Is 450cc too big for my frame? (Photo)

Question

Hi, I am excited to get my ba next week but I am going back and fourth psyching myself out by thinking about the sizes. Is 450cc too big for my body frame? I am 5"2 116 pounds my base width is R 12.7/ L 12.6. My surgeon is board certified and this was one of his recommendations however, I would appreciate other expertise advice. I want to be a full "D" and I am currently a 34 "B". Thank you in advance. L B/f 1 child

Trevor M. Born, MD · Answer

Dear lindap18Thank you for your question and photos!  Implant sizing is difficult- particularly when you want a specific CUP size.  There is no perfect way to choose.  The best is to try on implant sizers, with a t- shirt and bra , take some photos and compare various implant sizes.  A good guideline is to have the implant width - close to the width of your own breast- this will limit the visibility or being able to feel the implant as the swelling from surgery settles. A 450 cc implant should bring you to a D cup.With Warm RegardsTrevor M Born MD

Steven Wallach, MD · Answer

Implant volume does not always correlate well to cup size.  If you and your surgeon decided on 450 cc's, you may want to try a baggy test to see if the volume is to your liking.

Tom J. Pousti, MD · Answer

Thank you for the question.  Despite your good description of goals, online consultants will not be able to provide you with specific enough advice to be truly helpful. Ultimately, 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, and computer imaging) will be critical. Given that your surgery is coming up soon, I would suggest that you schedule additional time to spend with your plastic surgeon communicating your goals, preferably prior to the date of surgery.
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. I have found that the use of words such as  “natural” or "full D cup” 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 (and the attached link, dedicated to breast  augmentation surgery concerns) helps. Best wishes.

M. Dean Vistnes, MD · Answer

Your best bet when you are trying to decide on implants is to try on sizers of the exact implant you are considering inside a very tight sports bra. This will give you a close idea of what you will look like. More importantly the dimensions or width of the implants need to match and fit your frame and body. If you are working with a board certified plastic surgeon with an expertise in breast augmentation he or she should be able to help you with this in their office. Good luck! best, Dean Vistnes, M.D

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry.
You may be an excellent candidate for breast augmentation surgery. Exact end results and cup sizes are usually quite difficult to calculate as everyone has a different starting point.
It is important to have an in-person assessment regarding your concerns as it is difficult to determine virtually.
There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. We utilize smooth round cohesive silicone gel 'gummy bear' implants for the best results.
During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We also offer Crisalix 3D plastic surgery virtual simulator during our in-person and virtual consultations to preview potential results. After your consultation, you will receive your very own implant sizers to take home with you (at a small cost) whether or not you decide to go forward with your procedure.
I usually recommend that my patients stop smoking, take vitamin C daily, and avoid aspirin/ibuprofen and vitamin E 3 weeks prior to surgery. I specialize in the 24-hour Recovery method which minimizes trauma to the breast and decreases pain post-operatively.
We encourage you to look at our website and Instagram (drkaraplasticsurgery) for lots of before and after pictures!
Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.
During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery.
We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!
M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

R. Stephen Mulholland, MD (retired) · Answer

Dear lindap18,

From your clinical post and your 5 feet, 2 inches, 116 pound
frame, 450 cc’s or 450 gram implant would fall within the upper range of what
your soft tissue and shoulder waist hip ratio could accommodate.  You do have an asymmetry between the left and
the right breast and you might consider a slightly larger implant on the left
side.

I’ve been performing breast augmentation surgery for over 20
years and I’ve found the last five or six years the use of the Vectra 3D
imaging system helps patients select the right breast implant size for their
vision of aesthetic beauty shape and proportion.  I would strongly suggest you return to your
surgeon to see if they offer Vectra 3D imaging or seek out a physician that
does offer this imaging so that you can feel very very confident that you
achieved the best possible breast form, shape and size enhancement that is
available with all the current sizes and shapes of implants.  You may find that you are quite happy with a
breast implant that might range from 370 grams to 500 grams and only three
dimensional imaging which is a very real predictor of ultimate shape form of
rejection will be most helpful.

I am sure you’re going to get an excellent result and be very
happy with your decision to proceed with breast augmentation surgery and best
of luck.

For more information please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Is 450cc too big for my frame? (Photo)

Answers (6)

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