I'm 5'3 and 110 lbs. I'm suggesting 300cc mod plus silicone implant. Am I choosing the right size? (photo)

Question

A year ago I had a consultation, and my doctor recommended 325cc hp silicone. I expressed that I felt it may be too big for my body(I'm 5'3 110 lbs) and he then said 300cc mod plus would also give me good results. My surgery is next month and I'm nervous I'll regret not going bigger. The measurements from nipple to nipple was 20, and from each nipple to my neck was 20. (Centimeters) I would like them to look/feel natural as possible.

John Michael Thomassen, MD · Answer

You have competing interests in that you want a very natural breast but yet are concerned about going to big.  A 300 MP implant will give you a natural look that you should be happy with.  If you feel you would like to be more voluptuous, go with a high profile with slightly larger volume.  Best wishes!

Shlomo Widder, MD · Answer

Dear mec,   Thanks for submitting your picture.  You appear to be A+ cup. A very attractive and natural size is a full C cup. You did not provide your chest circumference measurement in inches which is critical for implants size selection. Let's assume that you are looking for a 34 full C cup. To reach that size you will need implants with volume of , roughly, 350 cc. You have wide cleavage, so, find a surgeon who uses saline implants and inserts them through the sub areola line. That enables the surgeon to create beautiful and precise cleavage and submammary fold under direct vision. Consult only with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures to make sure that they are numerous, consistent and attractive. Check also the 'realself' reviews fpr positive patient experience which provides important information on the surgeons.                            Best of luck,                                    Dr Widder

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. Only you can articulate and show with examples what you would like your desired result to be.  Whether a a 300 cc or 325 cc implant would achieve that "look" is up to the surgeon to determine

Thomas Trevisani, MD · Answer

We normally have the patient size and select her implant volume, provided that it doesn't create a hazard for her- that is in your case I would not insert anything over 450CC. We have the patient sign a consent for surgery that includes the implant information. 25CC is hardly a significant volume difference. Also, it is more common that a patient wishes that they had chosen a larger implant than wished to have gone smaller. With your height and weight- I would recommend HPThe final volume should be yours in writing.

Paul Gill, MD · Answer

Thank you for your question. It is much better to accurately discuss implant volume and projection with an in office exam and detailed measurements. In order to make an accurate size recommendation, I would need to assess your chest wall and breast mound measurements/characteristics. I use these measurements to help me during the sizing process to guide you to a safe result for your chest wall and just as important, one that meets your end desires.The next step is to try on this range of implants in the office with your doctor. The key to this success is showing your surgeon the body proportion you desire with a bra sizer and allowing your surgeon to guide you to the right implant. It will be much easier to communicate in implant cc's than cup size when determining the appropriate implant for you during the sizing process. In addition, review of photos and use of rice bags can be very helpful to the patient and surgeon in achieving a safe and happy result. Close intereaction and involvement from your surgeon during this process can help alleviate the anxiety and fears of choosing the right size. I wish you a safe recovery and fantastic result.Dr. Gill

Curtis Wong, MD · Answer

what you are considering and even make your own rice bags using knee high nylon stockings in unlined bra and you can live the life of having that volume.  300 cc's = 1.25 cups of rice.  And if you ever are stuck with adjacent sizes (325 or 300), its been my experience that it is always better to go with the bigger one assuming it fits easily on your frame.  The most common complaint in my practice is "I wish I went bigger".

Mark Deutsch, MD, FACS · Answer

Thank you for your question. From the looks of your pictures it appears there is a wide area between the two breasts. Is your surgeon going to try to give you more "cleavage" after surgery? If so you run the risk of laterally displaced nipples after surgery. Without the benefit of a full exam and breast diameter measurements I think that either implant would be fine. Most patients regret not going "bigger" when given the option of two different sizes. Good luck!

Jaime Campos Leon, MD · Answer

You have a beautiful frame I can tell with the picture you are posting definitely choosing the implant is one of the most important decisions definitely depends of the cup size you want and the way you want to look 25 or 50 cc's is not that much thats the surgeon's job, thats why I use sizers during the surgery, to determine what looks the best for you and what gives you the cup the patient wants, you need to comunicate with your sugreon he will have to measure your Chest width, skin elasticity, Height and how much tissue you have, just remember that the final size is an addition of what you have plus the implant.I think you are doing a great job researching in order to get the goals you want. Good luck on this Journey!!.

Darryl J. Blinski, MD · Answer

The # 1 compliant, "I wish I would have gone bigger!" So in my over the internet opinion best to try 350 cc

Barbara L. Davies, MD, FACS · Answer

Elective surgery can be scary, but I believe you are going to enjoy an augmentation!  From what I have seen from my patients, many regret not going bigger.  Two things happen - for a while you feel absolutely huge - it's just so different at first, then you get quite accustomed to it all - somewhere around two months, you feel that you've ALWAYS been that size - and that's when you think you could have gone bigger.  Also - I personally believe that your breast tissue gets a bit compressed by the implant, so there seems to be a bit of volume loss - again around two months, just when you start thinking you could have been bigger!  I always add 25 cc more to the size the patient chooses, just to compensate for all of this (yes, patient is aware of this and why I do it) - and this has worked out very well.   Twenty five ccs is a minimal difference - about a quarter of a bra cup size - the difference between your breast fitting into the cup very easily, or slightly filling out the top a bit more (just where you want to be roundest and fullest!).   One thing to think about for you- the high profile is narrower - not a huge amount, but it is narrower - you MIGHT want to consider moderate profile to give you a bit narrower space between your breasts (more cleavage) - no matter what, you are not going to have a tight cleavage like some folks have - you're just not built that way.  An augmentation is a larger version of what you are now, so some things cannot be altered.  Implant shape is a very personal choice - hopefully you have had a chance to 'try on' some implants.  You are going to look great no matter what shape you choose.  Good luck!

I'm 5'3 and 110 lbs. I'm suggesting 300cc mod plus silicone implant. Am I choosing the right size? (photo)

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