I am 5'7, 170 lbs. I am getting 450 or 509 cc Moderate+ Mentor gel implants and a small crescent lift due to my scoliosis.

I wanted to lose weight prior to surgery, but I will work on it later. I have pretty elastic skin and heal pretty quickly. I had bowel resection nearly two years ago, so my stomach muscles are really lax and I feel distended a lot. Do you think I should get 450 cc or 500 cc? My bust is 36B, and I have a wide base now....hope to be narrow over time. Does anyone have advice, pictures etc?

Answers from doctors (3)


More About Doctor Michelle Roughton, MD

Published on Dec 23, 2019

You can look at the photo gallery here on this site but individual surgeon's websites may be a bit more informative. Ours is askamelia.com or dpraleigh.com. I nearly always recommend choosing the larger of the two sizes you're between as the most common complaint after breast augmentation surgery is that you chose too small of a size. Good luck to you!

Answered by Michelle Roughton, MD (View Profile)

You can look at the photo gallery here on this site but individual surgeon's websites may be a bit more informative. Ours is askamelia.com or dpraleigh.com. I nearly always recommend choosing the larger of the two sizes you're between as the most common complaint after breast augmentation surgery is that you chose too small of a size. Good luck to you!

Published on Jul 11, 2012


William Rahal, MD

Published on Nov 12, 2017

Understanding cup size is trickier than you think.

To answer your question about 450 cc to 509 cc, you need to take into account your your base width diameter.

Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range.

450 cc on a woman with a BWD of 10 cm is very different than 450 cc for a woman with a BWD of 15 cm. There may be enough volume for one of them, and for the other it may be much less than the max she can safely go.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity. And after childbirth and breastfeeding, your breast will deflate and your skin will loosen.

Now there are two major unpredictable factors surrounding these changes I just mentioned. Firstly, the DEGREE that these changes will occur is unpredictable. We don't know and can't know ahead of time, how much your breasts will deflate or how much looser your skin will become. Secondly, it is unpredictable whether these changes will warrant a procedure. Maybe the deflation will be mild and not warrant a breast lift. Given these two unknowns, it is impossible to predict how much you will sag. Note that if you already have a breast augmentation, the implants will not affect those factors.

I hope that answers your question concerning the 295 cc volume and sagging. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So what do I mean by “perfect?" Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

https://www.youtube.com/watch?v=erBLCttPabk&t=4s

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8507_1507588165.jpg
Answered by William Rahal, MD

Understanding cup size is trickier than you think.

To answer your question about 450 cc to 509 cc, you need to take into account your your base width diameter.

Imagine lying on your back and drawing a circle around your breast. If you were to draw a line across that circle, it will be a given length. Your plastic surgeon will measure this length, which is called ‘’base width diameter’’ or BWD for short. For women, the base width diameter can go from 9.5 cm to 16.5 cm, or 3.75 to 6.5 inches. As you can see, there is a very wide range.

450 cc on a woman with a BWD of 10 cm is very different than 450 cc for a woman with a BWD of 15 cm. There may be enough volume for one of them, and for the other it may be much less than the max she can safely go.

Regarding sagging, whether you have implants or not, aging, pregnancy and breastfeeding will do things to your body. When you’re pregnant, your body releases more hormones. You’ll gain weight. Your skin will be stretched by the pregnancy weight and lose some elasticity. And after childbirth and breastfeeding, your breast will deflate and your skin will loosen.

Now there are two major unpredictable factors surrounding these changes I just mentioned. Firstly, the DEGREE that these changes will occur is unpredictable. We don't know and can't know ahead of time, how much your breasts will deflate or how much looser your skin will become. Secondly, it is unpredictable whether these changes will warrant a procedure. Maybe the deflation will be mild and not warrant a breast lift. Given these two unknowns, it is impossible to predict how much you will sag. Note that if you already have a breast augmentation, the implants will not affect those factors.

I hope that answers your question concerning the 295 cc volume and sagging. It’s great that you’re doing this research. I always say that the best patients are informed patients.

You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?

A term that I use with my patients for the perfect implant is the “Pony Implant”.

So what do I mean by “perfect?" Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.

Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.

And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"

That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.

This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.

Thank you for reading and best of luck on your journey!

Learn more: http://drwilliamrahal.com/

https://www.youtube.com/watch?v=erBLCttPabk&t=4s

Published on Jul 11, 2012


Tim Sayed MD, MBA, FACS

Published on Nov 08, 2017

Hard to know without photos what size makes sense. Your base will not change since it is determined primarily by your chest wall. It is possible your surgeon can render your cleavage less widely splayed, depending on your breastbone measurements and the takeoff of the folds. Moderate plus is a good choice in patients who have wide bases as it gives good projection, but still fills the base well when compared to flatter moderate profile or the taller, but narrower high profile. Mentor just introduced the Xtra profile line which has implant styles midway between moderate plus and high, and between high and ultra high. It may be worth it to look into those.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8434_1500932221.jpg
Answered by Tim Sayed MD, MBA, FACS

Hard to know without photos what size makes sense. Your base will not change since it is determined primarily by your chest wall. It is possible your surgeon can render your cleavage less widely splayed, depending on your breastbone measurements and the takeoff of the folds. Moderate plus is a good choice in patients who have wide bases as it gives good projection, but still fills the base well when compared to flatter moderate profile or the taller, but narrower high profile. Mentor just introduced the Xtra profile line which has implant styles midway between moderate plus and high, and between high and ultra high. It may be worth it to look into those.

Published on Jul 11, 2012


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