This is a highly personal question. I use Crisalix software in my office to help patients visualize potential results. This does not guarantee an outcome, but helps take some guesswork out of figuring out whether the size looks way too large, way too small, or about right.

If you are pretty happy with the sizers, it is most likely you will be satisfied with the result. I'd suggest you discuss further with your surgeon's office.

You can always seek second opinions if you think you are not fully settled on a surgeon yet.

Published on Jul 11, 2012

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 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.

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 good size” 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.

Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851

Published on Jul 11, 2012

It is nearly impossible to give you advice without seeing you in person for an evaluation. However, I would say it is reasonable to go with a 425cc-implant based on your height.

I'm assuming you chose your plastic surgeon because of their credentials, experience, expertise, before/after photos, and bedside manner, so I would go with his/her recommendations. It ultimately comes down to what size and look you want after surgery. Keep in mind, the number one complaint heard by women after breast augmentation is wishing they would have gone bigger!

Best of luck.

Dr. Cruise

Published on Jul 11, 2012

The size you want your breast to be is a very personal decision. Approximately every 150cc will increase your cup size by about one. However, with time, and especially under the muscle, patients tend to lose about 1/2 to one cup in appearance. Sizers really don't give you an accurate idea of what your breasts will look like.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
Newport Beach, San Francisco,Miami, Italy, Anguilla
949.640-6324/1.888.234-5080(Ca)
FAX- 949.640-7347
Website: http://www.surgery-plastic.com
Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)
Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors
Plastic Surgery- 2005-2017
President,American Society of Bariatric Plastic Surgeons
www.ASBPS.org
Organoderm Skin care/ScaRxTape

Published on Jul 11, 2012

Thank you for your question. It is difficult to say one way or another how a 425cc implant would look on you without seeing you in person. Does your plastic surgeon offer 3D-imaging technologies? I offer this in my office to help patients get a better idea of how a specific size and profile implant will look on their body frame.

Published on Jul 11, 2012

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.

Other overlooked points are anatomy and starting point. Any implant will add to your preexisting volume; the implant is an additive. A particular volume will not necessarily confer the same cup size to different patients (oftentimes 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, and represent 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.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Published on Jul 11, 2012