Small implants (150-200cc) viable for me?

Question

I've seen a PS and he wants me to go for least 200cc. I don't want big breasts; I want to fill mine and improve the shape. I've tried (in a bra) 150, 175, 200cc. I prefer 150 or 175. Can I use 175 and get a good shape, or do I need to fill my breasts more? (I don't mind a bit of natural droop; I don't want 'projectile boobs'). Age 48, no kids, BWD 11cm, 1.64m height, 55kg. thanks!

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.
  
The size of implant is dictated by your chest wall measurements.  Once we determine that we can choose the profile based on what you want or need to achieve.
  
Silicone will give you a fullness at the top (upper pole fullness).
  
Silicone implants come pre-filled with a silicone gel and are the softest implant available. They feel more natural, which makes them a good option for women with less natural breast tissue; but they require a larger incision. It may be more difficult to realize if this type of implant has ruptured, so it is important to monitor them with annual follow-up visits. Additionally, because this implant contains a more liquid silicone (less cross-linked), if this implant should rupture, it will leak only into the scar capsule formed around the implant but may cause some discomfort or implant distortion.
  
Anatomic gummy bear implants might be a good choice to give you volume.
  
These highly-sought-after, anatomic implants offer a look that more closely resembles the natural silhouette of a breast, and, therefore, are a very attractive option for individuals seeking a natural-looking, aesthetic primary breast augmentation. Additionally, these implants are an especially excellent option for patients undergoing restorative or corrective breast surgery because they provide more stability, shape, and reduced incidence of capsular contracture. Compared to other types of silicone gel implants, the silicone in the cohesive gel implant is more cross-linked; therefore, should the implant shell “rupture,” it maintains its shape and silicone does not leak.
  
During your breast augmentation consultation, you should feel the different types of implants available, and try on various implant sizers in front of a mirror to help you to get an idea of how you will look following the surgery. You should also bring pictures of the look you would like to achieve, as well as a favorite top to wear when trying on implant sizers.
  
The best way to assess and give true advice would be an in-person exam.
  
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
  
Best of luck!
  
Dr. Schwartz
  
Board Certified Plastic Surgeon
  
#RealSelf100Surgeon
  
#RealSelfCORESurgeon

Aldo Guerra, MD · Answer

Hello KDT.These are all excellent questions that can only be answered via an in-person examination and a formal evaluation. I would suggest you get a second opinion from a certified plastic surgeon by your home. Choosing a size is a very personal choice so communicating well with your plastic surgeon about your desired outcome is the way to go.Best wishes, Dr. ALDO :)

Tom J. Pousti, MD · Answer

Thank you for the question.  It will be difficult for online consultants to give accurate advice. Ultimately, careful selection of plastic surgeon and  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.

Given your concerns, it is definitely worth spending more time (preferably prior to the date of surgery) with your plastic surgeon to discuss further.  One question that might be helpful to you: will you be more disappointed if you are slightly too small or slightly too big?

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 "too much projection" or "too big" 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.

Brooke R. Seckel, MD, FACS (retired) · Answer

If you are concerned that 200 cc breast implants are too large and they likely are.  You can achieve a very nice result with 175 cc implants.  Try the Rice test at home to see how you will look with different sizes.  The Rice test is described in the link below:

Small implants (150-200cc) viable for me?

Answers (4)

Answer: Small implants (150-200cc) viable for me?

Answer: Small implants (150-200cc) viable for me?

Recommended reading

Everything you need to know about Mentor Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Small implants (150-200cc) viable for me?

Answers (4)

Answer: Small implants (150-200cc) viable for me?

Answer: Small implants (150-200cc) viable for me?

Browse related questions

Recommended reading

Everything you need to know about Mentor Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.