as i look at the picture ,  you dont look like a c to begin with.   show pictures to your dr of what you want to look like

Farbod Esmailian, MD · Answer

Thank you for the photos and description.  It is always difficult to give sizing advice online, without a proper exam.  Judging by your photos and description, it is unlikely that given the size you have mention that you would achieve a "dd" size.In my practice, we use various measurements and skin quality to determine the size of implant that would work best to achieve what the patient desires.  We also use implant sizing system to determine the look and volume that the patient wants.  A great deal of time is given to this process, because as you know it is a very important part of the surgery.I would recommend that you meet with a couple board certified plastic surgeons that have a great deal of experience in breast augmentation procedure.Good luck.

Charles Galanis, MD · Answer

Thanks for your post.  Before getting into some generalities about implant selection I think it is important to highlight that you should absolutely relay your concern to your surgeon.  This may take more than one visit or may require another opinion if you feel your concerns are not being heard.  At the end of the day, this is your body and you need to feel comfortable and confident with the plan before moving forward. Many factors play a role in the decision on implant size.
 I put them into two basic categories: patient goals and patient anatomy.
 Patient goals relates to the look the patient is trying to accomplish.
 Does the patient want a natural look? a more augmented look? And how exactly does the patient define "natural"?  The patient can help convey her ideal by bringing photos to your surgeon -- focusing on look and not # of cc or cup size.  To
assist a patient further in size selection, I use both an external sizing system as
well as 3D imaging technology to show a patient what different sizes might look
and feel like.  A patient's goals are a central component but must
weighted against the patient's anatomy.  Characteristics such as breast
width, nipple position, skin laxity, and skin thickness all affect implant
selection as well. These factors can all be assessed together during your
consultation and in-person exam with a board certified plastic surgeon.  Hopefully at that point, you can come to a resolution and plan that you can feel excited about.

Vaishali B. Doolabh, MD, FACS · Answer

Hi, I have attached a link that might be helpful...Hi angel1492.  Thank you for sharing your photos.  A 290 cc volume implant will certainly not get you to a DD size.  You can use a round high profile implant to increase projection/cup size and cleavage, and still have a nice slope.  Tear drop implants further assure that a natural slope is obtained. The examination of your breast tissue envelope, chest and breast dimensions is central to determining how much larger you can go. During your next consultation, try on different sizers of the different shapes and volumes to make your selection and discuss with your ABPS certified Plastic Surgeon the expected results, risks, longevity of results, etc

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.

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

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