24, 164cm 54kg petite athletic build: will 245cc create a natural volume that’s noticeable or should I go with 265cc? (Photo)

Question

Hi everyone! First of all, thank you so much for your help and reassurance! My stats: 32/34A, 76cm bust, 63cm waist, no children. My surgeon has recommended 245ccs for a very natural looking result and 265cc for a little extra volume both Motiva Demi’s, both felt large when I tried them on but when looking at others’ results they seem to settle beautifully. Will 265 be too large for my frame? And is there a substantial difference between 245 and 265 ccs? I’ve included boob inspo to help!

Donald R. Revis Jr, MD · Answer

Good morning,
There really is less than a shot glass difference between the two sizes, and both will look very nice on your frame. The rule of thumb is when debating between two sizes pick the larger one, because very few patients would ever come back and say I wish I had gone 20cc smaller!

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Meg1997,
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

Nelson Castillo, MD · Answer

Thank you for your question and photographs. I think you are starting from an excellent position and should anticipate a nice result. Breast implant selection is an exciting, but stressful part of the breast augmentation process as there are so many choices. Unfortunately it is impossible to recommend the best implant style, size or shape without an in-person examination that allows for the measurement of key breast parameters, as well as permits an in-depth discussion as to your desired goals and outcome. That said the difference between the two sizes is small and I would select the one you felt most comfortable with in your surgeon's office.. Best wishes!

Connie Hiers, MD, FACS · Answer

There is only 20 cc's difference, less than a tablespoon, between the two sizes. Either would look very nice on you. If you cannot decide, go with the larger implant.

24, 164cm 54kg petite athletic build: will 245cc create a natural volume that’s noticeable or should I go with 265cc? (Photo)

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