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Are breast implant sizers accurate?

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Mandymae
Hi I'm a 38full B and I loved how the 450cc's implants looked in the doctors office. The nurse then told me if I like the 450cc's I need to go 475cc's that being said how accurate are the sizers in office? I would hate to pick in office and they be so much bigger after surgery. Also please tell me if she is right about picking 25cc's more due to being behind muscle. Please help me with these two questions. I'm so nervous. Thank you!! ;)

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Dr. Mahlon Kerr, MD, FACS
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Dr. Kenneth Hughes, MD
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