Doctor recommended 340ccs Motiva implants with moderate profile to me, is that too big a size?

Question

my height is 161cm, weight 52kg and have a wide chest with the diameter of my breast touching the 12cm mark. today i went for my consultation and my doctor recommended me 340ccs motiva implants with moderate profile, and i just thought it was way too big for me. i only wanted to go up a cup size or so, and when i said it was too big he told me my wider chest needed bigger implants and if i were to go 240ccs (those were my wanted size) the implants would look straight and narrow on me. is he correct?

Daniel Barrett, MD · Answer

Dear jasmineliew,breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Christopher Chui, MBBS, MRCS Ed, MMed · Answer

Hi Jasmine,
Given your height and weight, you are not a particularly big person.
Your breast width of 12cm is not considered wide in my opinion.
340cc implants would bring you up at least 2 cup sizes, probably even 3 cups depending on your chest circumference.
I do not know how wide the motiva 240cc implants are, but there are other implants companies that make implants that will fit your dimensions without giving you the straight and narrow look.
You can try doing some virtual simulations before the surgery to give you some peace of mind about your choice of implant.
In the end it really depends on the look you want to achieve, some women prefer the augmented look, while other want a more natural look. Whether an implant is too big or not is a subjective.

Tom J. Pousti, MD · Answer

My best advice: more communication.

It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further.  As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding.

One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure?

Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” or "up a cup size" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this helps. Best wishes for an outcome that you will be very pleased with.

Doctor recommended 340ccs Motiva implants with moderate profile to me, is that too big a size?

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