Vectra 3D vs DIY rice bags? Decided on 405 or 445 moderate profile gummy bear under the muscle.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thank you for your question.
When it comes to breast augmentation, oftentimes your surgeon will allow you to "try on" different implant sizes prior to your procedure. They will have you place the implant within a bra, and then try on a tight fitting shirt to mimic the appearance of your breasts post-operatively. I recommend speaking with your plastic surgeon to discuss your concerns and for evaluation.

Hello, thank you for your question. Implant size determination is one of the more difficult part of the process. After doing this for awhile it is safe to say that when there is a 50 cc difference or less of the implant size then it really wont make a huge difference in appearance or at least one that is noticeable to the regular eye. If you rather bigger than go for the bigger size range, if you are worried that it maybe too large then go for the smaller size. Most patients wish they go bigger after surgery.

At size 34, each 100 cc of implant corresponds to 1 cup size change. 400 cc implants would take you to a size F, which would be inappropriate. You would be better off with smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Well, it’s kind of funny that you have posted this issue. Both simulation software and sizing rise to the top as the best ways to select a breast implant for a potential patient. They were validated as excellent in an article that was published in the Plastic and Reconstructive Surgery Journal. However, having used both myself, I feel that simulation software does not give a patient a sense of perspective or proportion. It’s certainly fun to do, but missing that crucial those elements can lead to wrong size surgery. I much prefer using purpose built sizers that the patient tries on in the office. This can be substituted using homemade rice sizes at home, however. So, I would trust your DIY resizing over the Vectra. I have not had a wrong size surgery in over a decade.