I'm a A cup, 5'9, and 130 lbs. I want more than 400cc. My doctor has said I am too small to go bigger. Is this true?

Question

I am a size a cup and breast feed twice, I am 5,9 and weigh about 130. Is this true that's it in possible to go bigger thank you

Vincent N. Zubowicz, MD · Answer

As long as the diameter of the prosthesis does not exceed the normal anatomic limits of your breast any size of prosthesis can be placed. This is a simple arithmetic calculation. Different profile implants are available for women who desire more projection without the diameter chest wall for flatter profile implants.

Eric Desman, MD · Answer

Sizing of breast 
implants is a very individualized 
process. Essentially, you need to custom fit the implants to your body. 
In order to properly size implants, you need measurements of several key
 
items. Regardless of what manufacturer of implant your surgeon uses, 
they all have what is called dimensional fitting systems. These systems 
basically take some measurements of your breast width, height, and 
tissue stretch to determine the optimal volume for your particular 
tissues. i.e. What can your tissues handle? That is the "science" of 
determining the optimal size implant for your tissues. The artistry with
 your surgeon comes in taking the ideal size and working with some 
judgement to get you as close as possible to your desired outcome.  So 
someone 5'9" 130 lbs with
 3 children vs. someone with no children may have different optimal 
volumes due to the differential stretch in their tissues.  You can 
Google
 "High Five Augmentation" to get a quick idea of the process.Without knowing precise measurements, it is difficult to say whether or not 400 cc is too large, too small, or just right. Good luck.

Manuel Marte, MD · Answer

Good quetion!In my opinion to choose the size of the breast implants you must take into account several aspects, one of those is which  of the patient, there are women who want larger breasts and I take it into account. You have a good height and although it is right to see personally, I think you stand a 400 cc implants.  Dr. Marte

Tom J. Pousti, MD · Answer

Thank you for the question.  In regards to specific size/profile of breast implant, despite good intentions, online consultants will not be able to provide you  with  meaningful specific advice.  Ultimately,  consultation  careful measurements, dimensional planning, and careful communication will be key.
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.  Again, have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining which operation and/or 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. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.  The use of computer imaging may be very helpful during this communication phase.
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.  The use of temporary intraoperative sizers, viewing the patient's breasts in the upright and supine position, are very helpful during the breast implant selection process.
I hope this, and the attached link, helps.

C. Bob Basu, MD, MPH, FACS · Answer

There are several factors that plastic surgeons consider when recommending implant sizes. I consider two factors when selecting implants for my patients:1. Dimensional planning2. Gel Implant Sizing systemDimensional planning – The measurements of your chest wall are taken. Also, the breast dimensions including the height, width, and current dimensions of each breast form the basis of dimensional planning. Based on these measurements, the implant size is recommended. This will give you a unique breast implant that is suited for your body frame. However, there are some limitations of what size we can recommend. For instance, some implants may just be too big for a narrow chest wall. Your surgeon can review this with you during the consultation.Gel Implant Sizing system – During the preliminary breast implant consultation, you will be provided with an option to “try on” a variety of implant shapes and sizes. You can also visualize the possible outcomes of your surgery which helps you to get that perfect size to give you the shape that you longed for. This way your preferences are known and you can then pick a range of implants that will “fit” just right to give a soft natural fuller look. Hope this helps.Dr. BasuHouston, TX

Scott L. Replogle, MD (retired) · Answer

Your question unfortunately is like saying you're 5'9 and 130 lbs. and want to be a size 2 dress and the dress fitter says you're too big for this size. It is not the case that you can just pick an implant size or a dress or shoe size and make it work. You also cannot just pick a resulting size and appearance for your breast and get it just because you want it. Implants are pillows of volume that have to be properly fitted and positioned to look natural and give various forward size effects based on the profile of the implant, not the number of cc's. They take what's there and fill it out up to what the tissues will allow without risk of distortion and problems. Have the width of your breast measured upright with arms down. Take that measurement and subtract 3/4 to 1 cm to find out what the width (diameter) of a round implant should be and then choose a forward profile from low (about one cup size increase) to high (about a two cup size increase) and then look up the number of cc's of the implant. Then you know that the implant will fit, what effect it will have, and only have to get it properly positioned under the pectoralis muscle and healed there.

I'm a A cup, 5'9, and 130 lbs. I want more than 400cc. My doctor has said I am too small to go bigger. Is this true?

Answers (6)

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