I'm trying to determine the right breast implant size for me. I'm getting a tummy tuck, lift, and flank lipo. I'm currently around a 36 D at 5ft 10 and weigh 167. My doctor recommended 400 cc high profile round with lift at my consultation but I weighed 195 at that time. I'm afraid the size will be too small for my frame now. Is a 36DDD or 38 DD considered really large for someone of my stature?
Answer: Sizing and Wt Loss Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including: -Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look. -Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term. -Patient desire (what is the look you are hoping to achieve?) My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire. There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa. Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. With regards to your specific question, a 30 lbs loss is significant enough to warrant a resizing to ensure you are happy with your chosen implant. As always, discuss your concerns with a board certified plastic surgeon.
Helpful 1 person found this helpful
Answer: Sizing and Wt Loss Choosing an implant size/style is an important decision which is best made in concert with your surgeon. Ultimately, options are based on a number of factors including: -Chest dimensions: This point is crucial as the width of your breasts defines the available "real estate" on which the foundation of your augmentation is built. This "foot print" is the absolute limit with which you are dealing. Too "large" is not so much the risk as too "wide." You cannot build a 3 acre mansion on a half acre plot. An implant which is too wide (exceeding the available space on your chest) will generally over hang laterally making it more noticeable and occasionally contributing to discomfort and nerve symptoms (numbness or tingling). This will also contribute to a more unnatural look. -Tissue quality: This relates to size in the sense that the implant will be suspended by your tissue. Too large an implant may place took large a stress on these suspending tissues leading to healing problems in the short term and bottoming out in the long term. -Patient desire (what is the look you are hoping to achieve?) My role as a surgeon is to manage expectations and guide you towards a prudent choice which can satisfy these reasonable goals. Often times, a surgeon can guide a patient toward a size/cc range and patients will make determinations on implant style/profile. Patient seeking more or less projection, or seeking a more pronounced or subtle upper pole volume increase can be guided toward an implant which will help them best achieve their goals. Additionally, technique variations (sub muscular vs. sub glandular) can also aid in obtaining the look you desire. There are a number of tools available to help guide patient/surgeon decision making including sizers, 3D imaging and goal photos. Each modality can help better communicate your goals to your surgeon and vice versa. Ultimately, it is important to not marry oneself to a particular "cc" as oppose to a particular "look." Communication is key as you and your surgeon create your custom surgical plan. With regards to your specific question, a 30 lbs loss is significant enough to warrant a resizing to ensure you are happy with your chosen implant. As always, discuss your concerns with a board certified plastic surgeon.
Helpful 1 person found this helpful
March 19, 2025
Answer: Implant size Hello and thank you for your question. Since your weight has decreased about 30 pounds since your original consultation, I would recommend meeting with your surgeon once more to discuss implant size. I have added a video to help answer some of your questions. Best of luck to you!
Helpful
March 19, 2025
Answer: Implant size Hello and thank you for your question. Since your weight has decreased about 30 pounds since your original consultation, I would recommend meeting with your surgeon once more to discuss implant size. I have added a video to help answer some of your questions. Best of luck to you!
Helpful
March 2, 2025
Answer: Hard to say- you'd need a consult | Breast Implants | Augmentation | Lift | Fat Grafting | Aesthetic Plastic Surgery | Expert 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. 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
Helpful
March 2, 2025
Answer: Hard to say- you'd need a consult | Breast Implants | Augmentation | Lift | Fat Grafting | Aesthetic Plastic Surgery | Expert 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. 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
Helpful
February 27, 2025
Answer: Implant sizes Thank you for your inquiry! At you consultation appointment, you should have the opportunity to try on different implant sizes. We always recommend taking a couple different shirts to see how you will look in your clothes. We would love to sit down with you to discuss these. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.
Helpful
February 27, 2025
Answer: Implant sizes Thank you for your inquiry! At you consultation appointment, you should have the opportunity to try on different implant sizes. We always recommend taking a couple different shirts to see how you will look in your clothes. We would love to sit down with you to discuss these. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.
Helpful
October 5, 2024
Answer: Implant Selection Selecting an implant is critical. This is done with consideration of patient measurements, goals, and anatomy. Use of a 3D imaging system is quite helpful as well to properly select the correct implant.
Helpful 1 person found this helpful
October 5, 2024
Answer: Implant Selection Selecting an implant is critical. This is done with consideration of patient measurements, goals, and anatomy. Use of a 3D imaging system is quite helpful as well to properly select the correct implant.
Helpful 1 person found this helpful