565 cc gummy bear high profile. I am wondering if I chose too big. I'm 5'7" and 170 lbs.

Question

I am 31 had consultation for BA and decided for 565 cc gummy bear implants. Now I am wondering if I choose to big. I am 5'7 and 170 pounds. Any suggestions on if it is going to big huge or look normalish.

Robert M. Freund, MD · Answer

The best way to get the right size implants is to start by knowing which volume is ideal. The rice test is the best first step.THE RICE TESTget a pair of disposable pantyhose, a box of rice and a measuring cup that measures milliliters.Pour 300 milliliters of rice into the measuring cup and then into the panty hose.Cinch down the pantyhose and tie it off. Cut off all extra material.Put the rice-filled pantyhose in your bra and adjust until it looks natural. If your bra is too small this will not work.If the volume is too small or too large, untie the pantyhose, adjust the volume and repeat until you are satisfied with the volume amount.To confirm that it is the proper amount, look at yourself in a mirror, wearing a bathing suit, t-shirt and sweater. Once you are satisfied that you are using the proper volume, pour it back into the measuring cup to confirm the volume.Next, add 10% to the volume size and you have the final volume.The next thing to evaluate for the proper implant is width. Implants come in three widths for any particular volume. A wide implant will have less projection than a narrow implant of the same volume. To determine what is the proper width for you, measure from the nipple to the point on your chest wall where you would like the cleavage to start. This number should be between 5-9 centimeters if you are doing it properly. Double this number and subtract by 1.5 to get a rough estimate of the ideal width.With these numbers in hand (volume and width), seek out a board certified plastic surgeon and discuss your options. For more information on breast implants, please read my book " Cosmetic Breast Surgery - a complete guide from A to double D".

C. Bob Basu, MD, MPH, FACS · Answer

Generally speaking, 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

Tom J. Pousti, MD · Answer

Thank you for the question. Based on your concerns, I would suggest that you spend additional time communicating your goals carefully with your plastic surgeon prior to the date of the planned procedure. Online consultants, despite best efforts, will not be able to provide you with specific enough advised to be truly helpful/meaningful.  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. Sometimes, it is necessary to seek several consultations before you feel comfort will about your choice.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 "C or 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, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. 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. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.I hope this (and the attached link) helps.

Robert Singer, MD · Answer

The best cosmetic result in
any particular breast augmentation patient depends on a variety of factors,
including: your individual anatomy, realistic expectations, a thorough
discussion with the plastic surgeon about the options, and an understanding of
the pros and cons of any particular implant choice. Proper sizing is not just
about the number of cc’s. The thickness of your tissue, breast dimensions which
include the width, height, and projection, as well as chest wall width all need
to be considered when choosing an implant. Trying on implant “sizers” of
various shapes and volumes while wearing a tight t-shirt, bra, or bathing suit
at a preoperative visit will help you and your surgeon choose the optimal
implant.Most plastic surgeons would consider 565 cc. high profile implants to be quite large.Keep in mind that following
the advice from a surgeon on this or any other website who proposes to tell you
what to do without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros and cons
of each operative procedure would not be in your best interest. I would suggest
your plastic surgeon be certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

Brian K. Brzowski, MD, FACS · Answer

There are many critical points that we are learning about the use of shaped implants.  One of them is that when using very large implants, shaped implants begin looking round.  In that event, many surgeons would wonder why even use a shaped implant in that situation:  you will spend more $ on a shaped implant and are introducing the risk of rotation with few other potential benefits.  I've had the honor of learning directly from pioneers in the use of shaped implants, and this is situation is one of the real hazards with some adopters of these implants.Provided you are under the care of a Board Certified Plastic Surgeon who is experienced with shaped implants and understands these ramifications, you should achieve your desired outcome.  Luckily, you have another fabulous resource for finding a qualified plastic surgeon here in Utah.  The Utah Plastic Surgery Society is the only state society comprised solely of Board Certified Plastic Surgeons.  You can find an experienced surgeon in your area by searching here:  safeplasticsurgeryutah.orgBest of luck.

Frederic H. Corbin, MD (license restricted) · Answer

Size is an individual decision based on measurements.  What is "TOO" big for one patient is "TOO" small for another.  That is why I have patients put implants in a bra till they see a volume on themselves that they like then I can inform them of the pros and cons of their choice based on their measurements and hopefully guide them to picking the best implant for themDr Corbin

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

You need to go back for a sizing system evaluation.  During this procedure specially shaped implants of various sizes can be placed into your bra so that you can see how you will look with that size.Another alternative is to do the Rice test in the privacy of your own home.  Please read the following link on how to choose breast implant size and you will read how to do the Rice test so that you can see how you will look with this size of implants.

565 cc gummy bear high profile. I am wondering if I chose too big. I'm 5'7" and 170 lbs.

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