My plastic suggested 500 cc implants. I don't want extra large breasts, just upper pole fullness and a nice shape. Any suggestions on size?
All depends on your desired cup size and degree of fullness. Best to discuss this decision openly and thoroughly with your plastic surgeon preop using measurements, sizers, photos of similar patients with results that you like vs those that you find either too large or to small ("likes" vs "dislikes").
Published on Jul 11, 2012
500cc will increase your cup size by about 3. Since you already have the scars from your breast reduction, you should also consider redoing the uplift plus the implants as well as using a high profile implant in a neo-pocket.
Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
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Published on Jul 11, 2012
With your height and weight, a 500 cc implant would put you in the D-cup range.Taller women can support a larger implant. You should keep in mind that the extra one pound of wt/breast will stretch the skin eventually, and you may need a lift later.
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.
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, as long as you have been appropriately sized and are happy with your look pre-op, you should have a reasonable result. One word of caution...a 500 cc implant is a large implant by most standards. Depending upon your measurements this may be appropriate but it is important to remember that large implants age your result faster due to excess stress on the tissues supporting the device.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Published on Jul 11, 2012