Going smaller, I need you opinion please!

Question

Hi! I have currently 450cc High profile mentor implants (12.8cm base/ 5.1 projection), i don’t feel comfortable with the projection, I think they are too big. My doctor suggested to go with a periareolar lift (I need) and downsizing to a 360cc moderate profile (12.5 cm base/ 4.3 projection. Would this make a difference? I don’t want to stay big but neither too small, what are your thoughts? Thank you!

Daniel Barrett, MD · Answer

Dear Genius368785,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Shana Kalaria, MD · Answer

The 360cc moderate profile implant will better suit your needs. I would also recommend that implant especially if combining with a lift. Please visit with a aboard certified plastic surgeon. Good luck!

Connie Hiers, MD, FACS · Answer

I think that would be a good choice just based on what you said. You did not provide photos, so I cannot be specific. You might drop down in a cup size. If you go to 300-330 cc's, you will drop down a cup.

Going smaller, I need you opinion please!

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Going smaller, I need you opinion please!

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