Would 400cc HP or 425cc HP be best? (Photo)

Question

Have BA scheduled for May 7, 2015. Had consultation Wed and tryed on testers. Loved the 400cc look and 450cc was to big. They didn't have 425cc to try. They will be under muscle and high profile Dr said. I am 5'4 137lb, also semi curvy. Wear size 7 pants. I would like to be a full C range. I would like a nice full look!

Aldo Guerra, MD · Answer

Go with your instinct! If the 450 was too big then I would recommend either a 425 or the other option the 400. There's no way to tell what cup exactly you will be, but if it looked very good then I would suggest it will give you a big improvement. As far as getting to the details of sizing in my practice, this is how we do it:1) My philosophy includes guiding patients to explore reasonable options for breast implant size, usually two to three similar sizes, which allows the patient to visualize how different volumes affect their breast cup. 2) The best guide for a final breast implant size recommendation is derived using measurements from the patient’s own breasts and chest. 3) When measurements are considered then options for sizes can be presented. 4) I use the Mentor Volume Sizing System of breast sizers to demonstrate how these different volumes will look on a patient’s body. 5) This methods offers good reliability and is simple to use, but is not perfect.Your PS is now the best resource. Best,Dr. ALDO.

Vincent N. Zubowicz, MD · Answer

Very good sizing systems available to allow you to appreciate the difference between the two sizes you mention. In general most women after breast augmentation feel they might have gone a bit larger. In your particular case, with that information mine, I would recommend 425.

John Michael Thomassen, MD · Answer

If you like the 400 cc HP look, I would recommend you go for the 425 cc HP implant.  You will quickly get used to the size and in many cases, patients wish they had chosen a slightly larger implant.  The width dimension difference should not be dramatically different so the 425 should still fit your frame adequately.

David Dorfman, MD · Answer

I don't think this small of a difference in implant size will have a very drastic difference in your outcome.  25 cc is about 5 teaspoons worth of fluid.  Your options would be to either allow your surgeon to make the choice using saline sizers in the operating room based on your description of the appearance you would like, or you may use sizers preoperatively in the office to make a decision before surgery.Either way, I think you will have a great outcome based on your picture.

Keith Hodge, MD · Answer

When my patients are trying to decide between 2 different sizes, I recommend that we proceed with the larger implant. The dimensions of the implants are very similar. Twenty-five cc's is less than 2 tablespoons in volume, so I don't think there is a wrong choice to be made. Good luck!

Shlomo Widder, MD · Answer

Dear Lilly,   Thanks for submitting your pictures. From the pictures your breasts appear to be small A cup. You did not provide your chest circumference measurement, which is critical for correct implants size selection. If your chest circumference is 34 inches, 450 cc implants will bring you to 34 full C cup. If the chest circumference is 32 inches. to become 32 full C you will need  375 cc implants. Your nipples are quite small, so if long incision in the IMF (infra mammary fold ) is a concern for you, consider saline implants that require only small incision under the areola. Also, incision under the areola allows for more precise and attractive cleavage since it can be done under direct vision and digital feel. The incision in the IMF is too far from the cleavage area to get consistent attractive cleavage. Always, consult with experience board certified plastic surgeon who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Pay special attention to the cleavage area, the perkiness, the symmetry and the natural look.                 Best of luck,                                      Dr Widder

Thomas Trevisani, MD · Answer

The optimal size of implants for any given patient - is best determined by the patient and the operating surgeon. We rely on the sizing process to arrive at a desirable volume for each specific patient. Sounds like you have been sized. The best is what you desire and can this be safely done?

William Andrade, MD · Answer

Thanks for your question.  You have already had a consultation and the opportunity to try on sizers so additional comments based on a picture alone are not likely to help you make a final decision.  There is only about a 5% difference in the size of the two implants you are considering so there would not likely be a major difference in your final size with either choice.

Paul Gill, MD · Answer

I do not think you will have a noticeable difference in clothing with less than 50cc.    Going under the muscle, 450cc may look bertter longterm.  It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Jacob Freiman, MD, FACS · Answer

Thank you for your photos and your inquiry. Deciding on the size of the breast implant is dependent on a few factors. First, the look that you want. I've always found that showing a photo to your plastic surgeon helps. Second, your measurements, the most important of which is your base width. That is the width of your breast. Certain things can only be determined by the plastic surgeon. This is the art of the procedure. Things such as your skin texture and the tightness of the pocket are factored in. A common mistake among my patients is choosing an implant size since someone on the internet has that size and looks good. I hope this helps. Good luck!

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