Help! I can't decide between 520cc and 480cc silicone HP under muscle. I am 30, 5'8-9, very active, slim frame and 36 C w/moderate breast fat. It's hard to choose based on sizers because I am told they will look smaller under muscle. Also hard to tell what I want based on photos of other women. Some look too projecting and top-heavy with 520s and others look large but quite socially acceptable and lovely. Goal is slightly larger than photo listed. I just don't want to scare my mother in law.
Answer: Sizers are the Best Hello, It is not up to you to decide the actual implant volume to use based on the result of in office sizing; that is what your surgeon should do. In general, there is a need to use a larger implant then what was used to size you, and your surgeon should know that if he uses this excellent method. If you trust him to operate on you, then you should trust him to determine actual implant volume necessary to achieve the results that you liked while sizing. Best of luck!
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Answer: Sizers are the Best Hello, It is not up to you to decide the actual implant volume to use based on the result of in office sizing; that is what your surgeon should do. In general, there is a need to use a larger implant then what was used to size you, and your surgeon should know that if he uses this excellent method. If you trust him to operate on you, then you should trust him to determine actual implant volume necessary to achieve the results that you liked while sizing. Best of luck!
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November 3, 2017
Answer: 480 or 520 silicone implants? Thank you for your questions. I do not see any attached photos. That being said, keep in mind you are being worried about a difference of only 40 cc, which is less than a 10% volume of the entire implant so this is a very small difference. You need to make sure that rather than the size, the implant width fits your breast dimensions well. If both implants will fit, then ask yourself which scenario makes you more worried, at three months feeling like you went too big, or feeling like you went too small. If being too small is most worrisome, then go with the larger implant, if being too big is more scary, go with the smaller implant. I think that whichever you choose, you will likely be happy. Hope this helps!
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November 3, 2017
Answer: 480 or 520 silicone implants? Thank you for your questions. I do not see any attached photos. That being said, keep in mind you are being worried about a difference of only 40 cc, which is less than a 10% volume of the entire implant so this is a very small difference. You need to make sure that rather than the size, the implant width fits your breast dimensions well. If both implants will fit, then ask yourself which scenario makes you more worried, at three months feeling like you went too big, or feeling like you went too small. If being too small is most worrisome, then go with the larger implant, if being too big is more scary, go with the smaller implant. I think that whichever you choose, you will likely be happy. Hope this helps!
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November 3, 2017
Answer: Breast augmentation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. The choice between 480 and 520cc will depend on your individual breast measurements. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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November 3, 2017
Answer: Breast augmentation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. The choice between 480 and 520cc will depend on your individual breast measurements. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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November 3, 2017
Answer: Sizing advice Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. With regards to your specific question, the volume differential you are considering is small (40 cc) and is nearly equivalent to a shot glass. While sizers are not 100% accurate an there will be a difference in shape post op, the volume is fairly consistent and the clothed appearance will be close. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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November 3, 2017
Answer: Sizing advice Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand. Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins"). A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments. When sizing patients, there are a number of useful tools including: -3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast) -Breast sizers (rice bags) -Goal photos I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.The key to obtaining a natural result is to stay within the parameters defined by your BWD. This will ensure that you avoid the dreaded "fake" look. With regards to your specific question, the volume differential you are considering is small (40 cc) and is nearly equivalent to a shot glass. While sizers are not 100% accurate an there will be a difference in shape post op, the volume is fairly consistent and the clothed appearance will be close. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Helpful
November 2, 2017
Answer: Best breast implants for me? My best advice: more communication. It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding. 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, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical. It's 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. For example, 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, 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 helps. Best wishes for an outcome that you will be very pleased with (by the way, don't let your "mother-in-law concerns" influence your decision-making too much).
Helpful
November 2, 2017
Answer: Best breast implants for me? My best advice: more communication. It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding. 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, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical. It's 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. For example, 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, 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 helps. Best wishes for an outcome that you will be very pleased with (by the way, don't let your "mother-in-law concerns" influence your decision-making too much).
Helpful