My plastic surgeon is hesitant to expand me to a C after mastectomy. Is going from a 34A to 34C cup reasonable?
Doctor Answers 5
C cup sounds reasonable
If your current surgeon is uncomfortable with making you larger, you might consider another opinion.
Upsizing during breast reconstruction
You may also consider having a second meeting with your initial plastic surgeon to talk specifically about size. Often there are so many topics to discuss in the initial consultation that some topics may not have been discussed in the detail you would have liked. Now that you've had some time to digest the information you may have more specific questions.
The only downside to a second opinion is that it may not be covered by your insurance- call and check your benefits beforehand. If your insurance is not going to cover a second opinion mention this when making your appointment and ask the consultation fee so that you are not unpleasantly surprised.
You should put equal thought into the decision of your mastectomy surgeon- are you a candidate for nipple sparing mastectomy, for instance? Some techniques limit the skin excised, which allows for greater expansion during your reconstruction and thus a bigger implant. However, not all techniques are appropriate for every tumor.
It can also be helpful to speak with other women who have already gone through the process. This is an important decision and a difficult journey no matter what you ultimately choose. I wish you the best.
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In any way the ultimate size depends on your desire. An expander is put equal or slightly bigger than the size you want and over inflate to gain as much skin then exchange for the implant.
If you are thinking of doing Immediate To Implant reconstruction, that may limit the size of the implant.