Will 310cc motiva Ergonomix mini be too big for me? (photos)

Question

I am afraid of what other people, including family will think, and am super terrified to have the operated look. I was recommended the 380cc Demi implant but panicked after 1st consultation and changed to 295 or 310cc mini implant, and decided on the 310cc behind the muscle. I have tried ricebags at home and am pleased with the result but am terrified I will have plastic "look" and shape. Will it be too big for me? 175 cm 70kg, I think I have ca 250cc tissue, after water test at home.

Daniel Barrett, MD · Answer

Dear Original812252
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

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

Hi there, it seems from the photos that there is enough soft tissue cover and with a subpectoral mini implant I am confident it won't look "stuck on" . Size wise 310 will give you almost two cup sizes increase and I think with your dimensions it will look lovely.All the best with your surgery.

Ram Kalus, MD, FACS · Answer

Although your question is a good one, it is not a particularly useful exercise to try to figure how many cc's would give what sort of a look. It is an impossible question to answer until that implant is positioned in the breast at the time of surgery. The most common reason for a patient to be unhappy after breast augmentation relates to size-either too big, or not big enough. Thankfully that is a truly rare circumstance in my own practice since we spend the greatest amount of time trying to determine the best implant size option for that patient. In our office there are three elements that go into the decision regarding implant selection, and we rarely go to surgery with only one size. First I interview all my patents to learn exactly what their goals are "in words". Then I examine and measure to see what implant dimensions would "fit" into her breasts. You cannot put a size 4 shoe on a size 8 foot. We then have an understanding of which base width would be suitable, but for that exact width there are at least 4 different implants that might fit (low profile, moderate plus, high, or ultra high) and this relates to "the look" one is trying to achieve-conservative (natural) ballerina or exaggerated "augmented" look with round and very large breasts, or perhaps something in between. We then use on lay forms that will show you what you are likely to look like in an unpadded bra. Finally, we ask all of our patients to use our "What Size Should I Be" functionality on our website that allows you to plug in your height, weight, and current bra size. This will bring up all of the patients in our gallery who fit your demographic and can give you a visual idea of what you can expect after your surgery, remembering always that no two patients are exactly the same.

The most important step for you is to determine who is the best surgeon for you based on his or her before and after gallery, and if your interaction with your surgeon and his or her office staff feels right. Finally, be sure that your own sense of aesthetics aligns with that of your surgeon. Best of luck to you.

The most important step for you is to determine who is the best surgeon for you based on his or her before and after gallery, and if your interaction with your surgeon and his or her office staff feels right. Finally, be sure that your own sense of aesthetics aligns with that of your surgeon. Best of luck to you.

Layth Gurgia, MD - Account Suspended · Answer

Dear Tbb , 
Thank you for your question. Most women are a bit worried that they might get bigger than what they wanted but the difference in implant size is small and most women end up regretting that they didn't choose a bigger size. around 350 in a Demi Round to enhance your cleavage would give you more upper breast pole fullness and behind the muscle for a more natural look. 
I hope this helps and you are also welcome if you have any further questions.  
Dr. Layth Gurgia 
Consultant plastic surgeon
ER klinik 
Stockholm Sweden

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